Click on this 3 minute
movie link for an overview of the Lamb Program For Stretching
Sound Wave Treatments Can Work
Extra-Corporeal-Shock-Wave-Therapy (ECSWT) is the latest
generation of ultrasound therapies to be used in pain and rehabilitation. I have
had and used an ECSWT device for over three years on a variety of conditions and
I have found it to be surprisingly effective.
A variety of studies using ECSWT to treat tennis elbow have shown
significant effectiveness. Most of the studies using ECSWT on tennis elbow have
shown about a 60% success rate after three treatments versus 29% without ECSWT.
Similar results have been shown for treating plantar fasciitis after three
treatments. The basic mechanism of actions is that the "shock wave" literally
strips scar tissue of muscles and tendons that re-heal in a rejuvenated
condition. I often explain the mechanism is much like a laser peel used on the
face, but internally.
After three years of experience, I have learned much about the technology.
For plantar fasciitis, I typically require five applications (or more) instead
of three, and there is a healing phase of 3-12 months post-shock wave that can
be required, especially in severe cases. The shock wave is best introduced
gradually in most cases, as highest intensity shock wave can cause considerable
discomfort, and may delay treatment as you wait for healing. The
treatment intervals are best at every 1-2 weeks depending on severity.
Click on this 2 minute movie link for an
overview of using
Therapy For Pain
I have found that the pain can move, whereby, the worst area of the foot
may improve if treatment is only applied to that area, but the rest of the foot
may be painful, mainly because it is more noticeable. It is important to include
spinal therapy with both plantar fasciitis
and tennis elbow, as there is often a spinal component to the
"tendonitis". Spinal therapy may take place in the form of physiotherapy,
chiropractic, spinal injections and/or self-stretching. The addition of
nighttime splinting (foot or arm brace) and medications can be helpful such as
I have found that combination therapy and persistence can be very
effective in treating these two tendonopathies. An advanced approach, such as
this, can provide recoveries equal to 60% or even higher.
To learn more about the plantar fasciitis combination-therapy program at
the Lamb Pain Clinic or stretching for plantar fasciitis
are also potentially preventable and reversible with a proper stretching program
such as The Lamb ProgramTM.
Watch for more on
injuries on DrLamb.com.