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ESWT (Extra Corporeal Shockwave Treatment) is a non-invasive procedure used for treating a number of painful orthopaedic conditions. The procedure is widely used in other states throughout Australia and overseas and is also available in Queensland at Brisbane Private Hospital. The conditions we treat include:
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Plantar means foot.
Fascia is taught fibre that runs along the bottom of the foot to support the arch and which attaches itself onto the heel bone medially ( to the inside edge)
Itis means inflammation.
So Plantar Fasciitis basically means inflammation of the fascia of the foot
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The achilles treatment position
(with the ultrasound probe resting
on top
of the area -
and giving a live image while the treatment comes from the side of the foot)
The Achilles treatment is done
prone (lying on your tummy) so we treat from the side at
90 degrees
to the tendon
rather than treating from the top into the tendon. |
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Achilles Tendon attaches at the back of the heel and can be divided into 2 sections - insertional and non-insertional.
Insertional is the area that lies over the top of the bone and attaches to the bone.
Non-insertional is from where the tendon leaves the bone and runs from the bone edge up the back of the leg to become calf muscle.
Calcium Deposits can form as a result of inflammation and they sit within the body of the tendon and are not attached to the bone like a spur would be. It is more common to find calcium with insertional than non-insertional tendonitis.
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X-RAYS
Only an xray is required prior to treating Plantar Fasciitis.
For all other areas x-ray is the minimum requirement, but additionally an ultrasound would give a greater idea of exactly what is happening in the specific tendon being treated.
Shoulders require both xray and ultrasound prior to treatment.
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Calcium is also very commonly associated with tendons of the shoulder (Rotator Cuff).
It is called the Rotator Cuff because there are several tendons that wrap around the top of the arm bone, each being responsible for a different rotational action.
They attach onto the bone.
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The most common tendon where you see calcium deposits is probably the Supraspinatus, but you can often get an inflammatory process happening in there without calcium being present.
The calcium deposition usually follows as a result of the inflammation.
Because the shoulder is a more complicated structure an ultrasound is required prior to treatment so that it can be determined which tendon is the cause of the pain.
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TROCHANTERIC BURSITIS (HIP)
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Trochanteric bursitis of the hip occurs where the tendon attaches to the nobbly boney bit on the side of the hips and can cause pain both down the leg and into the groin. Again, there can be some calcium deposited in the tendon as a result of the inflammation sometimes. |
TENNIS ELBOW / GOLFERS ELBOW
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Tennis and golfers elbow (or lateral and medial epicondylitis as it is also called) is found where the tendon attaches to the nobbly bits of the bone that stick out on either side of the elbow.
Tennis elbow is usually the most common and is found along the top of the elbow , if the arm is bent and resting on a surface. golfers is found underneath along the bottom of the elbow.
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Patellar tendonitis is at the front of the knee either in the tendon which attaches above or below the patella and is often seen as the result of sport where impact, jumping occurs a lot. |
Dequervains is a relatively less common area to get inflammation, along the top edge of the base of the thumb. |
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