Also known as Shockwave Therapy (ESWT)
The Non-Invasive Solution for an Active Lifestyle™
This Acoustic Compression service is
NOW AVAILABLE AT RELIEF MEDICAL GROUP’S FREMONT OFFICE
FOOT, SHOULDER, ELBOW AND OTHER
The full price for consultation, examination, any necessary x-ray, and the weekly sessions of Acoustic
- Plantar Fasciitis (Heel Pain)
- Lateral Epicondylitis (Tennis Elbow)
- Patellar Tendinitis (Knee Pain)
- Shoulder Tendinitis (Shoulder Pain)
- Achilles Tendinitis
- See our cosmetic pages to learn how this same technology is used to remove CELLULITE
What Is ESWT Used For?
ESWT has been used effectively worldwide to treat "insertional tendinopathies," such as:
• Heel Pain (Plantar Fasciitis)
• Tennis Elbow (Lateral Epicondylitis)
• Shoulder Calcifications (Calcific Tendonitis)
• Achilles Tendonitis
• Knees (Patellar Tendonitis)
Millions of people suffer from pain caused by inflammation of tendons and other soft tissues attached to bones, commonly referred to as "insertional tendinopathies” or enthesopathies".
How Does Extracorporeal Shockwave Treatment Work?
The widely accepted theory is that Extracorporeal Shockwave Treatment (ESWT) causes micro-trauma and controlled injury at the affected area, thereby leading to the formation of blood vessels (revascularization) which triggers the body's natural healing process and repair mechanisms. The sound waves are also thought to release adhesions and scarring to help increase mobility and optimize healing. Studies have shown a 60-80% success rate in significantly reducing or eliminating pain.
What Happens Before, During and After ESWT Treatment?
BEFORE: Patients will be instructed to discontinue medication containing aspirin or non-steroidal anti-inflammatory medications (e.g. Motrin) for several days before treatment (and most likely for up to 10 days following treatment) unless otherwise instructed by the treating doctor.
DURING: Treatment typically lasts 10 to 30 minutes and is performed in the office without the need for anesthetic. We use a high quality, low-medium energy ESWT unit.
AFTER: Patients may experience discomfort in the treated area after the effects of anesthesia have subsided. Some bruising, swelling, and temporary numbness is normal and expected. In the days immediately following treatment, many doctors will recommend stretching exercises to maintain mobility.
Patients can then typically resume normal activity. Heel pain patients are recommended to use custom orthotics when they have hyperpronation (flat feet) to optimize healing of the planter fascia and prevent recurrences.
Healing is generally near complete at about twelve weeks after the completion of the treatment visits, although patients may continue to experience additional reduction in pain and increased capacities thereafter.
What are Alternative Treatments?
Most doctors will first pursue conservative treatment options to reduce or eliminate pain. Conservative treatment may include such measures as rest, non-steroidal anti-inflammatory medications (NSAIDs), over-the-counter pain relievers, physical therapy, and orthotics (for heel pain). ESWT should be tried before cortisone injections, since injections increase the chances of tendon ruptures. Doctors will usually recommend ice, physiotherapy, exercises, and orthotics (heel lifts) prior to considering more aggressive approaches. However, when conservative treatments have failed, ESWT is increasingly being used to avoid traditional invasive surgery. Acoustic Compression is a more aggressive, more effective, and yet still conservative management for the conditions shown above.
Is This Treatment Right for Everyone?
You should speak to Dr. Cremata, DC if about your specific needs to see if Extracorporeal Shockwave Treatment is right for you. ESWT is not recommended for use on pregnant women, children, anyone with a pacemaker, or anyone on anti-coagulant therapy, or who has a history of bleeding problems.
How Do You Get Treatment?
Call Dr. Cremata, DC about your specific medical condition to see if Extracorporeal Shockwave Treatment (ESWT) is right for you.
The full price for consultation, examination, any necessary x-ray, and the weekly sessions of Acoustic Compression (Shockwave) is $995.00 (reg. $1195.00) when paid in advance. ONLY SEVEN VISITS REQUIRED!
Dr. Cremata, DC, working together with Edmund Kemprud, MD can provide additional complimentary medical treatments as needed. Informatios