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shock wave therapy

Posted by sheilaw on 12/06/03 at 22:31 (139512)

What are your thoughts on having shock wave therapy. Should I try acupunture first?

I have had MRI, EMG, both ok show only fluid no arthitis, done 1yr post PF release. symptoms pain and swelling still at and near surgery sight. 2 other drs say surgery was success.

Believe problem is due to bio mechinal and combined with history of sarcoid (remission for 7 yrs) PT and icing and all orthodics helping minimally.

Re: shock wave therapy

Dr. Z on 12/07/03 at 13:57 (139534)

If you have chronic inserional pf that has been painful for six months or longer and have tried three or more conservative treatments and are still in pain then ESWT can help you resolve your pf pain. We have used it for the past few years with very good results.

Re: shock wave therapy

R C on 12/07/03 at 20:15 (139551)

Does ESWT work if it is not the PF insertional point, but rather that of the Abductor Hallucis or the Flexor Hallucis Brevis? Would you be more worried about damage to the nerves and blood vessels at that area?

Thanks--

Re: shock wave therapy

Dr. Z on 12/07/03 at 20:41 (139555)

The key is to keep the ESWT shockwave at the insertion. You could place the shockwave at these areas with the dornier due to the outline ultrasound, but whether is is the pf, abductor tendon it must be at the insertion.