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Archive for August 2017

Shockwave Therapy

Extracorporeal shockwave therapy (ESWT) is a treatment used in physical therapy, Orthopaedics, urology and cardiology. The shock waves are abrupt, high amplitude pulses of mechanical energy, similar to soundwaves, generated by an electromagnetic coil or a spark in water. Similar technology using focused higher energies is used to break up kidney and gallstones, and is termed lithotripsy. “Extracorporeal” means that the shockwaves are generated externally to the body and transmitted from a pad through the skin.

Extracorporeal shockwave therapy is used to treat a growing number of tendon, joint and muscle conditions. These include tennis elbow, where results in double blind studies are reported as excellent; chronic tendinitis of the knee and shoulder rotator cuff pain, Achilles tendonitis, hamstring tendinitis and plantar fasciitis have also been treated successfully.

The above conditions are often difficult to treat using other methods and can become chronic. With ESWT patients report reduced pain and faster healing, without significant adverse side effects.

Shock waves stimulate angiogenesis (new blood vessels) and neurogenesis (new nerve cells). It appears that the cells undergo micro trauma which promotes the inflammatory and catabolic processes that are associated with removing damaged matrix constituents and stimulating wound healing mechanisms.

The UK advisory body, the National Institute for Health and Care Excellence (NICE), have issued guidance on ESWT to UK clinicians for a number of clinical indications including calcific tendinitis of the shoulder, plantar fasciitis, Achilles tendinopathy, tennis elbow, and greater trochanteric pain syndrome. NICE state ESWT raises no major safety concerns

Shockwave Therapy is only available at our Barrington Drive Practice

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Fruit and Veggie Intake Reduces Knee Pain.

Among a group of 6,588 older adults, those who consumed the most daily servings of fruits and vegetables were 59% less likely to have severe knee pain than those who ate the fewest servings of produce each day. The research team concludes, “Our findings suggest that intake of whole fruits and vegetables may help improve knee pain in older adults.”
Journal of Nutrition, Health, & Aging, July 2017

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Physically Demanding Work Can Lead to Facet Joint Degeneration.

Facet joints are the joints in your spine that allow for flexibility, bending, and twisting. As we age, the wear and tear of life can lead to degeneration of the facet joints, which can result in back pain. In this study, researchers compared MRIs taken from workers with physically demanding jobs and office workers and found that those with a physically demanding job (firefighters, in this case) had a greater risk for facet joint degeneration.
Annals of Occupational and Environmental Medicine, June 2017

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Smartphone Use Affects Posture

Using surface electromyography and a digital camera, researchers investigated changes in posture and muscle activation among 18 participants while they interacted with their electronic device. The results revealed that smartphone use induced a more flexed posture on the neck and trunk compared with desktop computer use. The researchers also found that participants began to experience neck and back pain if they used their smartphone for longer than 15 minutes. The findings suggest that healthcare providers should consider the influences of smartphone use in posture and muscle activity in the evaluation, intervention, and prevention of neck and trunk conditions.
Physiotherapy Theory and Practice, June 2017

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