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Shockwave Therapy

 

Shockwave therapy is coming to Cheadle Osteopathy (October 2019)

Shockwave therapy might just be the answer to restoring your movement, relieving
your pain and speeding up your recovery.

Have you ever had a stubborn injury or an ache or pain that just won’t go away?

Shockwave therapy / Extracorpeal Shock Wave Therapy (ESWT) is proven to be highly
effective for long-standing (or chronic) muscle, ligament, tendon and certain bone
conditions.

By stimulating the body’s natural self-healing process, Shockwave Therapy may actually
eliminate the need for surgery altogether in those case where that is an option.
Unlike other providers of Shockwave Therapy, our background as Osteopaths means we
understand not just how to perform the treatment, but we can also understand the
mechanics of your body.

Shockwave Therapy

Shockwave Therapy – relieving pain, improving your mobility and assisting your recovery

In addition to the Shockwave Treatment we can also advise on exercises to support it and
even hands on Osteopathic treatment, alongside. This not only helps to accelerate your
recovery but also puts you in control of knowing how to prevent it reoccurring.

 

 

 

 

So how does it work?

Shockwave therapy uses deep pulses of high energy sound waves that are generated
through the body via a hand-held device to target problem areas within muscles and joints.
The energy waves create thousands of tiny bubbles. These bubbles expand and burst,
resulting in therapeutic, micro trauma to the tissues. The micro trauma then stimulates the
body’s own, natural, regenerative and reparative processes, in the body part you are having
treatment on.

Increased circulation, increased nerve growth and the breakdown of thickened scar tissue,
help to repair the old injury, improve movement and most importantly, relieve your pain.

What can be treated?

Shockwave Therapy is approved and recommended as a safe and effective treatment by the
National Institute for Health & Care Excellence (NICE) as it has been substantially researched
with much evidence for its effectiveness.

Shockwave Tharapy can be used to help:
• Plantar fasciitis
• Shoulder pain, e.g. calcific lesions of the rotator cuff and bony spurs
• Tennis / Golfers Elbow (Lateral / Medial epicondylitis)
• Achilles tendonitis
• Patellar tendonitis (jumper‘s knee)
• Tendon insertion pain /repetitive strain to tendons
• Heel pain, heel spurs
• Shin Splints
• Bursitis – around the hips or shoulders are most common
• Chronic neck dysfunction
• Back pain caused by long term tightness of muscles, damage to ligaments or tendons

 

If you wish to discuss this therapy with your Osteopathy, please get in touch and we will be happy to chat to you about it. 

0161 4781877 0r e mail info@cheadleosteopathy.co.uk

FREQUENTLY ASKED QUESTIONS & ANSWERS

 

How successful is Shockwave Therapy?

 

Research shows a 70-80% success rate across a wide range of conditions in terms of pain reduction and return to normal function. Shockwave therapy may not work for everyone, but it is can be extremely helpful in most people with longstanding pain issues who have failed to respond to other conservative treatments and may actually be the preferred approach due to the treatment’s effectiveness. In many cases it has helped people to avoid invasive and surgical treatments.

 

How often will I need treatment? How soon will I feel pain relief?

 

The number of treatment sessions varies depending on the problem and the tissue response. The treatment effect is cumulative, so most people on average will require 3-6 treatments, but more often than not, you will experience some immediate relief after the initial treatment, with many people reporting significant improvements after just 3 sessions. Treatments are typically done 7 days apart, depending on the tissue response and tolerance levels. In certain circumstance with very stubborn issues more sessions maybe required.

A review is recommended 4 weeks after the last treatment.

 

What should I expect during the treatment sessions?

 

On your initial consultation, you will be assessed by one of our experienced Osteopaths, who will discuss your symptoms and perform an examination of the problem and suitability. Once we ascertained your suitability for treatment, we will fully explain the nature of Shockwave treatment.  This will be followed by treatment to the area of pain or injury. The Shockwave treatment itself typically lasts for 10 minutes.

 

At Cheadle Osteopathy, we don’t just want to relieve your pain and fix your problem, we want to prevent it from re-occurring. So, alongside the Shockwave treatment we will, where necessary, incorporate relevant hands-on manual therapy, for example soft-tissue stretching, massage, joint mobilisation/manipulation and medical acupuncture. This will also be supported by appropriate supportive exercises and lifestyle advice.

 

How much does the treatment cost?

At Cheadle Osteopathy, we offer our shockwave treatments for £70 per session.  You may need between 3-6 sessions.

IAt Cheadle Osteopathy, we offer our shockwave treatments for £70 per session. You may need between 3-6 sessions.

If your Osteopath feels Shockwave is not appropriate for your condition, this will be explained and alternative approaches will be discussed, and a normal consultation fee will be charged (£48 for an initial consultation or £44 for existing patients).

 

Does the treatment hurt? Are there any side-effects to Shockwave Therapy? Are there any occasions when Shockwave therapy should not be used?

 

It is normal to experience some discomfort during the treatment, but this usually fades as the area becomes desensitised during the treatment.  Sometimes the treatment can be painful, and this is largely dependent on the level of pain you already feel in the area. The discomfort you may feel should be tolerable, but your Osteopath will be able to moderate the treatment intensity during the session.

 

The side effects of shockwave therapy are minimal. Although many patients experience an immediate reduction in their pain following treatment, Shockwave therapy is designed purposefully to create an inflammatory response in the injured area in order to stimulate your body’s natural healing process, so it is quite normal to experience mild discomfort in the treated area within a few hours of treatment. This reported to be tolerable and none limiting and usually settles within a couple of days after treatment.

 

There are some conditions, called contraindications, where shockwave therapy is unsuitable. These include:

  • If you are pregnant,
  • Over air-filled tissue (lung, gut),
  • If you have any pre-ruptured tendons,
  • If you are under the age of 18 due to open growth plates,
  • If you have a pacemaker fitted,
  • If you have a blood-clotting disorders (including local thrombosis),
  • If you are oral anticoagulants,
  • If tumours, infections and skin abrasions are present at the site of treatment,
  • If you have received a local steroid injection within six weeks

 

 

Do I need to do anything different after the Shockwave treatment?

 

It is recommended that patients cease from strenuous, pain-inducing activity or high-impact physical activity, especially one that would involve the treated region, for 48 hours following each treatment session.

 

If you experience discomfort from treatment, it is not recommended to take anti-inflammatory medication, such as ibuprofen, or use ice packs. This is due to the Shockwave’s purpose to stimulate an inflammatory response in the body, and these can interfere with the body’s healing mechanism. However, you can take over the counter painkillers, such as paracetamol.

 

 

 

 

REFERENCES

NICE GUIDELINES FOR SHOCKWAVE THERAPY

 

·       Extracorporeal shockwave therapy for refractory plantar fasciitis (IPG311)

·       Extracorporeal shockwave therapy for Achilles tendinopathy (IPG571)

·       Extracorporeal shockwave therapy for refractory plantar fasciitis (IPG311)

·       Extracorporeal shockwave therapy for refractory greater trochanteric pain syndrome (IPG376)

·       Extracorporeal shockwave therapy for refractory tennis elbow (IPG313)

·       Musculoskeletal conditions

RESEARCH PAPERS FOR SHOCKWAVE THERAPY

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