Extracorporeal Shockwave Therapy: Causes, Symptoms, and Diagnosis Introduction A. Definition of Extracorporeal Shockwave Therapy (ESWT) and its Relation to Massage Therapy in Surrey Extracorporeal Shockwave Therapy (ESWT) is a non-invasive medical procedure that uses shockwaves to treat various musculoskeletal conditions. Massage Therapy in Surrey ( https://www.thinkphysiotherapy.ca/massage-therapy.php ) is a therapeutic approach that involves manual manipulation of the body's soft tissues to promote relaxation, reduce muscle tension, and enhance overall well-being. While ESWT and Massage Therapy in Surrey are both forms of therapy, they differ in their methods and applications. B. Overview of ESWT's medical applications ESWT is commonly used in the treatment of musculoskeletal conditions such as: a. Plantar fasciitis: Inflammation of the tissue connecting the heel bone to the toes. b. Tendinitis: Inflammation of a tendon, commonly affecting the elbow (tennis elbow) or the shoulder (rotator cuff tendinitis). c. Calcific tendinitis: Deposition of calcium in a tendon, leading to pain and limited range of motion. d. Stress fractures: Tiny cracks in the bones due to repeated stress or overuse. Causes of Extracorporeal Shockwave Therapy A. Musculoskeletal conditions treated with ESWT Plantar fasciitis: Inflammation of the plantar fascia, the tissue that connects the heel bone to the toes. Tendinitis: Inflammation of a tendon, commonly occurring in the elbow (tennis elbow) or the shoulder (rotator cuff tendinitis). Calcific tendinitis: Build-up of calcium deposits in a tendon, causing pain and limited range of motion. Stress fractures: Small cracks in the bone resulting from repetitive stress or overuse. Non-healing fractures: Fractures that have not properly healed. B. Mechanism of action of ESWT: Inducing tissue regeneration ESWT promotes the regeneration and repair of damaged tissues by stimulating the release of growth factors, which initiate the healing process. Promotion of cell growth and repair The shockwaves from ESWT stimulate the production of new blood vessels (angiogenesis) and increase cell division (proliferation) in the treated tissues. This promotes the growth of healthy cells and aids in the repair of damaged tissues. Breaking up calcifications or scar tissue Symptoms Treated by Extracorporeal Shockwave Therapy A. Plantar fasciitis Pain in the heel or arch of the foot: Individuals with plantar fasciitis typically experience pain that is sharp or stabbing in the heel or arch area of the foot. The pain is often worse in the morning or after periods of rest. Discomfort with walking or standing: Plantar fasciitis can cause discomfort and pain when walking, standing, or participating in activities that put pressure on the affected foot. B. Tendinitis Pain and inflammation in the affected tendon: Tendinitis refers to the inflammation of a tendon, which can lead to pain, tenderness, and swelling around the affected area. C. Calcific tendinitis Calcium deposits in tendons cause pain and inflammation: Calcific tendinitis involves the formation of calcium deposits within a tendon. D. Fractures Certain types of fractures that benefit from ESWT: ESWT may be beneficial for certain types of fractures, such as stress fractures or non-healing fractures. These fractures can cause localized pain and impaired function in the affected area. Diagnosis of Conditions Requiring Extracorporeal Shockwave Therapy A. Medical history and physical examination: A healthcare professional will typically begin by taking a detailed medical history, including any symptoms, previous injuries, and relevant information about the condition. B. Imaging tests: X-rays: X-rays can be useful in identifying fractures or the presence of calcifications in the affected area. They can help determine if ESWT is an appropriate treatment option. C. Diagnostic criteria specific to each condition: Each condition that may require ESWT has its specific diagnostic criteria. These criteria are based on a combination of symptoms, physical examination findings, and imaging results. conclusion Extracorporeal Shockwave Therapy (ESWT) is a non-invasive medical procedure commonly used in physiotherapy in Surrey. It is utilized to treat various musculoskeletal conditions such as plantar fasciitis, tendinitis, calcific tendinitis, and certain types of fractures. The mechanism of action of ESWT involves inducing tissue regeneration, stimulating blood flow, promoting cell growth and repair, and breaking up calcifications or scar tissue. Physiotherapy professionals in Surrey may incorporate ESWT as part of their treatment plans to address specific conditions and facilitate healing.

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