Orthotripsy (Shock Wave)


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  The nationally recognized physicians and staff of Cumberland Foot and Ankle Centers of Kentucky are proud to announce the arrival of the most advanced treatment for chronic heel pain.

Orthotripsy (or shockwave therapy) is a form of treatment that was developed from other medical indications (treating kidney stones) and is widely used in Europe and North America for treatment of the above soft tissue conditions. There are numerous published scientific studies, which you are free to examine, the majority of which demonstrate positive outcomes. Most importantly it has been demonstrated as a safe treatment option.

Radial shockwaves are high energy soundwaves transmitted from a probe held against and passing through the skin and spreading outwards into the underlying tissues. This is believed to induce increased blood flow and metabolic activity around the site of pain accelerating the healing process. At the very least it effectively reduces pain from this area.

After a simple examination of the affected area, shockwaves are applied via a hand piece or applicator held against the skin. The initial phase of treatment may cause some deep pain however this indicates correct targeting of the problem area.

This is usually followed by numbness or heaviness in the area and the latter phase of the treatment feels less painful. The treatment sessions are 10 minutes in duration during which you may receive up to 3000 pulses. Many patients get pain relief in just 8-10 days after the first treatment. Depending on the condition and your response, you may require from 1 to 5 treatments, although the average is 3. The maximum benefit from the shockwave treatment will be appreciated in 6-8 weeks after the last session.

You may feel some soreness, which may intensify on the night of the treatment. Simple analgesia and icing may be required to control this pain. There may also be some minor bruising in the treatment area. You should rest from aggravating activities for 2-3 days after treatment as your doctor will discuss.

Post-treatment pain as above.
Local bruising – uncommon and minor. Tendon rupture has not been reported following radial shockwave therapy, unlike cortisone injection and surgery.

Please inform your doctor if you have a one of the following contra-indications as this form of treatment may not be appropriate for you:
-Bleeding and blood coagulation disorders and associated medication consumption.
-Skin wound or acute inflammation in treatment area.
-Tumor in treatment area.

An office visit will be billed to your insurance.

Obviously, the human body is a complex structure and, like many things in medicine, we can provide no guarantees of effectiveness of treatment. We can only keep up-to-date with the latest quality scientific research and make this available to you to make your decision.
If you have any questions, please feel free to discuss these with your doctor.

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