I use Extracorporeal shockwave therapy (ESWT) primarily for tendon pain and can be effective in the treatment of a range of tendon problems around the body including plantar fasciitis, ankle, shoulder, knee and elbow pain. EWST is a non-invasive form of treatment with strong support for its effectiveness from a large body of research and clinical trials. As part of my role in the London Independent hospital I work alongside practitioners responsible for some of the research done on shock wave and am fully up to date with its best practice.
ESWT has two main modes of action which will help with persistent tendon pain. First the shockwaves work to de-sensitise nerve endings which will often give an immediate reduction on pain symptoms. Secondly and often most importantly, the shockwaves cause controlled micro-trauma (microscopic damage) to the tissues which will activate your natural healing response.
ESWT works best as part of a treatment and rehabilitation programme. Any biomechanical issues such as posture, alignment, gait, running style, muscle length and strength issues) which have led to a problem should still need to be addressed for best long lasting results. An exercise programme to utilise the effects of ESWT will be issued by your treating clinician.
Is this treatment appropriate for my condition?
A number of studies have demonstrated its effectiveness in treating tendon problems that have failed other forms of conservative management. ESWT is now increasingly being used earlier in treatment to facilitate and speed up recovery. Your physiotherapist can discuss with you if your problem is likely to benefit from this treatment. If you are not currently having treatment please call or email your details and one of our senior therapists will contact you to discuss.
You will need to avoid heavy impact and loading exercise for a short period after treatment. I will give clear instructions for post treatment management and loading.