ESWT gives us an edge in solving some of the most stubborn chronic conditions that a person can face. The machines we use have been proven to have an average of 85% success in pain free living after 3 months of treatment once new tissue has fully regenerated. We use STORZ shockwave machines made in Switzerland; a state-of-the-art technology,  that delivers a high pressure radial sound wave that travels through the skin and into inflamed tissues and bone causing regeneration of new tissue because of extra blood flow and cell re-growth.

Extracorporeal Shockwave Questions and Answers:

What is extracorporeal radial shockwave therapy?
Extracorporeal Shockwave Therapy is a series of high-energy percussions to the affected area. The shockwave is a physical sound wave “shock”, not an electric one. 

How does it work?
1) Treatment produces an inflammatory response. The body responds by increasing metabolic activity around the site of pain. This stimulates and accelerates the healing process (promotes the remodeling of dysfunctional collagenous tissues, such as tendinopathies, trigger points, muscle strains, etc.).
2) Shockwaves break down scar tissue and/or calcification
3) Transmission of pain is diminished through neurological mechanisms (inhibition of nociceptors)

What are the benefits of Shockwave Treatment?
This therapy stimulates the body’s natural self-healing process. There is usually an immediate reduction of pain and improved range of motion. ESWT may also eliminate your need for surgery.
How long does the treatment last?

Approximately 2000 shocks are administered per treatment area (the duration of which is approximately 5 minutes).  Two of the same body part can be done if the client would like. For example: if the client needs both feet done we will include that in the visit.
Some patients and/or conditions require more shocks and duration, depending on severity and chronicity (how long the condition or injury has existed).

Treatment Costs?
Treatments cost $125. However, a treatment may cost more, depending on the number of extra body areas. It is $25 more per extra area.

How many treatments will I need?
Normally three to four treatments are necessary at weekly intervals;
Should you not respond after your second visit, your case will be reviewed to determine an appropriate referral.

What are the results of double blind studies?
Dozens of medical studies show success with ESWT is unparalleled (over 80-90% long term improvement).

Does the treatment hurt?
The treatment may be uncomfortable. Most people equate the discomfort to a deep tissue massage and can tolerate the treatment with ease. However, if you cannot tolerate it, adjustments on the machine can decrease the pressure you feel.

Will it hurt after the treatment?
There may or may not be immediate pain, but some discomfort may be experienced 2-4 hours after the treatment. In some cases it can last up to 48 hours and in very rare cases, the pain lasts up to 5 days.
Some bruising and swelling can occur.

What should I do if I am in pain after the treatment?
The shockwave will trigger an inflammatory response, which is the body’s natural process of healing. For this reason, do not use anti-inflammatory medications. Do not use ice. The pain should subside within 24 hours.

Can I go back to my normal routine after treatment?
Even if the shockwave therapy decreased your pain substantially, we recommend decreased activity for 48 hours following the treatment.

Is Shockwave Therapy covered by my insurance?
If you have insurance you will want to ask your provider about the requirements of your coverage. You will be invoiced under Chiropractic/Extracorporeal Shockwave Therapy for treatment by the Chiropractor or the Chiropractor’s trained assistant.

If the physiotherapist performs the shockwave therapy, it will be invoiced under Physiotherapy/Extracorporeal Shockwave Therapy.

What is the success rate of this kind of treatment?
A successful treatment is considered as a patient having at least 75% reduction in pain within 3 months.
Worldwide, success rates are around 80 to 90%.

What if it doesn’t work for me?
Although the short-term effects alone are exceptional, the long-term benefits of this treatment may take up to 3 months. If after this time there has not been any marked improvement, you should see your doctor for further treatment options.

Is there any condition that would not allow me to have ESWT performed on me?
Contraindications include:

■ Coagulation disorders, thrombosis, heart or circulatory patients
■ Use of anticoagulants
■ Tumour diseases, carcinoma, cancer patients
■ Pregnancy
■ Polyneuropathy in case of diabetes
■ Acute inflammations / pus focus in the target area
■ Children in growth
■ Cortisone therapy up to 6 weeks before first treatment

Side effects include: (These side effects generally abate after 5 to 10 days.)
■ Swelling, reddening, hematomas
■ Petechiae, bruising
■ Pain
■ Skin lesions (especially after previous cortisone therapy)

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Dr. Bruce Symons