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Shockwave Victoria
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    • Home
    • About Shockwave Therapy
    • Scientific Evidence
    • Blog
    • FAQ
    • Testimonials
    • Contact
  • Home
  • About Shockwave Therapy
  • Scientific Evidence
  • Blog
  • FAQ
  • Testimonials
  • Contact

About Shockwave Therapy

Shockwave therapy ankle treatment

What conditions can Shockwave Therapy treat?

Shockwave therapy is commonly used in areas where major connective tissue attaches to bone, and can be used to treat a wide variety of musculoskeletal conditions.


Commonly treated sites include:


  • Foot - Plantar Fasciitis, heel spurs, heel pain, peroneal tendonosis, tibialis posterior tendonosis, 1st metatarsal osteoarthritis, stress fractures in the bones of the foot & Achilles tendonitis
  • Knee - Patellar tendonitis, jumper's knee, iliotibial band syndrome (IT Band Syndrome) & shin pain
  • Elbow - tennis or golfer's elbow
  • Shoulder - rotator cuff tendonitis, calcific tendonitis & calcifications
  • Hip - trochanteric bursitis
  • Muscles - various trigger points throughout the body and muscle tension, heterotopic ossification (Myositis Ossificans), groin strain, hamstring tendonopathy, gluteal tendonopathy
  • Bones - Stress fractures, bursitis, non unions (delayed bone healing)
  • Nerves - Morton's Neuroma

Shockwave therapy shoulder pain physio

Why should I choose Shockwave Therapy (ESWT)?

Shockwave therapy is a recent development that is used successfully by healthcare providers that specialize in musculoskeletal disorders. When comparing shockwave therapy to other treatment modalities, the advantages of ESWT include:


  • Quickly reduces pain
  • No medication is needed
  • Avoids surgery and anaesthesia
  • No side effects
  • No risk of allergies
  • Accelerates healing
  • Effective for chronic conditions

Shockwave therapy elbow pain

What are the Medical Effects of Shockwave Therapy?

The acoustic waves used in Shockwave therapy interact with your tissues, accelerating tissue repair and cell growth, analgesia and mobility restoration. Other effects include;

  • New blood vessel formation
  • Reversal of chronic inflammation
  • Stimulation of collagen production
  • Dissolution of calcified fibroblasts
  • Dispersion of pain mediator "substance P"
  • Release of trigger points

About Extracorporeal Shockwave Therapy

Shockwaves accelerate the healing process by activating the body’s self-healing powers, particularly in cases where the body has been unable to do it on its own. 


It stimulates metabolism and enhances blood circulation which enables damaged tissue to regenerate and eventually heal. The treatment relieves pain by producing an analgesic effect on the treatment area. Healing occurs over several treatments by initiating an inflammatory response and ultimately vascularization to the area. 


Shockwave therapy accelerates the healing process in the body by stimulating the metabolism and enhancing blood circulation to regenerate and heal damaged tissue. Strong energy pulses are applied with our equipment to the affected area. These pulses occur for very short periods of time, creating micro-cavitation bubbles that expand and burst. The force created by these bubbles penetrates tissue and stimulates cells in the body that are responsible for bone and connective tissue healing. 


In many instances, shockwave therapy is most effective in cases where the human body has been unable to heal itself on its own. These high energy acoustic waves that are transmitted through the surface of the skin are spread radially (spherically) into the body and the body responds with increased metabolic activity around the area of the pain. This stimulates and accelerates the healing process and is especially useful for those suffering from chronic heel, shoulder, knee, achilles, elbow and back pain. 


The use of shockwave in therapy is that it effectively takes a tissue from a more chronic to a more acute state, and in doing so, provides a stimulus (trigger) to a 'stalled' repair sequence". 

 

Your Victoria Shelbourne Physiotherapist will apply shockwaves through a specially designed hand piece that produces strong energy pulses for short periods of time.  The shockwave energy pulses are applied directly to the affected tissue areas in controlled procedure. Shockwaves have a mechanical effect on the tissue.  Pressure in the front of the shockwave is transmitted into the tissue, creating micro-cavitation bubbles that expand and burst into a resultant force. This force penetrates tissue and stimulates cells in the body which are responsible for bone (osteoblast) and connective tissue (fibroblast) healing. Extracorporeal Shockwave Therapy (known as ESWT) is a modern and highly effective treatment method validated by research. The process introduces high-energy sound waves into the painful areas of the body. and with this innovative therapy approach, pathological alterations of tendons, ligaments, capsules, muscles and bones can be eliminated systematically.


Research has also shown that Shockwave also breaks down calcium deposits.

Shockwave therapy shoulder pain

What is the success rate?

Plantar Fasciitis

Calcific Tendonitis

Calcific Tendonitis

Plantar fasciitis foot pain

90% improvement for plantar fasciitis with shockwave therapy (Journal of Orthopedic Research, 2005)

Calcific Tendonitis

Calcific Tendonitis

Calcific Tendonitis

Shoulder rotator cuff injury

91% improvement for calcific tendonitis with shockwave therapy (Journal of American Medical Association, 2003)

Tennis Elbow

Calcific Tendonitis

Tennis Elbow

Tennis elbow sports injury

77% improvement for tennis elbow with shockwave therapy (Journal of Orthopedics, 2005)

After only 2-3 sessions of shockwave therapy, over 80% of patients report a significant reduction in pain.

How long does treatment last?

The therapy session takes about 10-15 minutes depending on the disorder that is being treated. In general, 3-5 sessions are necessary at weekly intervals.


Ask your doctor or therapist if your condition can be treated by Shockwave Therapy and book your treatment sessions today at Shelbourne Physiotherapy in Victoria BC!


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Shockwave therapy knee pain
Shockwave Therapy for Plantar Fasciitis

Indications and Contraindications of Shockwave Therapy

Indications

According to the International Society for Medical Shockwave Treatment, the following are the indications for medical Shockwave Therapy treatment.


Approved Standard Indications

  • Chronic Tendinopathies
    • Calcifying tendinopathy of the shoulder
    • Lateral epicondylopathy of the elbow (tennis elbow)
    • Greater trochanter pain syndrome
    • Patellar tendinopathy
    • Achilles tendinopathy
    • Plantar fasciitis, with or without heel spur
  • Bone Pathologies
    • Delayed bone healing
    • Bone Non-Union (pseudarthroses)
    • Stress fracture
    • Avascular bone necrosis without articular derangement
    • Osteochondritis Dissecans (OCD) without articular derangement
  • Skin Pathologies
    • Delayed or non-healing wounds
    • Skin ulcers
    • Non-circumferential burn wounds
    • Cellulite

Commonly empirically-tested clinical uses

  • Tendinopathies
    • Rotator cuff tendinopathy without calcification
    • Medial epicondylopathy of the elbow
    • Adductor tendinopathy syndrome
    • Pes-Anserinus tendinopathy syndrome
    • Peroneal tendinopathy
    • Foot and ankle tendinopathies
    • Trigger Finger
  • Bone Pathologies
    • Bone marrow edema
    • Osgood Schlatter disease: Apophysitis of the anterior tibial tubercle
    • Tibial stress syndrome (shin splint)
    • Knee Osteoarthritis
  • Muscle Pathologies
    • Myofascial Syndrome
    • Muscle sprain without discontinuity
  • Neurological Pathologies
    • Spasticity
    • Carpal tunnel syndrome

Exceptional indications - expert indications

  • Musculoskeletal pathologies
    • Osteoarthritis
    • Dupuytren disease
    • Plantar fibromatosis (Ledderhose disease)
    • De Quervain disease
    • Trigger finger
  • Neurological pathologies
    • Spasticity
    • Polyneuropathy
    • Carpal Tunnel Syndrome
  • Urologic pathologies
    • Pelvic chronic pain syndrome (abacterial prostatitis)
    • Erectile dysfunction
    • Peyronie disease
  • Others
    • Lymphedema


If any of these indications apply to you, consider booking a Shockwave Therapy treatment with one of our Shelbourne Physiotherapists located in Victoria, BC. Book now by clicking HERE.

Contraindications

According to the International Society for Medical Shockwave Treatment, the following are contraindications for medical Shockwave Therapy treatment.


Absolute contraindications: radial pressure waves (RPW) and/or focused shockwaves with low energy:

  • Malignant tumor in the treatment area (not as underlying disease)
  • Fetus in the treatment area
  • Lung tissue in the treatment area
  • Severe coagulopathy


Relative contraindications:

  • Epiphyseal plate (growth plate) in the treatment area
  • Brain or Spine in the treatment area



Research by Tenforde et al., in 2022 also supported the following contraindications for Shockwave Therapy;


Absolute contraindications:

  • Active infection (ie, osteomyelitis)
  • Malignant tumor (focused shockwave)
  • Pregnancy


Important considerations

  • Cardiac pacemakers or other implantable devices
  • Current nonsteroidal anti-inflammatory drug use
  • Current anticoagulation use
  • Recent corticosteroid injections


View The ISMST Website for more info

Shockwave Therapy Physiotherapy in Victoria

 

Shockwave Victoria within Shelbourne Physiotherapy, Pilates & Massage is a locally owned health company with locations in beautiful Victoria & Saanich, British Columbia. Our clinics offer Physiotherapy, IMS (Intramuscular Stimulation) & Dry Needling, Kinesiology, Athletic Therapy, Exercise Rehabilitation, Massage Therapy, Sports Rehabilitation, Pelvic Floor Pilates Classes and Research, Post-Operative Rehabilitation, Vestibular, Dizziness & Balance Rehabilitation, Women's health (peri-partum and incontinence), Acupuncture, Victoria Dizziness Clinic, Scoliosis Treatment,  Clinical Osteofit Classes, Osteoporosis Treatment, Victoria Pelvic Floor Clinic, Real Time Ultrasound, Arthritis and Osteoarthritis Treatment, Electrical Modalities, Pelvic Floor Physio, Pelvic Pain Physiotherapy, Incontinence Treatment, Thoracic Ring Approach Physiotherapy Treatment, Sports Physiotherapy, Chronic Pain Treatment,  Shockwave Therapy (ESWT),  Yoga, Yogalates, Saanich Physiotherapy, Polestar Pilates, Stott Pilates, Clinical Pilates, Scoliosis Treatment, Kinetic Link Training KLT and Custom Knee Bracing.

Our clinics are approved providers for WorksafeBC (WCB) Physiotherapy and ICBC Physiotherapy, Kinesiology & Rehabilitation. We are proud members of the Canadian Physiotherapy Association (CPA), the Canadian Academy of Manipulative Therapy(CAMPT), Sport Physiotherapy Canada, SportmedBC, British Columbia Association of Kinesiologists (BCAK), Canadian Society for Exercise Physiology (CSEP), Vestibular Disorders Association, ISST International Schroth 3D Scoliosis Therapy, International Society for Medical Shockwave Treatment (ISMST), Think Local Victoria, Canadian Federation of Independent Business(CFIB), the Orthopaedic Division of the CPA and the Physiotherapy Association of British Columbia (PABC) We have a clinic located in Saanich

Shelbourne Physiotherapy staff provide clinical instruction at our Victoria Clinic for students in the UBC Faculty of Medicine. We are an accredited facility for UBC Dept. of Physical Therapy Student Practicums. 

Our Saanich & Victoria Physiotherapy clinics are modern and provide a relaxed healing atmosphere with private rooms available. Many Physiotherapy clinics in Victoria work out of a single room or a basement that does not offer the equipment, resources or space to help you recover properly. Our convenient locations make our clinics easy to access from all the neighbourhoods of Victoria, Saanich, Esquimalt and Oak Bay such as Dockside Green, Fairfield, James Bay, Oaklands, Fernwood, Harris Green, Jubilee, Hillside Quadra, Gonzales, Rockland, Gordon Head, Cadboro Bay, Uplands, Downtown Victoria, Cordova Bay, Arbutus, Camosun College Lansdowne Campus and the Songhees. We offer appointment times ranging from 7:00AM to 7:00PM for your convenience. Our Multidisciplinary Health Clinic is located right across the street from the Hillside Shopping Centre. we share a building with the Shelbourne Medical Centre which has a walk in clinic and many great General Practitioners.

We are a friendly, local Victoria & Saanich owned and community based health company designed to meet your individual needs. Our mission is to provide Physiotherapy and related services to the communities of Victoria, Saanich, Oak Bay, Victoria West and Esquimalt and help keep these residents active and healthy. We strive to creatively and professionally maximize client functioning and promote life-long wellness.

Our experienced and dedicated evidence based Health Care Professionals include Victoria & Saanich Physiotherapists Penny Salmas, Jennifer Kolot, Mark Gottfried, Christine Carrat, Nicole Gill, Mohsen Mirzaie, Robyn Elliot, Holly Mallari,  Elyse Nieuwold, Meena Sran, Phil Lawrence, Jessica Shave, Cody McEvay, Kathy Murdoch, Sanam Mainali,  Ruan Le Roux, Kira Crover, Bhavana Billapaty,  Muhammet Yamali, Shannon Huff, Michael Richards, Alta Bezuidenhout, Leah Taylor and Blair Braz. Our experienced Victoria BC Kinesiologists include Kelsey Kowalchuk, Larry Muir,  Tegan Johnson, Jamie Zawacki, Heidi Nottelman,  Our experienced Victoria & Saanich BC Registered Massage Therapists include Stevie Garman, Caroline Scherf, Olivia Virs, Taryn Krizan, Selena Curvelo, Jennifer Koebernick, Kathy Pantalon, T'airah Bowker RMT, Molly Scott, Jessica Bundy RMT, Laura Jones, Aislinn O'Neill and Rebekah Neubert. Our Victoria Athletic Therapists are Tegan Johnson, Emily Callendar and Cheryl Mah. Our Certified Victoria Pilates  Instructors include Chantelle Shah-Poulin, Lisa Hostman, Kelsey Kowalchuk, Thea Beatson, Jennifer Rausch, Penny Salmas  &  Chris Csak.. Renowned Victoria Physiatrist Paul Winston practices at our clinic.

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