Extra-Corporeal Shockwave Therapy
Extracorporeal Shockwave Therapy is a series of high-energy percussions to the affected area on the outside of your body and is performed by our Physiotherapist, Braam Du Toit, in our Sumner clinic.
The shockwave is a physical sound wave "Shock", not an electric one. 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%.
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.). Shockwaves also breaks down scar tissue and/or calcification.
This therapy stimulates the body's natural self-healing process. There is often an immediate reduction of pain and improved range of motion. ESWT may also eliminate your need for surgery.
Approximately 2000 shocks are administered per treatment area (the duration of which is approximately 5-10 minutes). Some people and/or conditions require more shocks and duration, depending on severity and chronicity (how long the condition or injury has existed).
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. Use Paracetamol if necessary, provided you have no trouble with this medication. Even if it feels good, we recommend decreased activity for 48 hours following the treatment.
If you have insurance you will want to ask your provider about the requirements of your coverage. You will be invoiced under Physiotherapy treatment.

Contraindications include:
Coagulation disorders, thrombosis, heart or circulatory patients
Use of anticoagulants, especially Marcumar, Heparin, Coumadin
Tumour diseases, carcinoma, cancer patients
Pregnancy
Polyneuropathy in case of diabetes mellitus
Acute inflammation / pus focused in the target area
Children in growth
Cortisone therapy up to 4 weeks before first treatment
Side effects include:
These side effects generally abate after 5 to 10 days
Swelling, reddening, haematomas
Petechiae, bruising
Pain
Skin lesions (especially after previous cortisone