Shockwaves got her back into heels

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This from daily mail:

http://www.dailymail.co.uk/health/a...red-foot-cured-crippling-pain--got-heels.html

 

Simon,

Not sure what your saying here but must admit I find ESWT really helpful for chronic plantar fasciopathy. All patients are chronic, > 1 year, have confirmed thickening of plantar fascia usually greater than 6 mm (aprox 3x normal for them) by ultrasound and exclude active inflammation by Power Doppler. 3 x sessions at weekly intervals, Pre procedure VAS and MANOX and same at 2/12 post last tx. Generally great improvement but not enough numbers as yet to show statistical improvement.

As always there are no sure fire ways to get results and patients will still require good education and rehabilitation.

Little use however for Achilles' tendon pathology.

Lyndon

 

I'm not saying anything, merely bringing this article to the attention of the Podiatry Arena community.

 

My experience is a little different. Although i have had some sucess in dealing with plantar fasciitis i find the modality more useful in cases of insertional tendonitis of the TA. Its very much work in progress.

 

Hi Barry,

that's interesting. Must admit we tend to see loads of fasciopathy and not much Achilles pathology. The few Achilles I have done have been mid portion. My results improved after a second visit from the company for a training update- I now use a less aggressive technique in particular less pressure into the head. I think this allows more amplitude to the shock wave.
The nice thing is I no longer dread seeing the chronic fasciopathy patients coming into clinic as I have something more to offer them.

Lyndon

 

Thanks Lyndon,
I will take on board your suggestion

 

Hi Everyone,

I have started referring patients for ESWT recently and I have had good response from patients who suffers from chronic musculoskeletal pain such as plantar fasciitis and pateller tenonitis so far. I think ESWT is a good start for reducing musculoskeletal pain for them to be on their feet. I think combination of classic podiatry biomechanics and ESWT work very well. I will still address the biomechanical anomalies to prevent recurrence of the same problem.