Podcasts about eswt

Das Knochenmarködem war bis vor ein paar Jahren ziemlich unbekannt. Seitdem aber immer mehr MRT Untersuchungen gemacht werden, taucht die Diagnose auch immer häufiger auf. Das Knochenmarködem kann viele verschiedene Ursachen haben. In der aktuellen Folge versuchen wir gemeinsam mit Dr. Ulla Stumpf etwas Licht in die Vielzahl der möglichen Ursachen und Therapiemöglichkeiten zu bringen.

No Fault Insurance is a Formula For Insurance Fraud Post 4703 GEICO, as a pro-active victim of insurance fraud, sued Jean-Pierre Barakat, M.D., et al, alleging that Defendants defrauded GEICO in violation of the Racketeering Influenced and Corrupt Organizations Act ("RICO," 18 U.S.C. § 1962(c), (d)), by submitting hundreds of fraudulent bills for no-fault insurance charges. Plaintiffs also allege common law fraud and unjust enrichment and seek a declaratory judgment as to all pending bills. In Government Employees Insurance Company, et al v. Jean-Pierre Barakat, M.D. No. 22-CV-07532 (NGG) (RML), United States District Court, E.D. New York (January 2, 2024) the USDC provided an injunction. BACKGROUND GEICO, faced with at least 43 allegedly fraudulent no-fault claims from health care providers, moved for a preliminary injunction to stay all 43 pending no-fault insurance collection arbitrations commenced against GEICO by or on behalf of Defendants. In New York, an insurer is required to provide certain no-fault insurance benefits ("No-Fault Benefits") to the individuals that they insure ("Insureds"). No-Fault Benefits cover up to $50,000 of necessary healthcare expenses that result from automobile accidents. These benefits are provided to ensure that injured victims of motor vehicle accidents have an efficient mechanism to pay for and receive the health care services that they need. Insurers are only given 30 days to review and investigate claims before paying those claims to avoid risk of penalty for denying or delaying a claim. Operation of the Alleged Scheme GEICO alleged that in 2021 Defendant Barakat was recruited by the John Doe Defendants to participate in a complex fraudulent insurance scheme Between February 15,2021 and March 3, 2022, Barakat and the John Doe Defendants used Defendant Patriot Medical to bill GEICO and other New York automobile insurers for an experimental treatment called ESWT.   Moreover, Defendants submitted bills seeking more than Evidence of the Alleged Scheme In support of its fraud claims, GEICO has submitted a "representative sample" chart, totaling 1,371 entries of allegedly fraudulent no-fault claims submitted by the Barakat Practices. GEICO asserts that it has paid at least $183,000.00 to the Barakat Practices in no-fault claims. DISCUSSION The showing of irreparable harm is perhaps the single most important prerequisite for the issuance of a preliminary injunction, and the moving party must show that injury is likely before the other requirements for an injunction are considered. The harm must be shown to be actual and imminent, not remote or speculative. CONCLUSION For the foregoing reasons, GEICO's motion to stay all pending no-fault insurance collection arbitrations by or on behalf of Defendants Patriot Medical and JPB Medical waive their obligation to post security were granted. ZALMA OPINION GEICO must be honored for its proactive conduct against fraud perpetrators since it appears the state of New York is not concerned about fraud against insurers and will not prosecute the fraudsters. Using RICO not only will allow GEICO to work to defeat the fraudulent claims but will take the profit out of the crime by forcing the fraudsters to pay the insurers for their fraudulent conduct. Other insurers, facing the same fraud, should jump in with GEICO to make the fraud perpetrators understand that they will lose their criminal profits and may find they will pay the insurers more than they stole. (c) 2023 Barry Zalma & ClaimSchool, Inc. Please tell your friends and colleagues about this blog and the videos and let them subscribe to the blog and the videos. Subscribe to my substack at https://barryzalma.substack.com/publish/post/107007808 Go to Newsbreak.com  https://www.newsbreak.com/@c/1653419?s=01 Go to the Insurance Claims Library – http://zalma.com/blog/insurance-claims-library. --- Support this podcast: https://podcasters.spotify.com/pod/show/barry-zalma/support

Shoulder Pain? Ever Tried Shockwave Therapy?Are you suffering from shoulder pain that's interfering with your daily activities and overall quality of life? If so, you may want to consider exploring the benefits of shockwave therapy as a potential treatment option.Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is a non-invasive and effective medical treatment that utilizes shockwaves to stimulate healing and alleviate pain in various musculoskeletal conditions, including shoulder pain.In this article, we will delve into how shockwave therapy works, the potential benefits it offers, and why it could be a viable solution for those seeking relief and improved shoulder function.When it comes to finding a solution for your shoulder pain, it's important to consider non-invasive options that can provide effective results without the need for surgery or extensive recovery periods. Shockwave therapy offers just that.By utilizing shockwaves to stimulate the healing process, this innovative treatment can target the root cause of your shoulder pain and promote tissue regeneration. Not only does shockwave therapy provide a non-invasive approach, but it also carries minimal risks compared to more invasive procedures.Additionally, shockwave therapy has been shown to improve range of motion in the shoulder joint, allowing you to regain mobility and participate in activities that were once hindered by pain.Many patients who have tried shockwave therapy for their shoulder pain have reported high levels of satisfaction with the treatment, experiencing significant pain reduction and improved shoulder function.Core Health Darien-Dr.Brian Mc Kay 551 Post RoadDarien CT 06820203-656-363641.0833695 -73.46652073GMP+87 Darien, Connecticuthttps://youtu.be/WpA__dDF0O041.0833735 -73.4669069https://darienchiropractor.comhttps://darienchiropractor.com/darien/darien-ct-understanding-pain/https://sites.google.com/view/corehealthdarien/Find us on Social Mediahttps://chiropractor-darien-dr-brian-mckay.business.site  https://g.page/r/Cd4zGiJFpqJ9EBM/review https://www.youtube.com/channel/UCNHc0Hn85Iiet56oGUpX8rw   back pain project channelyoutube  httThis podcast welcomes your feedback here are several ways to reach out to me. If you have a topic you would like to hear about send me a message. I appreciate your listening. Dr. Brian Mc Kayhttps://twitter.com/DarienChiro/https://www.facebook.com/ChiropractorBrianMckayhttps://chiropractor-darien-dr-brian-mckay.business.sitehttps://podcasts.apple.com/us/podcast/not-just-chiropractor-for-stamford-darien-norwalk-new/id1503674397?uo=4Core Health Darien-Dr.Brian Mc Kay 551 Post RoadDarien CT 06820203-656-363641.0833695 -73.46652073GMP+87 Darien, Connecticuthttps://youtu.be/WpA__dDF0O041.0834196 -73.46423349999999https://darienchiropractor.comhttps://darienchiropractor.com/darien/darien-ct-understanding-pain/Find us on Social Mediahttps://chiropractor-darien-dr-brian-mckay.business.site https://www.youtube.com/channel/UCNHc0Hn85Iiet56oGUpX8rwhttps://docs.google.com/spreadsheets/d/1nJ9wlvg2Tne8257paDkkIBEyIz-oZZYy/edit#gid=517721981https://goo.gl/maps/js6hGWvcwHKBGCZ88https://www.youtube.com/my_videos?o=Uhttps://www.linkedin.com/in/darienchiropractorhttps://www.facebook.com/ChiropractorBrianMckayhttps://sites.google.com/view/corehealthdarien/https://sites.google.com/view/corehealthdarien/home

On this episode of the Back Story Podcast host Dr. J. Ricky Singh, MD is joined by Dr. Jennifer Soo Hoo, MD to discuss the topic of  Extracorporeal Shockwave Therapy (ESWT)We talk about my own experience as a patient undergoing this therapy,  which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy:· What is ESWT?· The origins of shockwave therapy use and some of its additional applications· Describing the process of shockwave therapy and its effects· Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before· Understanding the different types of shockwave therapy and how they can be used to treat injuries· What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams?· What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities?Additional ResourcesTo learn more about Dr. Soo Hoo or schedule a consultation please click HERE

Immer wieder stellen Hörerinnen und Hörer Fragen. Das ist gut so und ja auch Sinn und Zweck des Auf geht's - der Reha-Podcast!. Ganz Konkret geht es um das Thema Stosswellentherapie. Diese wird immer wieder von vielen Orthopädinnen und Orthopäden angeboten. Und es gibt gewaltige Unterschiede in der Behandlung und in den Geräten. Dr. Frank Bätje aus Hannover nimmt sich Zeit für die Fragen der Hörerinnen und Hörer. Bei der Anwendung der extrakorporalen Stosswellentherapie bei der Frakturheilung ist es wichtig, dass die Fraktur belastungsstabil ist.

Today's guest is Dr. Mike Stewart, DVM of Stewart Equine ClinicDr. Mike is returning as a podcast guest from episode 7 on Rehab Lab.Previous Episode: https://apple.co/3YREEazLet's ConnectWebsite: JoeAlexLemon.workInstaGram: https://www.instagram.com/joealexlemon/Linkedin Company: https://www.linkedin.com/company/marathonsellingLinkedin: https://www.linkedin.com/in/joealexlemon/TikTok: https://vm.tiktok.com/ZMdF9f7hg/

I am thrilled to share with you some information on systemic enzymes. I take them myself and recommend them to many people in my chiropractic practice. Michael has been working with enzymes for over 20 years. He works closely with top researchers, enzymologists, and formulators around the world. These are brilliant people in their field. He has done hundreds of radio shows and podcasts over the years and has personally trained thousands of practitioners on the use of enzymes in their practices. He currently works with HCP Formulas. He talks about how his falls on his mountain bike don't have long-lasting deleterious effects because of his use of Fibrenza. The research demonstrates that post-workout muscle soreness can be greatly reduced with the enzyme bromelain and the yellow chemical from turmeric called curcumin…nature nurtures. We all have enzymes in our bodies and cannot live without them. They help digest food, catalyze reactions, modulate inflammation, maintain and repair cells, and more. Your body makes over 3000 types of enzymes. They are crucial for human existence. Here we cover systemic enzymes: What are they, the benefits in your body, how to take them as supplements, what they do in your bloodstream and can they help with symptoms of aging? Inflammation is a vital to the healing process. However, due to our diets, toxic load and other factors, we can have trouble with inflammation resolution. Enzymes have natural inflammation-fighting properties. In fact, the natural role of enzymes within your body is to help reduce and eliminate inflammation. Taking enzymes helps with inflammation resolution and reduces the fibrosis of repair. From wound healing, fibromyalgia, a sprained ankle, or even inflamed organs can be helped. Enzymes like nattokinase, serrapeptase (Study shown to accelerate healing in patients recovering from dental surgery), papain, bromelain (shown to speed up recovery from cosmetic surgery), lumbrokinase or others help reduce local & systemic inflammation. Systemic enzymes have been clinically proven to speed up the rate at which wounds heal. Animal studies found that bromelain and papain accelerate wound healing when applied to the skin. Take osteoarthritis, irritable bowel syndrome, Crohn's disease or just being bloated after a meal, for instance. All of these conditions have a large inflammatory component that can be helped. I often pair enzymes with extracorporeal shockwave therapy (ESWT). ESST breaks up scar tissue and is great for conditions like tennis elbow, frozen shoulder, arthritic knees, post-surgical scar tissue, and more. The scar tissue divides into calcium and fibrin in the blood. The fibrin can make people fatigued if I am doing a large area and a lot of pulses in one visit. When I have people take the enzymes, they notice no rebound fatigue after aggressive shockwave treatments and better results. There are conditions of too much fibrin, like cystic fibrosis or uterine fibroids. Also, the bloodstream can become clogged with fibrin with age as we become less efficient at clearing the fibrin out. Fibrin is a protein, and proteolytic enzymes are great at counteracting too much of the fibrin as they “eat” protein. Imagine how happy your heart, immune system, arteries, and inflammatory pathways & your life will be with less fibrin in the way. Strokes and heart attack risk go down by decreasing the likelihood of blood clots, and the blood is “thinned.” If it sounds too good to be true, well, they are good and even non-toxic and safe. I would caution about mild nausea and the mild blood thinning component of taking systemic enzymes on an empty stomach. Thank you for your interest, and I wish you the best on your journey of health throughout your lifetime. Adam Fields, DC, is a practicing chiropractor in Northern California and can be reached for an online or telehealth appointment by going to www.fieldsfamilychiro.com and clicking “book online.”

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Dr. Adam Tenforde, MD to discuss the topic of Exercise for Extracorporeal Shockwave Therapy (ESWT) in Musculoskeletal Medicine. Dr. Tenforde recently published a research about best practices for ESWT, which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy: · What is ESWT? · The origins of shockwave therapy use and some of its additional applications · Describing the process of shockwave therapy and its effects · Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before · Understanding the different types of shockwave therapy and how they can be used to treat injuries · What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams? · What is the reimbursement status of shockwave therapy for providers? · What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities? Additional Resources Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM&R 2022 May;14(5):611-619. doi: 10.1002/pmrj.12790. https://doi.org/10.1002/pmrj.12790 Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26. doi: 10.1038/s41572-022-00352-y. PMID: 3548413 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021 Nov 24;11(12):1287. doi: 10.3390/life11121287.

On this episode of the AMSSM Sports Medcast, host Dr. Jacob Wessels, MD is joined by Dr. Adam Tenforde, MD to discuss the topic of Extracorporeal Shockwave Therapy (ESWT) in Musculoskeletal Medicine.   Dr. Tenforde recently published research about best practices for ESWT, which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy: What is ESWT? The origins of shockwave therapy use and some of its additional applications Describing the process of shockwave therapy and its effects Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before Understanding the different types of shockwave therapy and how they can be used to treat injuries What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams? What is the reimbursement status of shockwave therapy for providers? What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities?   Additional Resources Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM&R 2022 May;14(5):611-619. doi: 10.1002/pmrj.12790. https://doi.org/10.1002/pmrj.12790 Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26. doi: 10.1038/s41572-022-00352-y. PMID: 3548413 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021 Nov 24;11(12):1287. doi: 10.3390/life11121287.

小額贊助支持本節目： https://open.firstory.me/user/ck4fgb04n698h0804wzdkaycj 簡介： 體外震波治療 Extracorporeal shockwave therapy (ESWT) 為許多肌肉骨骼疾病提供了一種非侵入性的治療選擇。在人醫和獸醫領域已經證明對於手術治療反應不佳的慢性重複性損傷來說是有幫助的。 在ESWT 在馬運動醫學已被廣泛使用，隨後才應用到狗病患。 EWST 應用的肌肉骨骼疾病範圍很廣，從促進骨癒合、肌腱疾病和骨關節炎。隨著研究證據的發表，更多患有肌肉骨骼疾病的小動物病患可能從 ESWT 得到幫助。 臨床重點提示：進行震波療程，至少需要2次的震波治療，每次治療可以間隔2至3週。保持震波電極探頭垂直於目標的組織，以獲得最大的效果。剃除毛髮並使用超音波凝膠來提高震波的穿透力。避免在肺部或大血管區域使用震波。 重點整理：體外震波治療(Extracorporeal shockwave therapy, ESWT) 為多種肌肉骨骼疾病，提供了一種安全、非侵入性的治療方法。體外震波治療的儀器，在各種治療方案中無法進行比較。電動液壓式體外震波儀的最大證據，是改善骨癒合。擴散式震波療法，似乎有利於骨關節炎的治療。 留言告訴我你對這一集的想法： https://open.firstory.me/user/ck4fgb04n698h0804wzdkaycj/comments 留言告訴我你對這一集的想法： https://open.firstory.me/user/ck4fgb04n698h0804wzdkaycj/comments Powered by Firstory Hosting

This episode is a clip from last month's Shockwave AMA (Ask Me Anything) with Dr. Drew Allison sharing his findings using focused shockwave and diagnostic ultrasound. Drew Guest: www.instagram.com/dynamicsportstherapyatl/Tap into more JLP episodes https://wavve.link/9hF8hDVQj/episodesArt of Optimizing Health & Latest Fitness Recovery Tech- www.NearsiteHealth.comJoin the next shockwave AMA (Ask me anything): https://bit.ly/3pt1lBcSHOW SPONSOR:ELvation Medical: https://elvationusa.com/Connect with Joe LemonInstaGram: https://www.instagram.com/joealexlemon/Linkedin: https://www.linkedin.com/in/joealexlemon/Website: JoeAlexLemon.work

Priya Parthasarathy, DPM discusses newer regenerative treatment options for Achilles tendinopathy, including her personal experience and recent literature supporting these pathways.

W czterdziestym drugim odcinku podcastu omawiam problematykę "Barku zamrożonego" czyli "Frozen shoulder"To beznadziejna choroba, bo nie znamy jej przyczyny, a to utrudnia leczenie. Jedyna pociecha, że prędzej czy później patologia ustępuje sama.

In this week's episode of Five @ Five, Dr. Rogers answers your questions! This week's questions: 1 .Dr. Rogers, could you comment on the use of the flavonoid quercetin along with zinc as a prophylaxis for coronavirus? Quercetin, like hydroxychloroquine, is a zinc ionophore and has anti-viral properties. 2. Can you use ESWT on the lungs? 3. What form of Zinc do you personally take? 4. Do you treat non alcoholic fatty liver with a natural detox formula. Is it safe to do a liver detox with herbs without a dr.’s support. I have eliminated wheat and sugar almost entirely for several years. I’m diabetic and I have had a few appointments with you. 5. Can nose breathing help with anxiety and stress? Bonus: What is your Myer's Cocktail protocol for boosting your immune system? How often do you recommend people get a Myer's Cocktail? What did you think of this episode of the podcast? Let us know by leaving a review! Connect with Performance Medicine! Sign up for our weekly newsletter: https://performancemedicine.net/doctors-note-sign-up/ Facebook: @PMedicine Instagram: @PerformancemedicineTN YouTube: Performance Medicine Audio

Austin Wolff explains how shockwave therapy for cellulite works. Transform Your Body And Change Your Life With Biotech: https://www.ModernBiotechRadio.com Schedule A Free Consultation At The Novus Center: https://www.thenovuscenter.com/contact-us.html **Show Notes:** [CLINICAL STUDY] Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite – A current metaanalysis: https://www.sciencedirect.com/science/article/pii/S1743919115010110?via%3Dihub [CLINICAL STUDY] Effectiveness of the Electromagnetic Shock Wave Therapy in the Treatment of Cellulite: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609368/ [CLINICAL STUDY] Extracorporeal shockwave: mechanisms of action and physiological aspects for cellulite, body shaping, and localized fat—Systematic review: https://www.tandfonline.com/doi/full/10.1080/14764172.2017.1334928?src=recsys [CLINICAL STUDY] Impact of extracorporeal shock waves on the human skin with cellulite: A case study of an unique instance: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2544366/

In this episode of The Mid-Level Show, we have Performance Medicine's Physical Therapist Ernie Dickson and Operation's Manager Katie Geagley discussing the HISwave protocol, as well as a deep dive into how extracorporeal shockwave therapy (ESWT) works. What did you think of this episode of the podcast? Let us know by leaving a review! Connect with Performance Medicine! Sign up for our weekly newsletter: https://performancemedicine.net/doctors-note-sign-up/ Facebook: @PMedicine Instagram: @PerformancemedicineTN YouTube: Performance Medicine Audio

In this episode of #Dictations, Dr. Rogers talks about a treatment for pain he's excited about in extracorporeal shock wave therapy. What did you think about this episode of the podcast? Let us know by leaving a review! Connect with Performance Medicine! Sign up for our weekly newsletter: https://performancemedicine.net/doctors-note-sign-up/ Facebook: @PMedicine Instagram: @PerformancemedicineTN YouTube: Performance Medicine Audio

Austin Wolff dives deep into a clinical study, a meta-analysis of studies from the past decade detailing the effectiveness of shockwave therapy for cellulite. Transform Your Body And Change Your Life With Biotech: https://www.ModernBiotechRadio.com Schedule A Free Consultation At The Novus Center: https://www.thenovuscenter.com/contact-us.html Show Notes: [CLINICAL STUDY] Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite – A current metaanalysis: https://www.sciencedirect.com/science/article/pii/S1743919115010110?via%3Dihub

Where did shockwave therapy come from? How does shockwave therapy work? Is shockwave therapy FDA-Approved? Austin Wolff takes a deep dive into the history of shockwave, how it started, and what it can be used for. Transform Your Body And Change Your Life With Biotech: https://www.ModernBiotechRadio.com **References:** 1. Nietzsche, Friedrich W, and Duncan Large. *Ecce Homo: How to Become What You Are*. Oxford: Oxford University Press, 2007. Print. 2. Salk Institute. "Cells agree: What doesn't kill you makes you stronger." *ScienceDaily*. ScienceDaily, 16 August 2018. 3. Ferriss, Timothy. *The 4-Hour Workweek, Expanded and Updated*. Harmony, 2009. 4. Katz, Jonathan Elliott et al. "The Basic Physics of Waves, Soundwaves, and Shockwaves for Erectile Dysfunction." *Sexual Medicine Reviews*. vol. 8 (2020): 100-105. doi:10.1016/j.sxmr.2019.09.004 5. “Indications.” ISMST - Shockwave Therapy, The International Society for Medical Shockwave Treatment, 8 Aug. 2017, www.shockwavetherapy.org/about-eswt/indications/. 6. “Physical Principles of ESWT.” ISMST - Shockwave Therapy, 22 Jan. 2018, www.shockwavetherapy.org/about-eswt/physical-principles-of-eswt/. 7. “Shockwave History.” Shockwave Therapy Education, www.shockwavetherapy.education/index.php/theory/hisotry. 8. United States of America. "Navy Depth Charge Demonstration (1946)" *YouTube*, uploaded by British Pathé, 13 Apr. 2014, www.youtube.com/watch?v=D9pRBb5yF-E 9. The Novus Center. "I Analyzed The FDA Approval Process And Here's Why I'm Pissed (References Included)" *YouTube*, uploaded by The Novus Center, 7 May 2020, www.youtube.com/watch?v=PEzHTYj0CJo&feature=youtu.be

Do you use Shock wave to treat back pain in horses?  Find out what the latest research says in this interview with Solange Mikail, world-renowned lecturer, rehab vet and researcher.  Watch the full research refresh on ESWT and back pain in horses for free: https://onlinepethealth-info.com/ep101 Learn more about being an Onlinepethealth member: https://onlinepethealth-info.com/memberships/ And remember to subscribe to and review the Veterinary Rehabilitation Podcast on iTunes or Stitcher! 

Dr. Rosenblum discusses an  interesting case, COVID-19 preparation for the home and the New PainExam Website! Subscribe to our mailing list * indicates required Email Address *     References https://www.medica.com/-/media/documents/provider/coverage-policies/extracorporeal-shock-wave-therapy-cp.pdf?la=en&hash=F4A5C09D69F55931215C75119F4DB4AB7CE59956 https://bjsm.bmj.com/content/43/3/163.1.citation-tools

David Boehland is a modern orthopedic surgeon that works in a functional, cause-oriented and sustainable manner. His combination of classic orthopedics and trauma surgery, manual therapy, fascia therapy (FDM), as well as modern procedures such as the extracorporeal shock wave (ESWT) with diagnostic ultrasound and posture screen, as well as elements from posture and movement analysis represent the special focus. His diverse range of treatments includes non-operative care of acute and degenerative complaints and focus on sports orthopedic advice, sports-specific planning after injuries and competition support. Don’t forget 15% off your next order of tape, topicals, mobility tools and apparel at shop.rocktape.com. 15% off of the best tape and gear around! Use Promo code: ROCKCAST Find David on social media: @thefuncdoc https://ortho-b.de Find John on social media: Instagram & Twitter - @drjohncampione

Dr. Austin Hewlett, foot and ankle surgeon at Cambridge Foot & Ankle Associates in Orange County, CA, discusses the benefits of extracorporeal shock wave therapy.

Achilles tendinopathy treatment - what is the latest research, and how can it help your treatment? What is the best way to treat Achilles tendinopathy (AT)? Over the years our treatment of tendinopathy has evolved significantly. You may remember rubbing tendons with ultrasound or our thumbs in years gone past, and stretching the painful area or muscle-tendon complex. If you did, you may also remember the number of people that didn't really improve or develop the load tolerance to return to activity with this approach, supported by research demonstrating the lack of effectiveness of this approach. We progressed to the golden era of loading, initially using eccentric training. Additional research emerged on the benefits of heavy slow resistance in tendinopathy treatment, closely followed by the importance of load management demonstrated in research on soft tissue injuries. In 2015 and 2016 Rio et al. released promising preliminary research utilising isometric holds in patellar tendinopathy patients, and we have extrapolated and used isometric holds with many different types of tendinopathy. In Physio Edge podcast episode 82 with Dr Seth O'Neill, you will discover: Are isometric holds effective with Achilles tendinopathy patients? What is the most effective treatment for AT? What does the latest research on the treatment of AT reveal? Is relief of pain with isometric holds necessary to make a diagnosis of tendinopathy? What assessment tests can you perform to diagnose AT? How can you assess patient calf strength? How can you differentially diagnose other conditions including Plantaris involvement, insertional AT, talocrural impingement or neural irritation? How can you explain AT to your patients? What exercises can you include in your treatment? Exercise progressions you can use When are eccentrics a useful addition to a treatment program? When can patients start, continue or progress a walking or running program? How can you incorporate the biopsychosocial model into your treatment? Is dorsiflexion range of movement important? Is stretching an effective treatment for tendinopathy? Are ice, massage or ESWT useful? When is imaging useful? How can you treat insertional Achilles tendinopathy? Download this podcast now to improve your results with Achilles tendinopathy Dr Seth O'Neill completed a MSc in Musculoskeletal Physiotherapy, followed by a PhD focused on Achilles tendon disorders. Seth is a lecturer in Physiotherapy at the Universities of Leicester and Coventry, and has a Physio private practice in Nottingham, UK. Click here to download your FREE podcast handout Click here to register for this FREE webinar "Anterior knee pain and the impact of load" with Lee Herrington Click here to register for this FREE webinar "Accelerated conservative management of medial knee injuries" with Chris Morgan Links associated with this episode: Download and subscribe to the podcast on iTunes Twitter - @Seth0Neill Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Articles associated with this episode: Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy: a randomized controlled trial. The American journal of sports medicine. 2015 Jul;43(7):1704-11. O’Neill S, Radia J, Bird K, Rathleff MS, Bandholm T, Jorgensen M, Thorborg K. Acute sensory and motor response to 45-s heavy isometric holds for the plantar flexors in patients with Achilles tendinopathy. Knee Surgery, Sports Traumatology, Arthroscopy. 2018:1-9. Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015 May 15:bjsports-2014. Other episodes of interest: Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang

How can you treat your patient’s lateral elbow pain (lateral epicondylalgia (LE)/tennis elbow)? How and when should you progress your patient’s exercise program? Is pain during their exercise program ok? In this episode, which is Part 2 of Lateral Elbow pain with Dr Leanne Bisset, we explore in detail how you can differentially diagnose LE from other causes of lateral elbow pain, and treat it successfully. Discover: Diagnosis and differential diagnosis of LE How to get the best outcomes for your patients when treating LE Do isometrics work? How can you commence strengthening? Should your patient experience any pain during their exercise program? When and how can you incorporate Mobilisation with Movement into your treatment program? How to perform MWM’s for LE How to progress your treatment Identifying and treating radial nerve involvement Incorporating strengthening for the upper limb High level athletes and weightlifters with lateral elbow pain - is this likely to be LE or another condition? Identifying nerve root irritation with pain over the lateral elbow Taping methods to deload the lateral elbow when there is nerve involvement Clinical reasoning of your treatment Predictors of poor treatment prognosis When to order imaging Evidence for and against other treatment strategies including the Cyriax approach, massage, laser, ESWT, corticosteroids and PRP Validated screening tools for LE, including the PRTEE In this episode, Leanne answers a lot of your questions on LE, asked via Twitter and the Clinical Edge newsletter.  Dr Leanne Bisset is a Physiotherapist, Physiotherapy lecturer and researcher at Griffith University in Queensland, Australia who has extensively researched and published on lateral elbow pain, and spends a large proportion of her clinical time treating the upper limb and lateral elbow. This is a two part podcast, followup up Lateral Elbow Pain Part 1, episode 44 of the Physio Edge podcast, David Pope and Dr Leanne Bisset.   Download your free handout "Treatment of Lateral Elbow Pain 2"   Download the podcast here Subscribe free to the Physio Edge podcast in iTunes Download the podcast from Stitcher Download and listen to the podcast on Soundcloud Download your free podcast handout Links of Interest Dr Leanne Bisset Dr Leanne Bisset on ResearchGate Dr Leanne Bisset on Twitter Download the Patient-Rated Tennis Elbow Evaluation (PRTEE) Download the free podcast handout Lateral Elbow Pain Part 1 with Dr Leanne Bisset Review the podcast in iTunes David Pope Clinical Edge Get your free trial of Clinical Edge online education

In which we update you on the Kyle Pease Foundation, on an email from Wil Cramer from West Stride, on some tips from Stacy Perlis of Wahoo, on my injury and ESWT recovery, on the World Half Marathon Champs, and on the new book about Emil Zatopek.

In which we talk about Extra-corporeal Shock Wave Therapy and the psychology of injured athletes.

There is an increasing interest by doctors and patients in extracorporeal shock wave therapy (ESWT) for chronic plantar fasciopathy (PF), particularly in second generation radial extracorporeal shock wave therapy (RSWT). The present review aims at serving this interest by providing a comprehensive overview on physical and medical definitions of shock waves and a detailed assessment of the quality and significance of the randomized clinical trials published on ESWT and RSWT as it is used to treat chronic PF. Both ESWT and RSWT are safe, effective, and technically easy treatments for chronic PF. The main advantages of RSWT over ESWT are the lack of need for any anesthesia during the treatment and the demonstrated long-term treatment success (demonstrated at both 6 and 12 months after the first treatment using RSWT, compared to follow-up intervals of no more than 12 weeks after the first treatment using ESWT). In recent years, a greater understanding of the clinical outcomes in ESWT and RSWT for chronic PF has arisen in relationship not only in the design of studies, but also in procedure, energy level, and shock wave propagation. Either procedure should be considered for patients 18 years of age or older with chronic PF prior to surgical intervention.

Ziel der vorliegenden Arbeit war die Evaluation der Therapieergebnisse nach ESWT bei Patienten mit erworbener IPP. Im Gegensatz zu bisher publizierten Studien wurde insbesondere die im Rahmen der Erkrankung auftretenden psychosozialen Beeinträchtigungen des Patienten und seiner Partnerin, die Auswirkungen der Erkrankung auf die partnerschaftliche Beziehung sowie eine mögliche Beeinflussung dieser Effekte durch die ESWT untersucht. Es konnte nachgewiesen werden, dass die Anwendung der Stoßwellentherapie bei IPP zu einer signifikanten Reduktion der Schmerzintensität führt und dadurch die psychische Beeinträchtigung der Patienten verringert werden kann. Diese Beobachtung geht mit einer signifikanten Steigerung der Geschlechtsverkehrsfrequenz einher und bewirkte eine messbare Verbesserung der partnerschaftlichen Beziehungsqualität. Hingegen zeigte sich keine signifikante Beeinflussung von Plaquegröße, Deviation und erektiler Funktion durch die ESWT. Diese Beobachtungen entsprechen der aktuellen Studienlage. Die IPP stellt in der männlichen Bevölkerung eine seltene Erkrankung dar. Ebenso wie zahlreiche publizierte Studien weist auch das dieser Arbeit zugrunde liegende Patientenkollektiv eine geringe Fallzahl auf, welche die Aussagekraft der Ergebnisse einschränkt. Darüber hinaus befanden sich viele der untersuchten Patienten zum Behandlungszeitpunkt in einer relativ späten Erkrankungsphase. Die beobachtete Schmerzreduktion könnte daher auch durch den natürlichen Krankheitsverlauf der IPP bedingt sein. Weiterhin konnte aufgrund des retrospektiven Studiendesigns keine Vergleichsgruppe zur Beurteilung hinzugezogen werden. Eine definitive Effektzuschreibung zur ESWT ist daher nicht sicher möglich. Zusammenfassend lässt sich jedoch sagen, dass die ESWT eine minimalinvasive, nebenwirkungsarme und kostengünstige Methode zur Behandlung der IPP darstellt. Auf der Basis einer effektiven Schmerzreduktion gelingt durch ihren Einsatz die signifikante Verbesserung der psychosozialen Situation von Patient und Partnerin.

Die Behandlung der atrophen Pseudarthrose stellt in der Orthopädie und Unfallchirurgie eine große Herausforderung dar. Die Pseudarthrose sowie deren gegenwärtig angewandte Therapiestrategien haben weitreichende interdisziplinäre Auswirkungen. In diesem Zusammenhang seien lange Immobilisation, Krankenhausaufenthalte und hohe Kosten für das Gesundheitswesen genannt. Deshalb ist es dringend geboten effiziente Behandlungskonzepte zu finden. Die extrakorporale Stosswellentherapie (ESWT) könnte als Therapiealternative geeignet sein, wobei jedoch trotz intensiver orthopädisch-interdisziplinärer Forschung bisher wenig über deren Wirkmechanismen bekannt ist. Hinzu kommt, dass die Inhomogenität der bisher durchgeführten Untersuchungen zur ESWT die fachgerechte Wertigkeitseinschätzung dieser Behandlungsmethode erschwert. In der vorliegenden Studie wurde die Wirkweise extrakorporaler Stosswellen am pathologisch veränderten Knochen, speziell am etablierten Kaninchenmodell nach In-duktion einer atrophen Pseudarthrose, geprüft. Zu diesem Zweck wurden 14 New Zealand White Rabbits (Behandlungsgruppe n = 6, Kontrollgruppe n = 8) an der Tibia mit einem Fixateur externe versehen sowie osteotomiert und devastiert. Acht Wochen postoperativ wurden die Tiere der Behandlungsgruppe mit fokussierter ESWT behandelt. Die Energieflussdichte betrug 0,5 mJ/mm² bei 1500 Impulsen (zweimal 750 Impulse, die jeweils distal und proximal zum Knochenspalt fokussiert wurden) und einer Frequenz von 1 Hz. Die Kaninchen der Kontrollgruppe wurden einer Scheinbehandlung unterzogen. Die Ergebnisse resultierten aus klinischen und radiologischen Betrachtungen sowie histomorphologischen und histomorphometrischen Analysen. Die histopathologischen Untersuchungen unterteilten sich in mikroradiografische Bilder der Knochenpräparate und in paragongefärbte Dünnschnittpräparate. Die Resultate zeigten in den Variablen „Klinische Evaluation“, „Bindegewebsbildung“, „Reaktionstyp der Kallusbildung“, „Mittleres relatives Ausmaß der Kallusbildung – periostal“, „Bruchspalt-durchbauung“ und „Quantitative Erfassung der Knochenneubildung“ signifikante bis zum Teil hochsignifikante Unterschiede zwischen den behandelten und unbehandelten Tiergruppen. Zusammenfassend ergibt sich, dass beim pathologisch veränderten Knochen eine beschleunigte knöcherne Ausheilung durch extrakorporale Stosswellen zu erzielen ist.

Urhahne, Petra Focussed Extracorporeal Shock Wave Therapy (ESWT) for treatment of common diseases in equine orthopaedics In the present study the results of focussed extracorporeal shock wave therapy on 65 treated horses with the following four diseases are represented: navicular disease, chronic proximal suspensory ligament desmitis, chronic proximal sesamoiditis and bone spavin. Only horses which had shown lameness over a period of at least two months were included in the study. The focus of this study was to assess the influence of focussed extracorporeal shock wave therapy on the clinical symptoms and on radiological und ultrasonographic findings as well as to determine if treatment could restore full athletic function during the time of observation. The focussed shock waves were produced using a conventional veterinary shock wave generator based on the electrohydraulic principle. Treatments were conducted two to four times in intervals of three to four weeks. For each treatment of horses with navicular disease 2000 impulses were applied, for the treatment of the other diseases 1500 impulses were applied with a maximum energy flux density of 0,15 mJ/mm². No other treatments were allowed during the time of observation. After each shock wave treatment the horses had two days of rest before a controlled exercise program was started. Clinical examinations to document treatment success were conducted at least four times. The first examination was conducted shortly after the first shock wave application (until two moths later), the second one three months after the beginning of treatment, the next one half a year after commencement of treatment, and the last clinical examination was carried out up to thirty months after the first treatment. Within the framework of these clinical examinations x-rays and ultrasound pictures were taken too. A significant initial improvement of lameness was observed in all four orthopaedic diseases, shown by an improvement in the lameness of at minimum one lameness-degree in 78 % to 100 % of the treated horses in the first two months after therapy started. After three months 50 % (six horses) of the twelve horses with navicular disease, 77 % (26 horses) of the 34 patients with chronic proximal suspensory ligament desmitis, 70 % (seven horses) of the ten horses with chronic proximal sesamoiditis and 44 % (four horses) of the nine spavin diagnosed horses were free of lameness. The examination of the patients half a year after the first treatment 33 % (four horses) of the navicular disease horses, 79 % (27 horses) with proximal suspensory ligament desmitis, 70 % (seven horses) with sesamoiditis and 33 % of the spavin diagnosed horses were free of lameness. Six to thirty months after the first ESWT-treatment 42 % (five horses) of the horses with navicular disease, 79 % of the patients with chronic proximal suspensory ligament desmitis, 60 % (six horses) of the horses with chronic proximal sesamoiditis and 33 % (three horses) of the spavin-diagnosed horses were still sound. No relevant side effects were noticed in treated horses. The sonographic examination of the thirty-four horses with chronic proximal suspensory ligament desmitis showed a complete restoration in function in 77 % of all treated patients after a maximum of six months after begin of ESWT. When pre- and post-treatment x-rays were compared to one another no significant changes were seen. The results of this study were compared to the results of other, previously conducted studies in which shock wave therapy was utilised in horses suffering from the same orthopaedic diseases as occurred in this study, as well as to results of conventional treatments of the named diseases. Although the studies yielded varying results, all studies were able to show a significant improvement of lameness after shock wave therapy. The results of the present study demonstrate that focussed extracorporeal shock wave therapy seems to be an effective treatment in the four described chronic orthopaedic diseases of the horse with no considerable side effects, and especially effective for the treatment of chronic proximal suspensory ligament desmitis und chronic proximal sesamoiditis.

Überprüft wurden die Hypothesen: 1. Die stoßwellenvermittelte Desintegration und das klinische Ergebnis nach extrakorporales Stoßwellentherapie sind vom maximalen Durchmesser sowie vom Umfang und der Fläche der Verkalkungen der Rotatorenmanschette abhängig. 2. Verkalkungen der Rotatorenmanschette weisen Unterschiede in ihrer quantitativen mineralogischen Zusammensetzung auf. In der ersten Untersuchung wurden mittels computergestützter Bildanalyse definierte Größenparameter vor und nach Stoßwellentherapie bestimmt. Keiner der bestimmten Größenparameter beeinflusste das klinische oder röntgenologische Therapieergebnis. In der zweiten Untersuchung wurden operativ entfernte Verkalkungen bei Tendinosis calcarea der Schulter atomemissionsspektrometrisch hinsichtlich ihrer mineralogischen Zusammensetzung analysiert. Die Ergebnisse zeigten keine Relation bezüglich Geschlecht und Alter der Patienten. Eine hohe individuelle Variabilität vergleichbarer Verkalkungen können als Hinweis auf die mögliche Abhängigkeit der Desintegration von Verkalkungen von ihrer mineralogischen Zusammensetzung mittels ESWT angesehen werd

Prerequisites for the successful investigation of the mechanism of action of ESWT (extracorporeal shockwave therapy) and the establishment of treatment standards, are the ability to measure, and a knowledge of, the physical parameters involved. The most accurate measurements are obtained with laser hydrophones. Various parameters (amplitude, rise time, pulse width, pressure pulse decay, rarification phase) of a typical shock wave can thus be determined. These can then be used to calculate energy flux density, focal extent, focal volume and as well as focal energy, effective energy in a defined area, and effective biological energy. These parameters can be utilized to work out a theoretical treatment protocol.