What is shockwave therapy?

[@fluttergrrl]

I am so glad I stumbled upon this. I’ve just done six of the eight sessions of shockwave for tennis elbow I’ve had for a year. Many videos on KZbin and resources generally on the Internet say shockwave works very very quickly, potentially after the first session. Without experiencing anything more than less stiffness and slightly improved grip, I was really starting to get depressed. The pain is awful. I really thought something was wrong that I wasn’t fixed by now.

[@crispycruiser4654]

I don't think it works at all, but it definitely doesn't work "very quickly." It's a pro inflammatory machine that is deliberately irritating tendon or ligament tissue which has a lack of blood flow and takes forever to realign, so 2-3 months after shockwave to see any "results." How did it turn out for you?

[@boomcg4351]

I used a flashlight style red light I got off of Amazon. Used twice a day 4 min each. 2 nd week once a day and after 2 weeks used once or twice a week and tennis elbow gone! Had it off and on for 15 years and gone!

[@erine2680]

After 4 years of the most painful plantar fasciiitis it finally healed after 4 weeks of the shockwave therapy!! Why didn't anyone tell me before--all those wasted physio sessions , injections, heat/cold pads, moon boots, stretches. I started to research on my own. This was the HOLY GRAIL. !! DO IT. The best thing I ever did. What a waste of 4 years. Of course I was the 10% of chronic phase.

[@DrPelto]

Wow!

[@stankokalenic4638]

How many treatments have you done?

[@erine2680]

@@stankokalenic4638 A lot. I ended up buying my own after seeing how it was done to save costs. Worth it !!

[@stankokalenic4638]

@@erine2680 after how many treatments, your pain is completely gone?

[@erine2680]

@@stankokalenic4638 about 40 as mine was extremely bad.

[@SarkisKlinik]

For knee osteoarthritis, what does it do?

[@SarkisKlinik]

Which acute cases can shockwave used?

[@RedReb]

I have a QUESTION for y'all. I have fascia issues in my torso and I have slipping rib syndrome, I have tried to find information on how to use this on your torso and your ribs, is there any way that y'all could help me out with this?

[@SarkisKlinik]

Does Prp healing take faster than shockwave?

[@SarkisKlinik]

Wha is advantage of shock wave therapy over prp?

[@debralev]

Thank you for the great video. Can this be used on a broken metatarsal bone in the foot to help it heal?

[@quemms]

is it generally better to administer SWT before exercise or after?

[@dawnhabeck6364]

Thamk you smart people❤

[@yezithestar]

I just had this treatment for tendonitis. It hurts like giving birth. Hope the pain disappears soon

[@chintanmalkan2971]

Thank you for this very informative and educating upload. Can shockwave therapy be used for leg pains showing early sign of arthritis.

[@DrPelto]

Shockwave is difficult to use on arthritis itself because it can not really regrow cartilage but can be used to reduce the inflammation of the area around the joints that can be inflamed. Legs thought don't have many joints except and ankle and knee region and there are soft tissue tendons that insert around those areas that can be inflamed. I hope this helps.

[@riverrun1616]

I wish I had seen this earlier.

[@bluewaterhorizon]

May plantar fibromatosis get cured with shockwave theraphy as well?

[@DrPelto]

It can help pain but not usually resolve the bumps, good question

[@ELPADRINO507]

I have a huge heel spur in the back of my heel. Would this therapy break it down? I already had surgery to remove a huge spur on my other foot. They had to detach my Achilles, cut the heel spur, then reattach the Achilles. That procedure was painful so I'm looking to see if Shockwave therapy would get rid of a heel spur under the Achilles.

[@DrPelto]

This can be used after a Haglund's repair you had, I have a video on that. This does not break up bone but scar tissue or hardness to area of Achilles.

[@ELPADRINO507]

@@DrPelto thanks for the reply. I guess I'll have to have surgery.

[@blu3g3nd3r1]

Is it recommended that before doing the shockwave therapy you should do some hot treatment, like high intensity laser or TECAR, or manual therapy to prepare the tissue for the shockwave therapy or is it irrelevant? Because at our workplace had a debate about this subject and it wasn't really clear to me why in some situations we do, as I mentioned earlier, hot treatment (high intensity laser or TECAR) or manual therapy before using the shockwave on the damaged tissue, but in some cases patients come stricly for shockwave therapy and we dont prepare them in anyway for the treatment. If you could please reply to my comment I would apreciate it!

[@DrPelto]

We don't do any laser or TECAR prior in the office we find shortwave sufficient enough. Sometimes we do contamination with PRP or Amnio injections or even physical therapy.

[@susancustodio5719]

Can it heal my Grade 1 Spondylolisthesis L4 L5 S1 that's so painful?

[@annap1191]

How well does it assist with chronic neck and shoulder pain?

[@DrPelto]

I have heard in research works well

[@annap1191]

@@DrPelto Can you also do low-level laser therapy in conjunction with shockwave?

[@juns597]

Great vid. Thank you! What is the success rate for tronchaetric bursitis? Mri shows its minor but it's hard for me to walk and I feel debilitated. I also had a cortisone shot recently so not sure if I should do this therapy. The cortisone shot gave me a bad reaction and helped little bit. My doctor is suggesting I should do the shockwave since it's chronic. What are the risks and how many times a year do you have to do it? How long does it last? How many percentage of people does it work on? What are the complications? Is it okay to do it if I just got a cortisone shot? If not, how long should I wait? Just fyi, I just had a baby 5 months ago. Thank you so much 🙏

[@jaredolsen9241]

With ESWT taking 6 to 12 weeks before a significant response occurs, what research is there to say that ESWT is better than ASTYM, Dry needling, or eccentric loading for larger muscles? While this modality seems to be useful when and where is it most useful? If there is no statistically significant evidence that it is most useful in all tendinopathies and soft tissue injuries, then more research should be done before use on all tendinopathies and soft tissue injuries.

[@DrPelto]

Jared good comments. Research is lacking I agree but for patients who have tried other modalities we are finding good results. Thanks for commenting.

[@asiyaimran5958]

Shockwave theraphy can be done for avn . Please advise

[@DrPelto]

Yes you can need the focused shockwave it might help.

[@rbc744338]

What was the name again of the doctor explaining the ESWT?

[@DrPelto]

Dr. Saviet

[@ngothianhquy7561]

I have scars tissue and atrophy from accidents you think this would help

[@DrPelto]

Not usually

[@ngothianhquy7561]

Can I ask what about fibrosis does shockwave help with fibrosis of tissue and ligament not lung fibrosis

[@CH-tm8uw]

Could ESWT help with hoffas fat pad inflammation and scar tissue from surgery 3yrs ago. Also have bone edema on top of tibia that ortho said that is related to the hoffas inflammation. Tried everything and feel at loss. Could shockwave help both these?

[@DrPelto]

I would check with ortho doctor, I only do foot and ankle

[@soteromartinez5439]

So with out ultrasound gel , the treatment is ineffective?

[@DrPelto]

I answered question in this video - kzbin.info/www/bejne/q4aQo5J5ZZt1n68

[@sutash9043]

What if the problem is related to Fluoproquinolone toxicity? Would shockwave therapy still be effective?

[@DrPelto]

Fluoroquinolones can weaken and cause rupture of tendons. Yes it would help.

[@crispycruiser4654]

The injuries caused by fluoroquinolones are far more severe and an entirely different mechanism than routine tendon overuse injuries. Shockwave is likely to be ineffective.

[@TheBlackburnTeam]

My podiatrist put me out when she treated my plantar for one foot and I haven’t seen much results. Is that normal?

[@DrPelto]

Sometimes but this new machine does not need anesthesia

[@ciciewang6413]

Does this work for a grade two tendon sprain?

[@DrPelto]

Yes works well depending on where located.

[@ciciewang6413]

@@DrPelto tibialis posterior?

[@nerimanemijalica2194]

I received 8 sessions of shockwave for my plantar fasciitis , just done last session last week but no results yet. Should I still wait for results or it just doesn’t work for me 😔

[@DrPelto]

Need to wait months at times to see full results

[@crispycruiser4654]

​@@DrPelto So the body already healed on its own but shockwave gets the credit because it takes months to see "results"?

[@nataliadagon]

Can it remove trigger points?

[@DrPelto]

It can help them along with home massage I recommend.

[@nataliadagon]

How is it different from gun massager?

[@DrPelto]

Yes by about $30,000 dollars more and research. But try a $100 massager first then if that does not work consider this!

[@ayarammal1213]

Hello I am suffering with RSI tendonitis with pain extending to my elbow, due to guitar overpractice. I started doing shockwave after a month or so from my injury. My physical therapist started with my elbow tendons nd they healed up after two sessions, moved to my forearm on the third and now towards my wrist. In general She does the shockwave, then immediately ice for 5 mins and follow up with 20 mins of electrotherapy on the areas she treated. Despite being at my 4th session now and after she moved towards my wrist. I developed a feeling pain when i use my wrist and fingers when i use my hand. And Its scaring me, im experiencing popping i didnt experience before and i feel my muscles are weaker, especially at my thumb area. This didnt use to happen, and im afraid the shockwave therapy isn’t working for my RSI tendonitis or is making it worse. What does this mean? Is this supposed to happen? And does it mean its healing? I tried to look for answers but the sources are very limited.

[@DrPelto]

If a tendon probably can help I work more on feet.

[@elitecarechiro]

Not true shockwave, this device creates pressure waves not shockwaves

[@markg2885]

👍

[@DrPelto]

thanks!

[@abdulkareemnur2382]

What about ossification? Does it help break down calcium?

[@DrPelto]

I am not sure if I understand the question.

[@abdulkareemnur2382]

@@DrPelto sorry. I meant calcium build up. Like calcitication in the anterior on ankle due to sports injury.. ive done MRI yesterday and the doctor said that its very small so i dont need surgery.. do you think shockwave will help?

[@DrPelto]

@@abdulkareemnur2382 It does not break up calcium usually need arthroscopy to remove or shave the bone. I hope that helps.

[@abdulkareemnur2382]

@@DrPelto thank u my doctor said that same thing.. i hate provateb hospitals tho they always wanna make money off patients