Extracorporeal Shockwave Therapy (ECSWT)
Extracorporeal Shockwave Therapy treatment is a highly effective treatment available for patients with chronic tendon disorders, and is used widely by Sports Physicians & Orthopaedic Surgeons. This is a very successful line treatment for patients who fail to respond to appropriate physiotherapy.
Shockwave therapy is a non surgical treatment, and works by delivering impulses of energy, targeted to specific damaged tissues within the abnormal tendon. This increases the blood flow within the affected area, stimulating cell regeneration and healing, and decreasing local factors which can cause pain.
How Shockwave Therapy Works
A probe is pressed on to the affected area and the shockwaves are delivered through the skin (a gel like substance is also applied to the area to promote the process). The impulses are delivered through the skin as a shockwave that spreads inside the injured tissue as an aspherical ‘radial’ wave. These radial shockwaves initiate an inflammation-like response in the injured tissue that is being treated, and prompts the body to respond naturally by increasing blood circulation, the number of blood vessels and therefore metabolism in the injured tissue.
The shockwaves are felt as pulses which are a little uncomfortable but not painful. The physician / surgeon applying your treatment will start with a low level of intensity and increase this to a point where you feel comfortable. The treatment was originally used as a treatment for kidney stones, and has been re-developed for the use in treating tendon conditions.
Patients are typically treated in an outpatient environment (not in theatre), and the procedure does not require any type of sedation or anaesthetic.
Conditions Recommended For Treatment With Shockwave Therapy
- Plantar Fasciitis
- Calcific Tendonitis Shoulder
- Tennis and Golfer’s elbow
- Achilles Tendinopathy
- Trochanteric bursitis (Lateral hip pain)
- Patella Tendinopathy (Jumpers Knee)
- Medial Tibial Periostitis (shin splints)
Is Shockwave Therapy Treatment Covered By Private Medical Insurance?
As shock-wave therapy is recommended by NICE most private medical insurers will cover such treatment. However, it is essential that patients consult their insurance companies and obtain written confirmation that they will be covered prior to their appointment.
What happens prior to Shockwave Therapy?
A clinical assessment by a Podiatrist or Physiotherapist is usually required to ensure that the diagnosis is correct and that shockwave therapy treatment is the most appropriate for your condition. This assessment may involve the need for diagnostic ultrasound or MRI scan prior to effective treatment.
What happens during Shockwave Therapy?
Shock-wave therapy treatments are performed at weekly intervals at the Central Health Clinic. Each treatment session takes about 20 minutes and it is usual to need between 3 treatment sessions (possibly 5 for resistant problems).
What can I expect after my Shockwave Treatment?
Many patients experience an improvement in symptoms almost immediately while others take several weeks to respond. There may be a transient reddening or swelling of the area with some patients experiencing a brief increase in pain. It may take several weeks to see an overall benefit.
Your Podiatrist or Physiotherapist will review your progress.
Shockwave – one session – £99
Shockwave – three sessions package – £249
Please contact Central Health for more details