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Shockwave Therapy Demonstration


>>MARISSA: We’re here today to demonstrate
shockwave therapy. Shockwave therapy is a treatment we have available at the clinic
and we use a fair bit when appropriate for treatment of soft tissue conditions and tendinopathies.
We use it a fair bit for heel pain or plantar fasciitis. Essentially, we use a probe—here’s
the probe—to deliver high-energy sound waves to the area where there is pain. What that
does is increase blood flow to the area and metabolic activity in the area and start the
healing process. A lot of times with tendinopathies and plantar fasciitis the healing process
is really slow or doesn’t happen at all. In combination with a lot of other treatments,
shockwave therapy is an option to get that healing process started. Kevin’s been nice
enough to allow me to demonstrate on him today [laugh]. We’re going to pretend that Kevin
has plantar fasciitis or heel pain. We find the area where there is the most pain and
that is where we will be delivering the sound waves. Let’s say when I apply pressure to
this area of Kevin’s heel he says it is painful. I would push around that sight to
find the spot where it’s the most painful. Let’s say we end up with this as the most
painful sight. What I would do is draw on that area there and that is where I would
be delivering the sound pulses. Sometimes it’s more than one spot. If it is, then
we split the pulses between the areas where it is painful. It tends to be one or at most
two sites that are most painful. Next thing to do is to apply a bit of ultrasound gel
to the sight where we will be doing the shockwave therapy, and we are ready to start. That’s
the probe, and I put it on the skin on the area that I’ve marked, and then we start
to deliver the pulses. Are you ready?>>KEVIN: Yes.>>MARISSA: Alright, here we go. [Sounds of
pulses]. Alright, so as far as number of pulses it’s 2000 pulses at each sight that is painful.
It depends on the number of sessions we need. Sometimes the pressure can be a little bit
painful. All we do is decrease that pressure and make it up over the sessions which we
do the shockwave therapy. Any questions for me?>>KEVIN: No.>>MARISSA: Thanks>>MARISSA: How’d that feel?>>KEVIN: Good. Really good.>>MARISSA: Really good?>>KEVIN: REALLLLY GOOD! [laughter]>>MARISSA: Any pain or discomfort when it
was being done?>>KEVIN: It felt fine. A little strange.
Odd sensation, but not painful.>>MARISSA: Pretty normal experience. It’s
not a natural thing and you’ll get that odd feeling to it.>>KEVIN: Are there any side effects?>>MARISSA: I’ve only had two people who
have lost their feet from it. NO! No side effects. That was a joke by the way.>>KEVIN: That was a joke!>>MARISSA: A little pain. Usually a Panadol
and some ice is more than enough to rid of it. Bruising is something that has been reported,
but I’ve never had anyone who has had any bruising. Again, side effects: little bit
of pain is about it.>>KEVIN: Ok. Is it done in isolation or do
you do it with other therapies?>>MARISSA: Shockwave therapy unfortunately
does not work in isolation. It has to be combined with a complete program. Especially with tendinopathies,
strengthening is going to be massively important. With heel pain or plantar fasciitis your looking
at stretching, strengthening and addressing biomechanical issues. It all comes together
to get you to a pain-free place.>>KEVIN: How many sessions would I need?>>MARISSA: You are looking at anywhere from
3 to 5 sessions. We always do 3 sessions to start. We expect to see some changes in pain
levels along those 3 sessions. If we’re getting a lot of relief but there is still
a little bit of pain we tend to add on 1 or 2 sessions. I’ve never done more than 5
sessions. 3 to 5 tends to be enough.>>KEVIN: Ok! Great! Thank you!>>MARISSA: Thanks! [music and titles]

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