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Extra - Corporeal Shockwave Physical Therapy Ecswt Plantar Fascia Treatment

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Extra - Corporeal Shockwave Physical Therapy Ecswt Plantar Fascia Treatment

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Extra - Corporeal Shockwave Physical Therapy Ecswt Plantar Fascia Treatment

 

Extra-corporeal shockwave therapy (ECSWT) has grown in popularity for the treatment of various tendinopathic conditions including the Achilles, plantar fascia and patellar tendon.

Low energy ECSWT means that it may be used in the “office” environment. The underlying mechanism for how it could work remains unclear and whether it actually works uncertain. There have, however, been several recent articles that have looked into its efficacy - encouragingly these appear to be papers that are not biased by funding from the companies that make the machines!

 

Extracorporeal Shock Wave Therapy can be used to treat a wide variety of musculoskeletal conditions--particularly those involving where major connective tissues attach to bone.

Complaints involving attachment points for tendons and ligaments in major joints like the shoulder (such as the rotator cuff), elbow (epicondylitis or tennis elbow), hip, and knee (tendinitis or "jumper's knee) are common sites for ESWT.

One of the areas most frequently treated with ESWT, however, is the foot. This is our specialty. Some conditions in the foot that have been treated with ESWT include:

Plantar Fasciitis or Fasciosis (Strained Arch)
Achilles Tendinitis or Tendinosis
Calcific Tendinitis or Tendinosis
Connective Tissue Pain and degeneration
Muscle Pain and Injuries
Joint Injuries
Morton's Neuromas
 

And as ESWT encourages bone healing, it has been used to help treat:

Stress Fractures
Avascular Necrosis (A dead portion of bone)
Slow-healing bone (Delayed unions)
Non-healing bone (Non-unions)
 

There are also urological conditions that respond to ESWT, such as Peyronie's Disease.

Research presented at the 2005 International Conference on ESWT in Vienna and the 2006 International Conference in Rio de Janeiro demonstrated that ESWT is also being studied for use for a wide variety of other conditions as disparate as skin ulcers and other chronic dermatological lesions, infections, angina, arthritis, reflex sympathetic dystrophy (RSD), and certain neurological conditions.

 

How safe is ESWT?

 

The basic technology involved with extracorporeal shockwave technology has been used for decades now on quite literally millions of people. The technology has been used most extensively in Europe, particularly the German-speaking countries, where this technology originates. In all its use, ESWT of the musculoskeletal system has been found to have virtually no serious side-effects. In fact, even mild side effects like tingling, aching, redness, or bruising are relatively rare, modest and short-lived.

Further, effects like these appear to be more common with higher energy treatments, particularly those from earlier generations of ESWT technology than that which we use. We'll discuss more about the different ESWT technologies

 

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