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A little nervous but taking 1st step towards the ZAP!

Posted by Beverly on 6/25/01 at 19:05 (051512)

Hi gang!

My orthopedic surgeon is lining up an appointment for me with the leading EWST zapper... another orthopedic specialist.

I saw my orthopedic surgeon today. He was pleased that the orthodics are helping my ankles... says to leave the adjustment alone for now and try to get used to the intensity in the arch.

He says I probably also have posterior tibial disfunction of some kind going on.
(I've had PTT for almost a year along with PF and a more recent case of AT.)

He was very nice... says he has done 2 EWST procedures himself but he can understand that I would be more comfortable with someone who has done alot
of them. I asked him if the possible posterior tibial disfunction would be a problem for zapping my PF. He didn't think so; but said it would be prudent to do an MRI of my ankles before the EWST. He says I have several different things going on at once and if the EWST can help my PF pain, then by reducing the heel pain, that might have a spillover benefit to my ankles.
He also pointed out that different foot specialists would have different opinions on whether or not clearing up my PF would have any benefit towards my ankles. Since my ankles are doing much better with the orthodics, I am eager but nervous about trying the EWST for the feet.

I will probably take at least a month to get the referral to the EWST doc.
But I've taken the 1st step. My only fear is making myself worse. I wish there was some way to get a picture of the average amount of time for increased pain post EWST. Since I rarely have resting pain, and all my pain is when standing/walking, I am especially interested in how long the post-EWST pain typically lasts.
Thanks,
Beverly

Re: A little nervous but taking 1st step towards the ZAP!

Lori E. on 6/26/01 at 00:07 (051531)

Beverly,
I am glad that you have taken a step towards ESWT. I know you have been following the progress of the ESWT gang and others who got zapped. I have to say I really don't think that you will have to worry about getting worse from ESWT. You may be a bit sore afterwards, but I must say that I felt no worse afterwards, and I don't recall anyone reporting being injured from ESWT. But I can understand you having fear. It is something you haven't experienced yet, so you don't know what it will be like. It sounds like you have a good doc lined up. Hopefully he will have a few more zaps under his belt before you go in. I am glad to hear that the orthodics are helping your ankles.

Re: A little nervous but taking 1st step towards the ZAP!

Laurie R on 6/26/01 at 01:24 (051532)

Hi Beverly,
This is very good news. I think your doctor is right about you going to another doctor that has done more of the Zapping. Plus this doctor sounds so much better than the other one you had. I wish you the best of luck with this . It just might be the thing that is going to get rid of your pain. You deserve to be pain free... Laurie R

Re: A little nervous but taking 1st step towards the ZAP!

Nancy N on 6/26/01 at 08:17 (051541)

Beverly--

It's probably worth noting that different machines will cause different degrees of soreness after the treatment. A friend of mine was also involved in the OrthoWave study in NY, and she tells me that she could hardly walk for the first two days after the treatment. After that, she was fine and was able to get around, but those first two days were very hard on her. I don't know how the OrthoWave compares with the Ossatron in that regard, but you might want to be sure to ask about post-treatment soreness just so you're prepared. (I'm certainly not trying to scare you away from it, but I wanted to let you know it's a possibility)

Re: A little nervous but taking 1st step towards the ZAP!

BrianG on 6/26/01 at 09:32 (051544)

Hi Bev,

Could you share with us the type of machine, and city where this will happen, thanks.

BCG

Re: A little nervous but taking 1st step towards the ZAP! - PS

Nancy N on 6/26/01 at 10:17 (051546)

I should also note that she felt so good several weeks after the treatment that she made the mistake of going out to play tennis on a gorgeous fall day, and set herself back quite a bit. So the soreness was truly temporary, and she thought it was very well worth the eventual results.

Re: A little nervous but taking 1st step towards the ZAP!

john h on 6/26/01 at 12:19 (051554)

as i frequently say pain is somewhat in the eye of the beholder. after 6 ESWT treatments (3 on each foot) i find them to be more of a discomfort than painful even with no ankle blocks. the orbasone at a level 18 can put out a rather significat jolt. somewhat like a hammer hitting your heel but after the first 5-10 jolts at a lower level your foot becomes what i would describe as numb to the rest of the treatment. if you walk in the treatment room expecting some heavy duty pain you will probably be very tense and will experience some pain. i had rather have ESWT than get a tooth filled. do not worry beverly you will handle ESWT just fine. i did not see judy complaining after her treatment. she also drove all of us around in a car and helped barbara after her surgery immediately after treatment. i have never had treatment with the ossatron but it is hard to believe that it would deliver much more of shock wave than the orbasone at the same setting. the machines operate under the same spark gap technology and deliver the shockwave to the approximate same depth where the fascia is located.

Re: A little nervous but taking 1st step towards the ZAP!

Nancy N on 6/26/01 at 13:25 (051559)

John

You could well be right. I got the placebo treatment on the OrthoWave, so I can't relate personally. I just think it's important to note that different machines could cause different effects temporarily, even though the basic premise of the machine is the same. I would rather be prepared for the possibility of some intense soreness afterward and feel OK than to be surprised and panicked by it if it happens.

Re: Thanks... appt to meet zapper is July 10

Beverly on 6/26/01 at 17:07 (051566)

Thanks for all the words of encouragement!

The nurse called me this morning, and my appointment to meet with the EWST doctor is July 10. I'd like to do this by early August. (I figure I should allow for a month from that first appointment to get an MRI of my ankle, the results back, and get on his EWST schedule.) So, unless they find something in my ankle that would prevent the EWST on the feet, as far as I'm concerned, I'm just gonna go ahead and do it.

The machine is an ossatron. The city is Dallas. According to my orthopedic foot/ankle specialist, this group of Dallas/Ft. Worth doctors doing EWST were trained by Health Tronics. That made me feel more comfortable once I heard that.

I don't know how much it costs. I'm going to investigate that this week. For you experienced people out there, what is the usual procedure on costs for 2nd and 3rd treatments? I've never been a lucky person in much of anything, and if this fixes my foot on the first try, I'll be amazed. All I'm hoping for the 1st time around is marked improvement. Any other questions I should ask? (I already know this guy is considered top of his field and treats the pro ballplayers. That alone makes me feel good.)

See ya,
Beverly

Re: Thanks... appt to meet zapper is July 10

BrianJ on 6/26/01 at 21:53 (051584)

Hi again --

I had ESWT performed in Dallas by Dr. Cook. Is that who you are going to see? If so, feel free to email me any questions you have. My email address is wimerjobe@aol.com .

Re: Thanks... appt to meet zapper is July 10

john h on 6/27/01 at 11:07 (051631)

brain: i do not remember if you stated how you felt after the ossatron treatment. sedated? sore foot? you are tough and it did not matter?

Re: Brain I sent you an email

Beverly on 6/27/01 at 15:50 (051658)

Brian,

Yes, it is Dr. Cook. I've sent you an email. I understand he is the main guy in Dallas.
Thanks,
Beverly

Re: A little nervous but taking 1st step towards the ZAP!

Dr. Zuckerman on 6/29/01 at 16:27 (051881)

One interesting comment I want to make about the machines. Each and every pf and patient is different so it would be better to be less treatment shocks etc and additional treatments. The only machine that does take this view is the ossatron. The orthowave does 900 shocks in two session. I will use the orbasone at the level of shocks and power settings that is specific for that patient and my examination at the time during the shocking. This may be alittle cofusing but experience of in the hundred tells me that ESWT isn't cook book and that doing 1500 shocks at 18kv isn't the best way to go with ESWT on any machine. Just like pf releases should be I cut 1/3 or 1/2 etc. You the exact amount that is necessary on each and every patient. We are treating patients not computer and not machines.

Re: A little nervous but taking 1st step towards the ZAP!

Dr. Zuckerman on 6/29/01 at 16:44 (051882)

John,

You need to use anesthesia local with the ossatron. It hasn't the ability to deliver any shocks of low energy first. It is strictly a high energy machine.

Re: A little nervous but taking 1st step towards the ZAP!

john h on 6/29/01 at 18:53 (051889)

i guess your comment means judy is more wimpy than me since she only got to level 16 and i was at level 18. she made some claim that i had more fat pad on my feet.

Re: A little nervous but taking 1st step towards the ZAP!

john h on 6/29/01 at 18:56 (051892)

how low can the ossatron go? i certainly would be willing to try at least 3 or 4 shocks with it just to see. i did not notice a big difference between what i think you started at (14) and 18.

Re: A little nervous but taking 1st step towards the ZAP!

DR. Zuckerman on 6/29/01 at 19:45 (051899)

14kv is the lowest it will go. Will tell you when I have it available. I just did a procedure in the surgical center where the patient didn't bring a driver so it was a straight local with IV sedation. This wasn't ESWT. Patient did great and the anesthesia department didn't get pissed off that I was't using their services. Don't know if I can make it a habit. but it is a habit that serves the patient. Could even do ESWT in the short procedure room and not even worry about anesthesia. It is just the room and the nurse. New idea for cost containment.

Re: A little nervous but taking 1st step towards the ZAP!

Dr. Zuckerman on 6/29/01 at 21:08 (051911)

It was straight local without any IV sedation.

Re: Thanks... appt to meet zapper is July 10

rhondal on 7/05/01 at hrmin (052267)

My husband is seeing Dr. Cook also. Were they able to obtain payment from your insurance co? Also, they want David(my husband) to wear this a foot brace for 6 mths before they agree to the Ossatron therapy. Did you do this? It doesn't seem to be helping. He is very anxious about his future ability to earn a living. Any helpful information would be appreciated.
Thanks, RhondaL

Re: A little nervous but taking 1st step towards the ZAP!

Lori E. on 6/26/01 at 00:07 (051531)

Beverly,
I am glad that you have taken a step towards ESWT. I know you have been following the progress of the ESWT gang and others who got zapped. I have to say I really don't think that you will have to worry about getting worse from ESWT. You may be a bit sore afterwards, but I must say that I felt no worse afterwards, and I don't recall anyone reporting being injured from ESWT. But I can understand you having fear. It is something you haven't experienced yet, so you don't know what it will be like. It sounds like you have a good doc lined up. Hopefully he will have a few more zaps under his belt before you go in. I am glad to hear that the orthodics are helping your ankles.

Re: A little nervous but taking 1st step towards the ZAP!

Laurie R on 6/26/01 at 01:24 (051532)

Hi Beverly,
This is very good news. I think your doctor is right about you going to another doctor that has done more of the Zapping. Plus this doctor sounds so much better than the other one you had. I wish you the best of luck with this . It just might be the thing that is going to get rid of your pain. You deserve to be pain free... Laurie R

Re: A little nervous but taking 1st step towards the ZAP!

Nancy N on 6/26/01 at 08:17 (051541)

Beverly--

It's probably worth noting that different machines will cause different degrees of soreness after the treatment. A friend of mine was also involved in the OrthoWave study in NY, and she tells me that she could hardly walk for the first two days after the treatment. After that, she was fine and was able to get around, but those first two days were very hard on her. I don't know how the OrthoWave compares with the Ossatron in that regard, but you might want to be sure to ask about post-treatment soreness just so you're prepared. (I'm certainly not trying to scare you away from it, but I wanted to let you know it's a possibility)

Re: A little nervous but taking 1st step towards the ZAP!

BrianG on 6/26/01 at 09:32 (051544)

Hi Bev,

Could you share with us the type of machine, and city where this will happen, thanks.

BCG

Re: A little nervous but taking 1st step towards the ZAP! - PS

Nancy N on 6/26/01 at 10:17 (051546)

I should also note that she felt so good several weeks after the treatment that she made the mistake of going out to play tennis on a gorgeous fall day, and set herself back quite a bit. So the soreness was truly temporary, and she thought it was very well worth the eventual results.

Re: A little nervous but taking 1st step towards the ZAP!

john h on 6/26/01 at 12:19 (051554)

as i frequently say pain is somewhat in the eye of the beholder. after 6 ESWT treatments (3 on each foot) i find them to be more of a discomfort than painful even with no ankle blocks. the orbasone at a level 18 can put out a rather significat jolt. somewhat like a hammer hitting your heel but after the first 5-10 jolts at a lower level your foot becomes what i would describe as numb to the rest of the treatment. if you walk in the treatment room expecting some heavy duty pain you will probably be very tense and will experience some pain. i had rather have ESWT than get a tooth filled. do not worry beverly you will handle ESWT just fine. i did not see judy complaining after her treatment. she also drove all of us around in a car and helped barbara after her surgery immediately after treatment. i have never had treatment with the ossatron but it is hard to believe that it would deliver much more of shock wave than the orbasone at the same setting. the machines operate under the same spark gap technology and deliver the shockwave to the approximate same depth where the fascia is located.

Re: A little nervous but taking 1st step towards the ZAP!

Nancy N on 6/26/01 at 13:25 (051559)

John

You could well be right. I got the placebo treatment on the OrthoWave, so I can't relate personally. I just think it's important to note that different machines could cause different effects temporarily, even though the basic premise of the machine is the same. I would rather be prepared for the possibility of some intense soreness afterward and feel OK than to be surprised and panicked by it if it happens.

Re: Thanks... appt to meet zapper is July 10

Beverly on 6/26/01 at 17:07 (051566)

Thanks for all the words of encouragement!

The nurse called me this morning, and my appointment to meet with the EWST doctor is July 10. I'd like to do this by early August. (I figure I should allow for a month from that first appointment to get an MRI of my ankle, the results back, and get on his EWST schedule.) So, unless they find something in my ankle that would prevent the EWST on the feet, as far as I'm concerned, I'm just gonna go ahead and do it.

The machine is an ossatron. The city is Dallas. According to my orthopedic foot/ankle specialist, this group of Dallas/Ft. Worth doctors doing EWST were trained by Health Tronics. That made me feel more comfortable once I heard that.

I don't know how much it costs. I'm going to investigate that this week. For you experienced people out there, what is the usual procedure on costs for 2nd and 3rd treatments? I've never been a lucky person in much of anything, and if this fixes my foot on the first try, I'll be amazed. All I'm hoping for the 1st time around is marked improvement. Any other questions I should ask? (I already know this guy is considered top of his field and treats the pro ballplayers. That alone makes me feel good.)

See ya,
Beverly

Re: Thanks... appt to meet zapper is July 10

BrianJ on 6/26/01 at 21:53 (051584)

Hi again --

I had ESWT performed in Dallas by Dr. Cook. Is that who you are going to see? If so, feel free to email me any questions you have. My email address is wimerjobe@aol.com .

Re: Thanks... appt to meet zapper is July 10

john h on 6/27/01 at 11:07 (051631)

brain: i do not remember if you stated how you felt after the ossatron treatment. sedated? sore foot? you are tough and it did not matter?

Re: Brain I sent you an email

Beverly on 6/27/01 at 15:50 (051658)

Brian,

Yes, it is Dr. Cook. I've sent you an email. I understand he is the main guy in Dallas.
Thanks,
Beverly

Re: A little nervous but taking 1st step towards the ZAP!

Dr. Zuckerman on 6/29/01 at 16:27 (051881)

One interesting comment I want to make about the machines. Each and every pf and patient is different so it would be better to be less treatment shocks etc and additional treatments. The only machine that does take this view is the ossatron. The orthowave does 900 shocks in two session. I will use the orbasone at the level of shocks and power settings that is specific for that patient and my examination at the time during the shocking. This may be alittle cofusing but experience of in the hundred tells me that ESWT isn't cook book and that doing 1500 shocks at 18kv isn't the best way to go with ESWT on any machine. Just like pf releases should be I cut 1/3 or 1/2 etc. You the exact amount that is necessary on each and every patient. We are treating patients not computer and not machines.

Re: A little nervous but taking 1st step towards the ZAP!

Dr. Zuckerman on 6/29/01 at 16:44 (051882)

John,

You need to use anesthesia local with the ossatron. It hasn't the ability to deliver any shocks of low energy first. It is strictly a high energy machine.

Re: A little nervous but taking 1st step towards the ZAP!

john h on 6/29/01 at 18:53 (051889)

i guess your comment means judy is more wimpy than me since she only got to level 16 and i was at level 18. she made some claim that i had more fat pad on my feet.

Re: A little nervous but taking 1st step towards the ZAP!

john h on 6/29/01 at 18:56 (051892)

how low can the ossatron go? i certainly would be willing to try at least 3 or 4 shocks with it just to see. i did not notice a big difference between what i think you started at (14) and 18.

Re: A little nervous but taking 1st step towards the ZAP!

DR. Zuckerman on 6/29/01 at 19:45 (051899)

14kv is the lowest it will go. Will tell you when I have it available. I just did a procedure in the surgical center where the patient didn't bring a driver so it was a straight local with IV sedation. This wasn't ESWT. Patient did great and the anesthesia department didn't get pissed off that I was't using their services. Don't know if I can make it a habit. but it is a habit that serves the patient. Could even do ESWT in the short procedure room and not even worry about anesthesia. It is just the room and the nurse. New idea for cost containment.

Re: A little nervous but taking 1st step towards the ZAP!

Dr. Zuckerman on 6/29/01 at 21:08 (051911)

It was straight local without any IV sedation.

Re: Thanks... appt to meet zapper is July 10

rhondal on 7/05/01 at hrmin (052267)

My husband is seeing Dr. Cook also. Were they able to obtain payment from your insurance co? Also, they want David(my husband) to wear this a foot brace for 6 mths before they agree to the Ossatron therapy. Did you do this? It doesn't seem to be helping. He is very anxious about his future ability to earn a living. Any helpful information would be appreciated.
Thanks, RhondaL