Radial Pulse Therapy also known as Radial Shockwave Therapy has and is gaining popularity for the adjunct treatment of superficial orthopedic conditions especially myofascial conditions and tendinopathy. This is do to: some clients need overly dense fascia, scar tissue, soft tissue and joint adhesions broken up; doctors like using new technology; and some clients need a device with specific magnitude of forces (Joules) and a controlled speed (Hertz) applied to the muscle/tendon/bone unit in order to achieve the goals of restimulating the healing process.
As practitioners, it is important to correctly identify the patient’s biggest dysfunction. I often ask myself, “What’s the biggest issue?” Is it pain related to repetitive trauma, microtrauma, macrotrauma, obesity, poor nutrition, lack of motor control, poor strength, poor mobility, etc. Once the treatment plan is initiated, we must have positive short term responses from our treatment decision to obtain long term adaptation. In this regard, I have the experience of working with Radial Pulse Therapy for rotator cuff tendinopathy, achilles tendinopathy, plantar fasciitis, patellar tendinopathy, tennis elbow, iliolumbar and thoracolumbar fascial dysfunctions. I like being able to offer treatment options especially after patients have tried medications and glucocorticoid injection therapy for tendinopathy, trigger points and fascial adhesions.
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What are the benefits of the Shockwave Treatment?
Radial shockwave therapy is used to stimulate the body’s natural self-healing process. Most patients experience immediate reduction of pain and improved ease of movement. Shockwave therapy should be tried before costly surgery procedures because it may eliminate your need for surgery. The use of drugs are not needed with this procedure.
How long does the treatment session take?
2000 – 3000 acoustic radial waves are administered per session, which takes approximately 5-10 minutes to apply. After the initial session with Dr. Tucker which includes the evaluation and typically lasts 60 minutes, he will schedule 30 minutes sessions. This allows enough time for questions/answers, and any home therapy recommendations.
How many treatments will I need?
Normally a series of five treatments are scheduled at 4-5 day intervals; there is a small possibility that an additional 3-5 treatments may be necessary if your condition is very chronic.
Does the treatment hurt?
It is a 5-10 minute treatment that may be uncomfortable to some. Others only feel the sensation of deep percussion and do not express discomfort. Dr. Tucker will do everything possible to make you comfortable and able to tolerate your treatment. However, if you cannot tolerate it, the Dr. Tucker can make adjustments on the machine that can decrease the pressure you feel.
Will it hurt after the treatment?
There may be no immediate pain at all, but some discomfort may be experienced 6 – 12 hours after the treatment. In some cases it can last up to 48 hours and in very rare cases, the pain lasted up to 3 days. Dr. Tucker is using other cutting edge technology (i.e. laser, Deep Muscle Stimulator, lymph drainage) to enhance the effects of the Radial Shock Wave Therapy as well as researching the best methods to decrease post treatment soreness.
What should I do if I am in pain after the treatment?
The shockwave therapy is used to trigger an inflammatory response, which is the body’s natural process of healing. For this reason, do not use anti-inflammatory medications. Do not use ice. The pain should subside within 24 hours.
What if it feels good after the treatment?
Even if it feels good, we recommend decreased activity for 48 hours following the treatment.
Is Shockwave Therapy covered by my insurance?
If you have insurance you will want to ask your provider about the requirements of your coverage. Please call the office at 310-444-9393 with specific questions.
What is the success rate of this kind of treatment?
A successful treatment is considered as a patient having at least 75% reduction in pain within 3 months. The current literature worldwide, suggests success rates are around 80 to 90%.
What if it doesn’t work for me?
Although the short-term effects alone are exceptional, the long-term benefits of this treatment may take up to 3-4 months. If after this time there has not been any marked improvement, we will discuss further treatment options.
Are there contraindications and/or precautions?
- Coagulation disorders, thrombosis, heart or circulatory patients
- Use of anticoagulants, especially Marcumar, Heparin, Coumadin
- Tumour diseases, carcinoma, cancer patients
- Polyneuropathy in case of diabetes mellitus
- Acute inflammations / pus focus in the target area
- Children in growth
- Cortisone therapy up to 6 weeks before first treatment
- Blood or nerves supplies too close to the affected area
- Swelling, reddening, haematomas
- Skin lesions after previous cortisone therapy
These side effects generally abate after 5 to 10 days.
We are happy to discuss your case with you. Please call the office at 310-444-9393
Shockwave Therapy is a non-invasive treatment involving the delivery of acoustic shockwaves to affected areas of the body to trigger natural repair mechanisms and stimulate healing. I am now using this in my practice for Achilles tendonopathy, plantar fasciitis, shoulder tendonopathy, calcific tendinitis, patellar tendonosis.