Kann Foot Surgery can offer access to a shock wave machine, to deliver extracorporeal shock wave treatment (ECSWT).

We are the
only clinic in mid-Essex to have an EMS Swiss Dolorclast machine. Shockwave treatment is covered by most health insurance companies.

Mr Kannegieter uses the EMS Master for various lower limb symptoms including;

Plantar Fasciitis - an acute or chronic, painful disorder of the plantar fascia that spans between the heel and the toes. It is the most common cause of heel pain and accounts for approximately 11-15% of foot symptoms presenting to physicians. The main symptom is pain in the heel pain, particularly in the morning or after a period of rest.

Achilles pain - this could be Insertional Achilles tendinopathy (IAT) or Non-Insertional Achilles tendinopathy (NIAT).

IAT is a painful acute or chronic disorder of the Achilles tendon where it inserts onto the heel bone (calcaneus).

NIAT is a painful disorder where there is a thickening of the achilles tendon itself. The spot of maximum pain and painful swelling in NIAT is located 2 to 6 cm above the insertion into the heel.

How does it work?

Shock Waves are movements of extremely high pressure caused by, for example, an explosion, an earthquake or a plane breaking the sound barrier. Extracorporeal Shock Wave Therapy (ESWT) is the application of Shock Waves in medicine.

It is clinically proven that pressure waves, when applied to injured tissues, stimulate metabolic reactions:

• Reduction of pain felt by nerve fibres
• Increase of blood circulation in surrounding soft tissues
• Beginning of healing process triggered by stem cells activation

Are there risks or side-effects?

When performed properly, ESWT has only minimal risks;

• Pain and discomfort during and after treatment (anaesthesia is not necessary)
• Reddening of the skin
• Petechia
• Swelling and numbness of the skin over the treatment area

These device-related non-serious adverse events usually disappear within 36h after the treatment.

Unfortunately we
cannot use ESWT

• On pre-ruptured tendons
• If you are pregnant
• If you have a blood-clotting disorders (including local thrombosis)
• If you are taking oral anticoagulants
• If you have a tumour or local bacterial infection in the area of treatment
• If you have had a cortisone injection to the area in the last 3 months

To read more about EMS and shockwave treatment please click

To download this information please click
here for a PDF document

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