Shockwave Therapy

What does Shockwave Therapy treat?

Shockwave therapy effectively treats the following conditions:

  • Feet - heel spurs, plantar fasciitis, achilles tendonitis
  • Elbow – tennis and golfers elbow
  • Shoulder - calcific tendinosis of rotator cuff muscles
  • Knee - patellar tendonitis
  • Hip – bursitis
  • Lower Leg - shin splints
  • Upper Leg - Iliotibial band friction syndrome
  • Back Pain - lumbar and cervical spine regions and chronic muscular pain

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How does Shockwave Technology promote healing?

The high-energy acoustic pulses produced by our Extracorporeal Shockwave unit improves the metabolism in the pain region, increases blood circulation and this effectively stimulates the body’s intrinsic repair mechanisms. Damaged tissue gradually regenerates and eventually heals. In other words, Shockwave Therapy is all about activating the body’s self-healing abilities.

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Shock Waves – Facts and Features

Shock waves are audible high-energy sound waves. They occur in the atmosphere, for example during lighting strikes, or when airplanes break the sound barrier. In the medical world, shock waves have been employed since around 1980 to disintegrate kidney stones, for instance.

In modern pain therapy, shock wave energy is conducted from the place of its generation – the shock wave generator – to the painful body regions, where it unfolds its healing capabilities.

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What is a typical visit/treatment like?

A typical visit would consist of a 15-30 minute consult where in addition to necessary paperwork and forms, alternative treatment options would be explained and your condition would be assessed. At this time fees for the treatment will be discussed as well as any other questions you may have.

Assuming you are a candidate, you will be scheduled for treatment where patients typically require 3 separate treatment sessions approximately 1 week apart. Some severe conditions may require more than 3 visits.

Each treatment session lasts approximately 5 - 15 minutes where the doctor will apply ultrasonic transmission gel to the target area. The shockwave therapy hand piece is then positioned to gently and extensively transmit shock waves over the injured area. The feedback you provide helps our doctor fine tune the position of the applicator and the intensity of the treatment.

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Does Shockwave Therapy Hurt?

Previous generations of Shockwave Therapy machines caused considerable pain that a local anesthetic was required. The shockwave technology Back In Motion utilizes does not generally cause any significant discomfort and there is NO local anesthetic required. Many patients describe their treatment as "mild sensation" to "moderately uncomfortable" but few report any significant or lasting pain.

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Are there any side effects or contraindications?

Shockwave Therapy should not be used if there is a circulation or nerve disorder, infection, bone tumor, or a metabolic bone condition. Shockwave Therapy should also not be used if there are any open wounds or tumors or if the patient is pregnant. Patients who are on blood-thinning medications or who have severe circulatory disorders may also not be eligible for treatment.

After the treatment, patients may experience temporary soreness, tenderness or swelling for a few days following the procedure. Upon completion of your treatment you can return to most regular activities almost immediately. Occasionally, pain or discomfort may persist for a few days following treatment but no serious complications or side effects have been reported.

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How many treatments do I need to improve my condition?

Generally, patients require 3 separate treatment sessions approximately 1 week apart. If a patient is not finding relief after 2 visits they may not respond to this type of therapy. For chronic conditions, patients may require more that 3 sessions.

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Does Shockwave Therapy really work?

Provided you are a candidate for this type of treatment, clinical studies suggest there is an 80% - 85% chance this technology will improve your condition. Clinical studies further confirm that 88% of patients treated for calcanial spurs and 95% of those treated for tennis elbow rated the results as "very good" or "good" only weeks after treatment. Numerous clinical trials have been published and are available by study online.

As one of the premier providers of Shockwave Therapy in Canada, Back in Motion has likewise found that approximately 7 out of 10 of our patients will see an improvement in their condition following their treatment program. One of the most important factors for success is being able to identify and select which patients and conditions are most likely to benefit from this technology. Given our experience we believe we can provide you with an accurate assessment on your candidacy for Shockwave Therapy and the likelihood you will see an improvement in your condition.

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Am I a candidate for Shockwave Therapy?

The following criteria must all be meet before treatment may begin:

  • You have been diagnosed with a condition that Shockwave Therapy has been demonstrated effective in treating. (Either from our doctor, your family doctor, or surgeon)
  • There are no significant or serious side effects or contraindications.
  • Surgery is the only other viable alternative.
  • Conservative treatments have failed or did not work.
  • You understand the procedure, costs and other factors involved in your program of treatment.

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Who performs the Shockwave Therapy treatment?

Back in Motion has one of the newest Extracorporeal Shockwave Therapy units available in Canada. Built in Switzerland, their physicists and engineers have considerably improved this technology over the last 20 years. But, before choosing a healthcare professional for this treatment you may want to consider their training, experience and established track record.

Dr. Chris Triantafilou has been trained with some of the top Orthopedic surgeons in the world. He is also one of only a few doctors in Canada that are full members of the International Society for Medical Shockwave Treatment. He will perform your initial assessment and determine if you are a candidate for shockwave therapy.

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How much does the treatment cost?

In the US, patients pay as much as $3000 - $8000 for similar treatments that often utilize older technology. These fees are necessary since Shockwave technology can cost several hundreds of thousands of dollars to purchase with high-maintenance costs also associated with this technology.

Newer Shockwave technology has reduced these costs and improved patient outcomes. Back In Motion does not charge for your initial assessment to determine if you are a candidate for Shockwave Therapy. If you are a candidate, we are able to provide a 3-treatment package plan to patients for $250-$350 per visit depending on your condition. If multiple sites are required to be treated or additional treatments above the 3-treatment package plan are needed then there would be a reduced rate.

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What about Private Insurance or Provincial Healthcare?

In Ontario, Shockwave Therapy is not covered by the provincial health care plan. Some private insurance plans do provide coverage for Shockwave Therapy but may require a specific doctor's referral first. Please check with your private insurance to determine coverage and any requirements for coverage. Patients will receive a receipt and letter of explanation (where applicable) which can be submitted for insurance re-imbursement and/or a tax deduction. Back In Motion does not direct bill insurance companies.

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