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Severe Pain

Posted by lis on 6/04/02 at 22:39 (086331)

Has anyone there had ESWT without any anaesthetic? Here in Australia they give you no local, no leg block, no anything.
I am experiencing excrutiating pain whilst undergoing this treatment. Granted it is only $90 per session here. But OH the pain of it. Also has anyone suffered depression immediately after treatment, lasting a few hours?
Lis

Re: Severe Pain

wendyn on 6/05/02 at 07:12 (086342)

If a treatment was causing me that much pain, I'd be depressed too.

Have they oferred any suggestions for pain relief?

Re: Severe Pain

lis on 6/05/02 at 07:30 (086346)

They told me to take a strong pain killer before coming. For example the Panadeine Forte. This didn't help at all. I just don't understand why they don't give us a local anaesthetic like they do in other countries.
Lis

Re: Severe Pain

CarlW on 6/05/02 at 08:22 (086352)

Hello Lis,

I too am receiving ESWT (in Canada) without any local. My pain has been OK but the technician did advise to use lots of ice on the area if I was having pain.

Hope this is the begining of some major healing for you!!

CarlW

Re: Severe Pain

john h on 6/05/02 at 11:31 (086371)

lis: I had three ESWT treatments with a moderately high powered machine with no blocks. Actually I was more on a high after the treatments than depressed. At $90 for a treatment vs the thousands here I would be elated. Will they give you a block if you request it? Did you receive treatment with the Dornier EPOS or Sonnocur? Most low power machines the patients are usually treated without blocks. Maybe your doc might give you a valium or something to relax you. good luck. if the treatment works it will all be worth it.

Re: Severe Pain

BrianG on 6/05/02 at 23:05 (086466)

Hi Lis,

Did your doctor know your were in a lot of pain? Did you ask him for a block? The new local anesthetics work almost immediatly. No additional depression for me, just the usual crap :*( I know how you feel, I had some major Dornier pain myself, when the local didn't take too well on one foot. The doctors asked if I wanted them to stop. Hell no, I had just driven about 400 miles to get my treatment!!! Good luck

BrianG

Re: Severe Pain

lis on 6/06/02 at 03:36 (086475)

Thanks everyone for you supportive comments. My ESWT was done over here by a podiatrist not a doctor however it was in a large medical clinic. I honestly feel that it is so cheap over here because they still don't know what they're doing. It is all fairly new to Australia...about 3 years I believe. I too thought I would be treated by a specialist. I guess my pain is probably the result of the foot trauma I have experienced over the past 18 months. First an Achilles Rupture, then a fall which cut it all open again and then 3 lots of the Staphlococcus bug and ulceration of the site. It is super sensitive to anything.
NO I can't get a local, they don't give them here for ESWT. I could only tolerate 302 units the first time and 359 the second time but this podiatrist says that 1200 is enough, so 2 more torture sessions to go. I have managed to get some Valium for the next session. Lets hope it helps. Thanks so much to you all
Lis

Re: Severe Pain

john h on 6/06/02 at 10:05 (086508)

lis: the reason your cost is much less there is that in your country your physicians are not faced with the high cost of insurance we face.I doubt your country has to spend millions of dollars to get the devices FDA approved even though the treatment has been widely used and documented in Europe for many years. Your treatment does not have to be done in a hospital enviroment with all the associated cost.We sue everyone in this country. Australia has been using the equipment longer than we have in our country and if Allan is any indication you have excellent and very knowledgable operators. I think your care and treatment is every bit as effective as in the U.S. Your treatments will be over shortly so take that valium and you will get through it and let the healing begin.

Re: Severe Pain

Dr. Mitchell Kahn on 6/06/02 at 11:25 (086521)

Dear Lis,

I would think that if you asked the doctor to give you a posterior tibial blocka nd sural nerve block that he would be able to accomodate you. there is no reason to suffer while getting the treatments. While Valium will help the local is superior. The anesthetic blocks will enable you to get a complete treatment and get relief more quickly than if you are only getting a amller number of shocks. speak with your podiatrist before your next treatment. Good luck.

Re: Severe Pain

wendyn on 6/05/02 at 07:12 (086342)

If a treatment was causing me that much pain, I'd be depressed too.

Have they oferred any suggestions for pain relief?

Re: Severe Pain

lis on 6/05/02 at 07:30 (086346)

They told me to take a strong pain killer before coming. For example the Panadeine Forte. This didn't help at all. I just don't understand why they don't give us a local anaesthetic like they do in other countries.
Lis

Re: Severe Pain

CarlW on 6/05/02 at 08:22 (086352)

Hello Lis,

I too am receiving ESWT (in Canada) without any local. My pain has been OK but the technician did advise to use lots of ice on the area if I was having pain.

Hope this is the begining of some major healing for you!!

CarlW

Re: Severe Pain

john h on 6/05/02 at 11:31 (086371)

lis: I had three ESWT treatments with a moderately high powered machine with no blocks. Actually I was more on a high after the treatments than depressed. At $90 for a treatment vs the thousands here I would be elated. Will they give you a block if you request it? Did you receive treatment with the Dornier EPOS or Sonnocur? Most low power machines the patients are usually treated without blocks. Maybe your doc might give you a valium or something to relax you. good luck. if the treatment works it will all be worth it.

Re: Severe Pain

BrianG on 6/05/02 at 23:05 (086466)

Hi Lis,

Did your doctor know your were in a lot of pain? Did you ask him for a block? The new local anesthetics work almost immediatly. No additional depression for me, just the usual crap :*( I know how you feel, I had some major Dornier pain myself, when the local didn't take too well on one foot. The doctors asked if I wanted them to stop. Hell no, I had just driven about 400 miles to get my treatment!!! Good luck

BrianG

Re: Severe Pain

lis on 6/06/02 at 03:36 (086475)

Thanks everyone for you supportive comments. My ESWT was done over here by a podiatrist not a doctor however it was in a large medical clinic. I honestly feel that it is so cheap over here because they still don't know what they're doing. It is all fairly new to Australia...about 3 years I believe. I too thought I would be treated by a specialist. I guess my pain is probably the result of the foot trauma I have experienced over the past 18 months. First an Achilles Rupture, then a fall which cut it all open again and then 3 lots of the Staphlococcus bug and ulceration of the site. It is super sensitive to anything.
NO I can't get a local, they don't give them here for ESWT. I could only tolerate 302 units the first time and 359 the second time but this podiatrist says that 1200 is enough, so 2 more torture sessions to go. I have managed to get some Valium for the next session. Lets hope it helps. Thanks so much to you all
Lis

Re: Severe Pain

john h on 6/06/02 at 10:05 (086508)

lis: the reason your cost is much less there is that in your country your physicians are not faced with the high cost of insurance we face.I doubt your country has to spend millions of dollars to get the devices FDA approved even though the treatment has been widely used and documented in Europe for many years. Your treatment does not have to be done in a hospital enviroment with all the associated cost.We sue everyone in this country. Australia has been using the equipment longer than we have in our country and if Allan is any indication you have excellent and very knowledgable operators. I think your care and treatment is every bit as effective as in the U.S. Your treatments will be over shortly so take that valium and you will get through it and let the healing begin.

Re: Severe Pain

Dr. Mitchell Kahn on 6/06/02 at 11:25 (086521)

Dear Lis,

I would think that if you asked the doctor to give you a posterior tibial blocka nd sural nerve block that he would be able to accomodate you. there is no reason to suffer while getting the treatments. While Valium will help the local is superior. The anesthetic blocks will enable you to get a complete treatment and get relief more quickly than if you are only getting a amller number of shocks. speak with your podiatrist before your next treatment. Good luck.