Navigation Links
Extracorporeal shockwave therapy


Extracorporeal Shock Wave Therapy or ESWT is best known for its uses in the treatment of kidney stones (Extracorporeal Shockwave Lithotripsy).

In more recent years this type of technology has become popular in the treatment musculo-skeletal conditions. Presently it is only FDA approved for treatment of plantar heel spurs, plantar fasciitis and tennis elbow. In the future approval may be given to treat patella tendinitis, shoulder tendinitis, achilles tendinitis, pseudoarthrosis, stress fractures and shoulder calcification. There is also an FDA study to treat recalcitrant diabetic wounds.

There are a couple of theories as to how ESWT helps promote healing. The most accepted one is that the microtrauma of the repeated ultrasound shock wave to the affected area creates neo-vascularization (new blood flow) into the area. It is this new blood flow that promotes tissue healing. The second theory is that in chronic pain, the brain has "forgotten" about the pain and is doing nothing to heal the area. By having shock wave therapy a new inflammatory process is created and the brain can react to it by sending the necessary body nutrients down to the area to promote healing.

For treatment of heel pain the FDA study criteria is quite specific. A person has had to have experienced heel pain for at least six months, had at least three other types of treatments (cortisone injections, oral anti-inflammatory medication, orthotics, physical therapy, etc.) without relief.

Contraindications for this procedure include: neurological and vascular disease of the foot, history of rupture of the plantar fascial ligament, open bone growth plates, pregnancy, implanted metal in the area (bone screws and pins) and people on medication that interferes with blood clotting such as coumadin and prophylactic aspirin.

The procedure use to be performed in an out-patient setting, under local anesthesia, lasting up to 30 minutes in duration. Now with newer technology it can be done without anesthesia in the physician's office in less than 10 minutes. The patient is able to walk out on their own power with the major complaint of a thumping feeling on their heel. View a short video of the procedure

Because re-inflammation is being introduced, the patient cannot take anti-inflammatory medication afterward, nor should they ice the area. Tylenol with codeine is usually given.

For some patients the relief is instantaneous, for others relief may not occur for upwards of six months and unfortunately for others the treatment may not work at all.--Mbmitnick 22:50, 2 January 2007 (UTC)Dr. Marc Mitnick


ReferenceS

Foot pain explained

International Society for Musculoskeletal Shockwave Therapy

The Journal of Bone and Joint Surgery-March 2002, Article 335


'"/>


(Date:4/22/2014)... to trauma, illness, alcohol or other drug abuse, these ... cells that can go awry and activate conditions such ... autism. , Until now, it has been unclear how ... developing brain. Past studies have shown that when an ... or she experiences some trauma or illness, her baby ...
(Date:4/22/2014)... chronic inflammatory disorders of the intestine that result in ... in the U.S., and while there are treatments to ... , Now, Cincinnati Cancer Center and University of Cincinnati ... in her lab have done what is believed to ... important function for the Ron receptor, a cell surface ...
(Date:4/22/2014)... 2014) Older parents are more likely to have ... than are younger parents. A recent study from researchers ... Philadelphia and Karolinska Institute in Sweden provides more insight ... between mothers, and fathers, ages, and found that the ... intellectual disability is larger for older parents., In the ...
(Date:4/22/2014)... NH, 4/22/14). Dartmouth researchers have found that the ... and does not negatively impact a woman,s overall ... False-Positive Screening Mammograms," which was published online in ... , Anywhere from 40 to 60 percent ... a ten-year period will experience a false-positive mammogram. ...
(Date:4/22/2014)... New research published today out of the University of ... promote growth in damaged nerve cells as a means ... his team have discovered a key molecule that directly ... His study was published in the prestigious journal ... and Anand Krishnan. , "We made the surprising ...
Breaking Medicine News(10 mins):Health News:Life stressors trigger neurological disorders, researchers find 2Health News:Two genes linked to inflammatory bowel disease 2Health News:Child's autism risk accelerates with mother's age over 30 2Health News:Child's autism risk accelerates with mother's age over 30 3Health News:False-positive mammogram anxiety has limited impact on women's well-being 2Health News:Scientists discover a new way to enhance nerve growth following injury 2
... loss of the four sick public sector pharmaceutical and ... the railways and the armed forces have been asked ... making units. ,According to the ministry of ... Pharmaceuticals Limited, Hindustan Insecticides Limited and Hindustan Organic Chemicals ...
... have developed a new electro-chemical biosensor, which detects the ... the most widely used herbicides in agriculture and ... environment as well as antibiotics in food. ... the expensive laboratory methods, which are used to detect ...
... Recent studies have indicated that the protein known as ... levels of TRPM8 have been found in prostate ... has been suggested as a specific marker and therapeutic ... changes in TRPM8 during prostate cancer progression have remained ...
... of people made a beeline for guru Ramdev's six-day yoga ... has been specially prepared on the outskirts of this popular ... ,Organisers said some 10,000 people, including Himachal Pradesh ... ,The state transport department has made special arrangements to ...
... has given a green signal for plantation of rise ... in Kansas. ,This is the first ... human proteins will be grown on a large-scale. ... California, the rice strains produce lysozyme, lactoferrin, and human ...
... found that full brain development in adolescents takes place between ... National Institutes of Health (NIH) MRI Study of Normal Brain ... and behaviour from birth to young adulthood. ,The ... of Psychiatry at Childrens Hospital Boston, focused on cognition and ...
Cached Medicine News:Health News:Government Hospitals to the Rescue of Loss-making Pharma Companies 2Health News:New Electro-chemical Biosensor to Check Food Contamination 2Health News:Adolescents Brains Fully Develop Between 10-12 Years 2
Other medicine definitionOther Tags