Extra - Corporeal Shockwave Physical Therapy Ecswt Plantar Fascia
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
And as ESWT encourages bone healing, it has been used to help
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
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
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