Shockwave Therapy

Shockwave therapy is a non-invasive solution to musculoskeletal pains. It is an alternative to Steroid Injections and Surgery. It is frequently used in physiotherapy, podiatry, orthopaedics and sports medicine.

Shockwave is an innovative technology that sends shockwaves (acoustic wave therapy) through the tissue to help you to accelerate your body's natural healing process.

If you are suffering from any pain or degenerated tissue e.g. tendons of the Knee, Achillles , plantar fasciitis , we can offer treatment to help you recover.

What is shockwave treatment?

Radial Shockwave Therapy is a revolutionary new treatment which uses a series of high frequency shockwaves which initiates an inflammation-like condition in the tissue that is being treated. The body responds by increasing the blood circulation and metabolism in the impact area which in turn accelerates the body's own healing processes. The shockwaves break down injured tissue and calcifications.

shockwave heel pain Worcester Hereford plantar fasciitis podiatrist

What are Achilles tendinopathy and plantar fasciitis?

Achilles tendinopathy is a condition that causes pain, swelling, stiffness and weakness to the
Achilles tendon, which attaches your calf muscle to your heel bone. It is thought to be caused by repeated small injuries to the tendon that do not heal and build up over time.

Plantar fasciitis is inflammation or pain of the plantar fascia. This is a thick fibrous band of tissue at the bottom of your foot that lies between your toes and your heel. Repeated small injuries to the
plantar fascia are believed to be the cause of the inflammation. People experience pain on their heel when they stand up.

Shockwave therapy can be used on many parts of the body but at SO Podiatry we mainly focus on Achilles Tendonopathy and Plantar Fasciitis.

What is extracorporeal shockwave therapy (ESWT)?

ESWT is a procedure where shock waves are passed through the skin to the injured part of the
foot, using a special device. Extracorporeal means outside of the body. The shockwaves are mechanical and not electric; they are audible, low energy sound waves, which work by increasing blood flow to the injured area. This accelerates the body’s healing process. You will usually require a course of three treatments, one week apart.

Why should I have ESWT?

ESWT is offered to patients with Achilles tendinopathy and plantar fasciitis, who have not responded adequately to conservative treatments, such as physiotherapy, rest, ice therapy and painkillers. It is a minimally invasive treatment that is carried in clinic and can go home the same day. ESWT can offer relief from pain and other symptoms. It is part of a treatment plan.Shockwave podiatrist Worcester Hereford plantar fasciitis

What are the risks/side effects?

You will experience some pain during the treatment, but you should be able to tolerate this. Following the treatment, you may experience redness, bruising, swelling and numbness to the area. These side effects should resolve within a week, before your next treatment.  Every patient will be monitored before and after the treatments to discover how successful the outcome is. Studies have shown there is a 50% to 70% chance that it will be effective.

You must not have ESWT if you:

 are pregnant

 are taking antiplatelets (for example, aspirin or clopidigrel) or anticoagulants (such as

warfarin or rivaroxaban)

 have a blood clotting disorder

 are under the age of 18

 have been diagnosed with bone cancer

 have a cardiac pacemaker or other cardiac device

 have an infection in your foot or a history of tendon or ligament rupture

 have had any steroid injections in the previous 12 weeks

These will be discussed with you by your healthcare professional when the treatment is offered. Your podiatrist will discuss the benefits and risks of the procedure with you in more detail – please let them know if you have any questions or would like any further information.

How can I prepare for ESWT?

You will need to ensure that you are available for the full course of your treatment. You should refrain from taking non steroidal anti-inflammatory medication (for example ibuprofen, aspirin) for two weeks before your first procedure and throughout your treatment. You can eat and drink normally before your treatment. Please wear comfortable clothes as you will be lying on your front for the treatment.

What happens during ESWT?

You will be asked to lie on your front with your legs supported by a pillow. The podiatrist carrying out the treatment will put some ultrasound gel on the injured area and then place the hand piece of the device over the surface of the skin and the gel. The ESWT is delivered using this hand piece – it delivers compressed air impulses through the ultrasound gel. Each treatment will take approximately 15 minutes.shockwave ESWT heel pain podiatrist Worcester Hereford podiatry plantar fasciitis

Will I feel any pain?

Most patients do experience some pain during the procedure. You will be asked how much pain you are experiencing during the treatment and we will attempt to adjust the treatment to help manage this. The pain will stop at the end of your procedure.

What happens after ESWT?

After the treatment you will be able to get up and walk straight away. If you do experience discomfort following the shockwave treatment you can take over the counter painkillers (such as paracetamol) but you should avoid anti-inflammatory medication (such as aspirin and ibuprofen) and ice therapy, as these can interfere with the body’s healing process. As part of the treatment plan we may also recommend specific exercises and/or orthotics to help with shock absorption or any underlying biomechanical complaint.

What do I need to do after I go home?

You will be able to return to your usual activities straight away and can return to work immediately. However we advise you not to undertake any strenuous, pain-provoking activity or high impact exercise for 48 hours following the procedure. If you experience a sudden onset of pain to the area or any loss of function, please contact your GP or go to your nearest A&E department.

What are the costs for this procedure?

Costs are £320 for a programme of 3 weekly treatments.

Please note all shockwave treatment patients need to attend for a biomechanical assessment to establish if it will suit your needs. Get in touch for further details