What are the patient qualifications for shock wave therapy?
- The patient must have a chronic or persistent problem that has lasted for at least six months or more to try shock wave therapy.
- For plantar fasciitis or heel spurs the patient should have failed at least three conservative therapies. Conservative therapies include: Orthotics, Cortico Steroid Injections, NSAIDS or anti-inflammatory medications, Stretching exercises, Night splints, Physical therapy, etc.
- For epicondylitis or tennis elbow the patient should have failed at least two conservative therapies. Conservative therapies include: Rest, Immobilization, NSAIDS or anti-inflammatory medications, Stretching exercises, Physical therapy, etc.
Why would a patient be disqualified for shockwave therapy?
ESWT is NOT for Patients With
- Neurological or vascular disease that has affected the foot
- A history of plantar fascia rupture
- Open growth plates
- Pregnancy
- Active medications prolonging or interfering with blood clotting
- A history of bleeding disorders
- Any metal within proximity of the treatment area.
Un-established Safety and Effectiveness of ESWT on Patients With
- Nerve damage
- Osteoporosis
- Rheumatoid arthritis
- Tarsal tunnel syndrome
- Diabetic neuropathy
- Severe peripheral vascular disease
- Metabolic disorders and infections