Edgewater Physiotherapy is delighted to announce the availability of Shockwave therapy for patients suffering with chronic tendon pain. This state of the art machine has been proven to be very effective for treating those tendon problems that “wont go away”. Shockwave Therapy is where a series of energetic shockwaves are applied to a tendon that is in dysrepair or a degenerated state. A shockwave is a purely mechanical wave, not an electric one. The treatment initiates an inflammation-like condition (pro-flamatory) in the tissue that is being treated. The body responds by increasing the blood circulation and metabolism in the impact area which in turn accelerates the body’s own healing processes. The shockwaves break down injured tissue and calcifications.

Benefits of Shockwave Therapy:

• No anaesthesia

• Non invasive

• No medication

• No surgery

• Fast treatment – 15 minutes per session, 3-4 sessions required

• Fewer complications

• Virtually painless after treatment

• Significant clinical benefit often seen 6-8 weeks after treatment

What Can Shockwave Therapy Treat?

How does Shockwave Therapy work?

• The shockwave is delivered to the tissue via a compressed air impulse exerted by the hand piece.

• The shockwave radiates out, extending to the entire area where pain occurs.

• Usually no more than 3 sessions are needed.

• Each treatment takes approximately 5-10 minutes to be delivered.

• No anaesthetic is required (Avoid pain provoking exercise for 48 hours following treatment)

• No surgery or other therapy is required and treatment can usually start straight away

What is the success rate for Shockwave Therapy?

International evidence based studies show a 77% success rate in the treatment of chronic tendinopathy conditions. It is important to highlight that we would expect positive clinical outcomes following treatment however there is a chance that the treatment may not improve your symptoms. A review at 12 weeks is recommended following your final treatment. If at this stage your symptoms persist you will be advised of alternative treatments/surgery by your medical practitioner.

What are the advantages with Radial Shockwave Therapy?

Radial Shockwave Therapy is applied without medication, for example Cortisone injections. The treatment stimulates and effectively supports the body’s self healing mechanisms. It is usual to experience immediate pain relief following the treatment and hence improved movement. Reported side effects are minimal, however there may be some discomfort during treatment, skin reddening, possible bruising. If you are concerned please speak with your medical practitioner before receiving treatment.

Commonly Asked Questions –

Is the shockwave treatment itself painful?

Sometimes the treatment is a bit painful, but most people can stand these few intense minutes without medication. If you are in pain during the treatment please notify your medical practitioner as there are some adjustments that can be made to reduce the discomfort, however, having some pain during the treatment illustrates that shockwaves are having a positive effect.

Will I be in pain after the treatment?

You will normally experience a reduced level of pain or no pain at all immediately after the treatment, but a mild and diffused pain may occur a few hours later. This dull pain can last for a day or so.

What shall I do if I am in pain after the treatment?

Radial Shockwave Treatment initiates a pro-flammatory condition in the tissue that is being treated. If necessary you may use ordinary prescription-free pain killers. Do not use antiinflammatory medication and do not use ice on the treated area as both will interfere with the body’s self healing abilities.

What if I am painless after the shockwave treatment?

Even if you have no pain we strongly recommend that you refrain from intensive activities that stress the treated area for the next 48 hours after each treatment.

What if the shockwave treatment doesn’t work for me?

Even though the response to shockwave treatment normally is exceptionally good within a few weeks. After treatment it may take several months before maximum effect is achieved. If after 3-4 months you still do not experience a pronounced improvement, surgery for example may be an alternative depending on your particular clinical picture.

Are there any contraindications or precautions that I should be aware of?

Yes.

  • Cortisone injections are not to be administered within the last 11 weeks prior to shockwave therapy treatment.
  • Sometimes there may be some bruising and hemorrhaging tendencies and coagulation system disturbances. As such if you are on warfrin or other anti-coagulant therapies please notify your clinician.
  • If you have a cardiac pacemaker please notify your clinician prior to treatment as shockwave therapy may interfere with this.
  • Acute inflammation in the treatment area.
  • If you have been diagnosed with cancer you should notify your clinician, as the treatment would not be appropriate in this case.
  • If you are pregnant please notify your clinician, as treatment should not be administered.

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