Shockwave Therapy

Extracorporeal Shockwave Therapy

 

What is it?

Extracorporeal Shockwave Therapy, or ESWT, is a treatment that was originally used for treating kidney stones however its other uses soon became apparent.  It is a non-invasive treatment that can be given in the outpatient clinic, no operation or anaesthetic is required.  ESWT uses energy generated in a hand held applicator which is administered to the painful tissues.

 

What can it be used for?

ESWT can be used for painful problems affecting the Achilles tendon and for plantar fasciitis or ‘heel pain’.  There is also evidence that it may be helpful for problems such as ‘tennis elbow’ and some forms of shoulder, hip and knee pain.  It is often useful even if other therapies have failed.

 

Does it work?

The device uses pulses of high pressure sound or ‘shockwaves’ that are focused over the abnormal, painful tissue.  The mechanical stimulation causes inflammation and this triggers the body’s natural healing response and increases blood flow to the area.  There ia also evidence that it may stimulate growth factors which are important for repair and it may decrease pain signalling substances.

 

Does it hurt?

No.  ESWT should not be painful and if you feel any discomfort during your treatment let the doctor know immediately. No anaesthetic is required and you may go home straight away afterwards.  You will be able to drive afterwards.

 

How many treatments will I need?

Usually three treatments are given at weekly intervals.  The treatments take approximately 10 minutes.

 

Will my insurance cover the treatment?

More and more companies are recognising the benefits of this treatment and will reimburse the costs however it is important that you check with your insurance company before starting treatment.  Quotes for treatment can be provided for uninsured patients.

 

Further information

NICE, The National Institue for Health and Clinical Excellence has issued guidelines and information for patients who are considering undergoing ESWT treatment.  Links to these documents can be found below.

Plantar fasciitis - http://guidance.nice.org.uk/IPG311/PublicInfo/pdf/English

Achilles tendinosis - http://guidance.nice.org.uk/IPG312/PublicInfo/pdf/English

Electro Medical Systems Swiss Dolorclast ESWT machine - http://www.spectrumtechnologyuk.com/