Shockwave Therapy

The Podiatry & Biomechanics Co. are now offering EMS Dolorclast® Radial Shockwave Therapy for the treatment of heel pain, Achilles tendinopathy and other chronic (and on some occasions acute) conditions of the foot and ankle.

Radial shockwave therapy is a safe, non-invasive therapy that uses high-pressure acoustic frequencies that pass through the targeted tissue to initiate repair and healing, stimulating the body’s natural healing mechanisms.

We chose this specific unit as the EMS Dolorclast® Radial Shockwave has FDA approval as a “Generator, Shockwave, For Pain Relief” device, Class III. It is the only shockwave radial device, with FDA approval.

All other shockwave therapy machines have registered their radial devices with the FDA as Electric Therapeutic Massages (Class I).

Shockwave Therapy works by:

  • Stimulating fibroblast activity (collagen production) – healing connective tissues, such as ligaments, tendons, and fascia
  • Stimulating osteoblast (bone cell) production – healing bone
  • Reducing ‘substance P’ within the tissues for pain relief
  • Inhibiting Cox II Enzyme, causing an anti-inflammatory effect
  • Increasing circulation to the affected area
  • Breaking down hardened deposits and scar tissue formation

FAQs

Will it hurt?

Shockwave will feel uncomfortable when first applied. However, due to its analgesic effects, this will ease off during your treatment. The podiatrist will slowly turn up the settings based on your tolerance levels and can be stopped at any time. Care is taken to ensure you feel safe and in control with the level of intensity applied.

When can I expect results?

Radial Shockwave immediately reduces substance P in the tissues, which causes pain. Therefore, the majority of patients experience pain reduction and a greater range of movement immediately after the treatment.
Long-term tissue healing generally begins after a few days. Depending on your condition, healing may continue for weeks to months.

Can I use it on an acute injury?

Shockwave has been shown to be more effective in chronic injuries or tissues. However, when we sustain an acute injury, the muscles surrounding the injury can spasm to protect the area and can be detrimental to recovery. This is where shockwave can be used to loosen the surrounding tissue but is not generally placed directly on the area of injury.

How frequently can I have shockwave treatment?

According to data, it is recommended that a site be treated 3-5 times at approximately weekly intervals for best results. Depending on your presenting condition one of our podiatrists will discuss the best treatment plan for you.

Will my private health cover Shockwave?

Please note that all private health plans/levels of cover differ and cover is between you and your health fund. If you do however have cover, we offer on-the-spot claiming through our HICAPS terminal and can process your rebate on the day.

Will the Department of Veteran Affairs (DVA), NDIS, or other third parties cover Shockwave?

Yes, DVA and NDIS will cover shockwave therapy if clinically indicated in your care. Sometimes prior approval is necessary for other third-party rebates and can be discussed and organised with our podiatrist during your consultation.

Are there any side effects?

Side effects could occur after a session and would generally occur within 1-2 day. These include:

  • Reddening
  • Swelling
  • Pain
  • Haematoma (bruising)

Are there any contraindications?

  • Pregnancy
  • Blood clotting disorders
  • Blood thinners
  • Steroid injections administered within the specific area within 6 weeks prior to treatment
  • Cancer treatment
  • Skin infection or wounds at the treatment site
  • Under 18 years of age, except in the treatment of Osgood Schlatter Disease
  • Hip, knee or ankle replacements

Please ring and make an appointment where a qualified Podiatrist can discuss more about Shockwave Therapy including the costs and to see if you’re a suitable candidate before proceeding.

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