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A new treatment "ouch"

Posted by Dieter Fellner on 11/21/04 at 16:03 (164496)

Discussing the intense capital investment necessary for ESWT, a colleague wrote the following:

'I worked with a podiatrist who spent some years in Asia, she said some TCM practitioners will wack the medial tubercle area with a hammer.....this stimulates a healing response for very little capital investment.'

This was not a joke, but underlines the fact the profession is leaning towards a new model of understanding to explain why patients get heel pain and how this can be treated.

Encouraging a healing response through the formation of new blood vessels is one of the factors proposed as important in explaining ESWT. Other methods used include:

Injecting Autologous Platelet Concentrate

The precise mechanisms to explain how these treatments might work remains uncertain. But like ESWT there are an increasing number of patients who have been helped by such alternative treatments.

Once science has identified the underlying cause of this complaint, especially in the chronic cases, who do not respond well to the usual treatments, perhaps we can hope for a predictable, cost effective treatment. I think we are getting closer!

Re: A new treatment "ouch"

Ed Davis,DPM on 11/21/04 at 20:32 (164510)


Consider RSWT like the Swiss Dolorclast -- moving closer to the hammer theory than some would like to admit.

Practitioners working in area which seem medically 'unsophisticated' must be creative at times. I worked with a Thai surgeon who treated cellulitis by raising wheels of gentamicin sulfate around the advancing margins of cellulitis. Every couple of days the cellulitis would recede and he would raise new wheels slowly watching the margin of the cellulitis recede. When I mentioned that to a couple of domestic infectuous disease specialists, they laughed.

Re: A new treatment "ouch"

Julie on 11/22/04 at 02:23 (164525)

The theory sounds sound. Its efficacy would depend on the whacker, though. Not, perhaps, a good idea for self-treatment.

Just in case anyone was thinking of it...