I have undergone specialised training in the use of ultrasound for diagnostic purposes. This scan is excellent for diagnosing a number of injuries to specific areas, including: tendons, ligaments and soft tissue structures.
Extracorporeal Shockwave Therapy (ESWT), also known simply as ‘Shockwave Therapy', is a non-invasive treatment that can provide pain relief for patients suffering from certain painful sports injuries or orthopaedic conditions.
These painful conditions can occur in the upper limb (e.g. shoulders and elbows) and also in the lower limb (e.g. hip, knee, ankle and foot). It is best for a Doctor to decide whether Shockwave treatment is appropriate for your condition taking into consideration your previous treatment and your particular circumstances.
Conditions that can be treated
These include, but are not limited to, the following:
• Some types of Achilles tendinopathy
• Calcific tendinopathy of the shoulder or elbow
• Golfer’s elbow (Medial epicondylopathy)
• Heel spurs (Plantar fasciitis)
• High hamstring tendinopathy
• Jumper’s knee (Patellar tendinopathy)
• Tennis elbow (Lateral epicondylopathy)
• Trochanteric bursitis of the hip
How does shockwave therapy work?
ESWT works by applying radial (not electrical) shockwaves to the painful area. The shockwaves are delivered to the tissue via compressed air impulses and radiate out towards the site of pain.
These shockwaves break down injured tissue and calcification. They also initiate increased local blood circulation which stimulates and accelerates the body's own healing processes.
What occurs at a treatment session?
The painful area will be located by palpation, or in some cases using diagnostic ultrasound. Ultrasound gel will be applied to the skin before administering the shockwaves to ensure good contact.
Shockwave therapy will then be administered by your medical consultant using a hand-held probe and calibration machine.
This is a non-invasive procedure. No anaesthetic is required. If pain is experienced during the treatment, adjustments can be made to the treatment settings to reduce the level of discomfort.
A series of treatments, on average 3-4, are required. This will vary from patient to patient. Each treatment session lasts approximately 10-15 minutes.
Information to follow
Why physiotherapy is important?
The management of sports injuries often requires a team approach to help you reach your goals. Once a diagnosis of your injury is made it is likely that you will require a period of rehabilitation which can be guided and supervised by a physiotherapist. It is also often advised to consult with a physiotherapist after injection therapy treatments as a combined approach of injection plus physio may lead to better outcomes.
If you have been referred to the sports medicine clinic from your physiotherapist I would advise that you continue your care with them and a report will be provided to share with your physiotherapist. Newcastle Sports Medicine are an affiliated partner to Physiotherapy Matters who offer sports injury expertise from three Newcastle based clinics. To book an appointment with Physiotherapy Matters call 0191 285 8701 or visit the website for more information at www.physiotherapymatters.co.uk.