SHOCK WAVE THERAPY
For Pain that Wont Go Away
The majority of patients report a significant reduction in pain immediately following the therapy, although some individuals may require multiple sessions, typically within the range of 4 to 5, to achieve substantial pain relief. It's important to note that the body's inherent healing process persists beyond the prescribed course of shockwave therapy.
Integral to the treatment plan is comprehensive guidance on condition management and rehabilitation to fortify the affected area, thus minimizing the risk of re-injury.
Numerous studies have demonstrated the efficacy of shockwave therapy, with success rates reaching up to 90% in certain conditions, often attainable within a relatively short span of three to five sessions.
Who can benefit from shockwave therapy? Individuals with chronic injuries involving tendons or muscles are ideal candidates for assessment by a practitioner specializing in shockwave therapy. This versatile treatment modality effectively addresses a wide array of conditions, including but not limited to Achilles pain, plantar fasciitis, heel spur pain, tennis elbow, golfers' elbow, jumper's knee, shin splints, gluteal tendinopathy, shoulder tendinopathy (with calcification), frozen shoulder, and various musculoskeletal disorders.
Contraindications (when Shockwave may not be suitable)
While shockwave is suitable for a large number of conditions both evidenced and experimental with minimal side effects, there are some contraindications that may mean shockwave is not an option.
Shockwave is unsuitable in the following circumstances:
• If you are pregnant
• If you have a blood clotting disorder (including thrombosis)
• If you are taking oral anti-coagulants
• If you have received a Steroid injection within 6 weeks
• If you have a Pacemaker fitted
• If tumours are present at the treatment site
• If you have an infection or skin abrasion at the treatment site
• If you are Under 18 (except in the treatment of Osgood-Schlatter disease)
Any treatment over an air-filled area such as the lungs or guts is also not possible.
From experience there are certain treatments, conditions and individual histories that are likely respond better or worse to shockwave; however in every assessment we look at the safety first.
There is an increasing amount of anecdotal evidence from international practitioners and among professional sports teams, that the current recommendation where a condition isn’t treated until it’s been present for at least 6 months can be reduced. As the risks associated with this are few, people may be tempted to investigate this treatment earlier and some practitioners may agree, however other guidelines have more risks associated with them.
‘Is Shockwave suitable in the ankle of a pregnant patient?’ The thought being is that the local nature of the treatment shouldn’t affect other areas, however, the advice should always be not based on the risk vs reward.
Shockwave has a very safe track record because practitioners adhere to the constraints and guidelines. While benefits can be discovered by pushing the boundaries, there should always be a safety first approach and for most of the general population, the contraindications are in place to protect people.
Even with matching symptoms, it’s important to be adequately screened and the final decision lies with the practitioner.
FAQS (Frequently assed questions)
Why should I have ESWT?
The treatment helps reducing pain symptoms of long term injuries so you can go back to your normal activities and carry out exercises and rehabilitation more easily.
What are the risks?
Complications do not normally happen with shockwave therapy. It is low risk, but not guaranteed to be 100% successful. It can cause increase in pain and sensitivity, which normally gets better with time.
People with poor sensation or hypersensitivity should not have ESWT.
How can I prepare for ESWT?
You should stop taking non-steroidal anti-inflammatory drugs such as aspirin around 24hrs before any ESWT.
Make sure you wear good, supportive footwear and continue to follow the advice given by your clinician.
What does the treatment involve?
We offer 3-5 shockwave therapy sessions, based on the person’s needs, with one or two weeks in-between each treatment. Each takes between 5-10mins.
The painful area is located through palpation, and ultrasonic gel is applied to improve the transmission of the shockwaves. Treatment is then delivered through a handheld device attached to a shockwave machine.
Will I feel pain?
The treatment can be painful, but if the pain gets too much, the settings can be adjusted to reduce it. You may find a mild ache after the treatment which should pass after a day.
What should I do after treatment?
You can carry on with your usual activities', but avoid any exercise which feels painful for 2 days (48hrs) after treatment.
Don’t apply any ice on the treated area or take any non-steroidal anti-inflammatory medication such as aspirin, ibuprofen or diclofenac, as this stops the inflammatory and healing processes that the shockwave treatment has started.
You may feel pain relief from the treatment straightaway, but long term effects are normally felt after 3 months. You will have a follow up appointment in clinic 3 months after your treatment.
This therapy is patient funded and not subsisded by ACC. No refferal necessary.
- Cost of treatment (five session) $250.00
Our prices have been selectively lowered from usual market rates to ensure that our service is accessible to all members of the public that need treatment or advice.
HOW WE CAN HELP YOU
COMMON PATIENT CONCERNS
This encompasses sudden loss of urine with stress or increased force to the pelvic floor. Common situations are running, jumping, coughing, laughing and sneezing.
This includes ‘key in the door’ urgency where certain triggers cause you to immediately need to go to the toilet – such as arriving back at your house. You may also experience random sudden onset of needing to empty your bladder, and find that you can’t hold on until you get to a toilet.
This is a common concern, especially in the pre and post-natal population. Our providers can assess your pelvic floor strength and provide appropriate exercises to bring you back to full function.
Pelvic pain can arise from a variety of different conditions. Our providers can help to assess and diagnose any musculoskeletal reasons for this pain, and refer you onwards for further investigation if necessary.
Pain through the sacroiliac joints or the pubic symphysis in the front of the pelvis is common during pregnancy. Our clinicians can appropriately assess and diagnose your issue, and provide strengthening exercises or external aids to alleviate your pain
Strengthening your body and returning to exercise after you’ve had a baby can be a daunting process. At Physio Connect we can provide you with up to date advice on returning to exercise and running after having your baby. It is very important that you don’t return to intense exercise too early. Consult our providers for guided return to exercise protocols.
It is currently estimated that all women experience a rectus diastasis or split in their abdominal muscles during pregnancy. This will commonly resolve post birth, but some women require more intervention. We can assess the level of your diastasis and recommend appropriate treatment for this issue.
Pelvic organ prolapse is often described as a heavy or ‘dragging’ feeling in the groin. Our providers can assess a prolapse, provide education and treatment, and refer through appropriate channels if necessary.
Some women experience painful intercourse. This is can be caused by tight or overactive pelvic muscles. Our women’s health provider can assess and treat this issue, and work holistically with other health care providers if indicated to resolve this issue.
Our Women’s health physio is certified in pre and post-natal Pilates. This ensures that you can receive tailored advice around do’s and don’ts of exercise and strengthening during and after pregnancy.