EWST HIGH YIELD Flashcards
this works via neovascularization
depletes substance P
secreted by nerves and inflammatory cells like macrophages, eosinophils, lymphocytes, and dendritic cells and acts by binding to the NK-IR
shockwave
purported benefits of the shockwave therapy?
reduce efficacy
greater pain reduction
focused waves better than radial waves
in the case of focused shock waves, these pulse types? are generated either this?
single acoustic pulses
spark-gap or piezocrystal
what are the two types of shock waves?
focused shock waves (fESWT)
radial shock waves (rESWT)
focused ESWT used for 3 common orthopedic injuries?
calcific tendonosis of the shoulder
achilles tendinopathy
lateral epicondyle of the elbow
focused shockwaves are high or low energy?
what about radial shockwaves?
high energy
low energy
focused shock waves aka?
ESWT (true shockwaves), used for indication beyond MSK like wounds and neuro
radial shock waves aka?
sound/pressure waves
fascial attachment of the posterior tibial muscle and soleus muscle?
tibial faciitis
what are the PF treatments?
stretching manual therapy taping orthotics night splints ultrasound laser
best PF treatment?
orthotics
taping
5 treatments spaced a week apart
3000 shocks applied to poster medial tibia
painful to patient
zimmer enpuls 60-120MJ @ 10 hz
Storz D-Actor 2-4 Bar @ 12-15 Hz
ESWT
what is the MTSS treatment?
initiate rEWST on first visit
5 treatments a week apart
> 30 patients treated in the. last 2 years
almost complete resolution of symptoms seen at 6 week follow up