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Clinical Efficacy of Shockwave Therapy For Peyronie’s Disease

Peyronie’s Disease is a problem that affects men all over the world and causes the formation of scar tissue called “plaque” in the penis. The cause of the disease is unclear, but many doctors think that after a trauma (e.g. hitting or bending), there is bleeding inside the penis, which leads to plaque formation. Mostly, men don’t even notice this type of trauma. Some researchers also believe that the disease has genetic origins. Whatever the reason, Peyronie’s Disease can affect men of all age groups. Men suffering from this disease have difficulty in getting an erection or get a painful and curved erection, instead of a straight one. In other words, this disease also causes erectile dysfunction disorder (ED). If you feel pain and suffering when you have an erection, you may have Peyronie’s Disease.

The Treatment Of Peyronie’s Disease

Two methods are used in the treatment of this disease: oral treatment and surgical intervention (penile implant surgery). Doctors decide which of these will be used according to the severity of the disease. Oral treatment requires the use of drugs such as “pentoxifylline” for a long time. The surgical intervention allows the removal of plaque formation in the penis. However, both treatment options have several problems.

  • Oral treatment continues for a very long time and has many side effects. If you are receiving treatment for another disease, this option is often not applicable because there is a possibility that the drugs will interact with each other. The efficacy of oral treatment is also very low and does not produce any results in many patients.
  • Surgery is more effective but unfortunately causes the penis to shorten. In this process, the diseased tissue is cut out and the area where the erection takes place naturally becomes smaller. Moreover, surgical intervention is not a definitive solution, as plaques can regenerate elsewhere in the penis. Some doctors even think that this treatment option worsens the problem.

In other words, none of the available treatments provide a definitive solution for Peyronie’s Disease and each has multiple problems.

ESWT Is The Alternative Treatment For Peyronie’s Disease

ESWT therapy, which has been used since the 1980s, means the application of low-intensity shock waves from outside the body and allows the tissue to heal itself without feeling any pain or requiring anaesthesia. This is a non-invasive treatment option and consists of multiple sessions. Each session lasts an average of 15 minutes and the clinician applies shock waves to the problem areas with a specially manufactured probe.

This method, used for the treatment of kidney stones and orthopedic problems, is also effective in the treatment of erectile dysfunction disorders. In addition, there are multiple clinical trials that prove its effectiveness and against Peyronie’s Disease.

The first trial was made in 2019 by the Urology departments of the Universities of Catania and Naples (*). This test shows that after the ESWT treatment, plaque size decreased by 15 cm2, erection length increased by 1 cm, and the penis has begun to erect at a straighter angle. The second research was conducted by The University of Western Australia in 2017-2018 (**). In this study, ESWT treatment was applied to the participants for 10 minutes and then some measurements were made with penile duplex doppler ultrasound scan (PDDU). After a 4-week therapy session, a decrease in plaque counts was observed in all participants. In other words, there are two clinical trials that prove that ESWT is an effective and alternative treatment for Peyronie’s Disease.

(*) https://www.ncbi.nlm.nih.gov/pubmed/30929330

(**) https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373696

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shock wave therapy

A New And Non-Invasive Treatment Of Erectile Dysfunction

Erectile dysfunction or disorder (ED) is a much more common problem than you might think: Statistics show that almost 40% of 40-year-olds experience this problem. With age, this rate increases by up to 70%. ED is not only a problem affecting middle-aged men: One in four men under the age of 40 has faced this problem at some point in their lives. In other words, ED can be one of the most common medical problems affecting men all over the world.

Although ED patients are sexually stimulated, they cannot achieve an erection or maintain their erection for long enough to have sexual intercourse. There are many psychological or physiological causes of this condition, but the most common cause is reduced blood flow to the penis. The penis is actually a “spongy” tissue filled with blood, which consists of many cavernous bodies. During an erection, the blood fills these bodies and makes the penis erect. If there is a decrease in blood flow to the cavernous bodies, an erection cannot take place or cannot continue for a long time: This type of ED is called “vascular erectile dysfunction”. In other words, it is a problem with your vascular system – there is something wrong with your blood flow to the penis.

The “Usual” Treatment Of Erectile Dysfunction

Vascular erectile dysfunction has traditionally been treated orally. This is still the most common treatment today. In some cases, injection therapies may also be preferred. However, clinical tests show that these traditional treatment methods have two main problems:

• Their side effects and risks are quite high. The oral treatment has many side effects and especially affects your digestive system. Injection treatment has a lot of risks because it requires the injection to be made exactly at the right spot: Otherwise, it can become dangerous. Moreover, it’s a quite painful process.
• They’re almost ineffective. Both oral and injection therapies are not as effective as expected. Despite the risks and side effects they have, they cannot provide the desired level of results. As age gets older, their effect rates are decreasing. In fact, they are completely ineffective on some patients and do not provide any results.

Fortunately, there is now a new option for the treatment of vascular erectile dysfunction: extracorporeal shock wave therapy. This revolutionary treatment option has almost no side effects, no risks, and can be administered in a non-invasive, completely painless manner.

What Is Extracorporeal Shock Wave Therapy?

It’s not a new way to treat medical problems with shock waves. Since the 1980s, ESWT has been used in the treatment of various problems, especially orthopedic ones. The sound waves used to break kidney stones can be applied to different parts of the body by changing their intensity and energy. This method of therapy is more effective than you think: Shock waves pass through the skin, affecting tissues and accelerating blood flow in the area where they are applied. In this context, they stimulate the body’s self-healing mechanisms and provide a natural recovery.

It is called “extracorporeal” because there is no surgery and shock waves are created outside the body. This is literally a non-invasive treatment: No anesthesia is required and no pain is felt during the procedure. The blood flow in the areas where shock waves are applied accelerates and new vessels are formed. As can be guessed, ESWT can also increase blood flow in the penis: In fact, this may be the easiest and simplest way to solve the problem of vascular erectile dysfunction.

How Does ESWT Work?

We can answer this question by explaining how EDfsw device works. Using a probe, the clinician applies low-intensity shock waves to various points of the penis. The energy of the shock waves may be low or high depending on the applied area. These are audible sound waves: No pain is felt. Shock waves affect tissues and create new vessels in the treated areas and increase blood flow. In other words, the main cause of the vascular erectile dysfunction problem can be treated in this way. This innovative method does not pose any risk, but if one of the following applies to you, you must inform the clinician before the application:

• If you are on an anticoagulant drug (i.e. warfarin)
• If there is an infection or implant in the area to be treated
• If you have a tumor in your body

How Long Does ESWT Take To Work?

ESWT treatment consists of a series of sessions and each session lasts an average of 15 minutes. Completion of the treatment usually requires 6 to 10 sessions. This number can be different for each patient. Even if there is no improvement after the first few sessions, all of them need to be completed.

ESWT is the most innovative treatment of the vascular erectile dysfunction problem and its effects are clinically proved. The majority of the patients who use this treatment report very positive results in terms of achieving an erection and staying erect. The United Kingdom is one of the countries where this treatment is most widely used, but ESWT is also applied in hospitals in lots of other countries too. Visit https://www.ed-therapy.info/ to find the nearest treatment center. Vascular erectile dysfunction can be treated and ESWT may be the solution you are looking for: Don’t wait any longer to improve your quality of life.

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back pain

Low Back Pain

Ongoing low back pain also known as chronic low back pain is a common occurrence in the world today. Statistics have suggested that low back pain has been experienced by 80% of the UK population (1).

Below we will look at some strategies to help.

In a recent study researches looked at treating 3 groups of patients with spinal manipulation (2).

1) received ‘fake’ spinal manipulation for 12 treatments

2) received spinal manipulation for 12 treatments

3) received spinal manipulation for 12 treatments and fortnightly visits of spinal manipulation for the next 9 months

Group 1 reported no relief from treatments

Groups 2 & 3 reported significant relief

Further research has determined spinal manipulation and adjustments to be safe and a successful way of treating chronic low back pain (3), 

Joanna and I regularly use Spinal Manipulation to treat low back pain. We can also provide advice on self managing your back pain which can really make a difference to your day to day life.

If you have not used osteopathic care your for symptoms. Give it a try, the evidence supports it and so do our patient reviews.

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Neck Pain Treatment – Get Rid of Neck Pain

Neck pain treatment experts predict that 20% of us will experience neck pain this year. About half of us will recover within 12 months. However, lots of us will have another episode of neck pain or their neck pain will become a chronic complaint.

There are several treatment options available to help resolve neck pain. Some are better than others. Some people with neck pain prefer different methods to other people with neck pain.

Spinal adjustments or spinal manipulation is commonly used by us to help neck pain. Neck pain treatment research indicates that spinal manipulation used alongside specific neck pain exercises is an extremely good method of treatment for many neck pain conditions.

Getting the best treatment is paramount for your quick relief and recovery time. Building good habits to prevent further neck pain is important. This will help prevent chronic neck pain and future occurrences of acute neck pain.

Joanna and I can provide you with lots of good habits and tips to help you live your life neck pain free. If your issue has a few maintaining, such as problems whilst you are sitting at your desk, you will benefit from ongoing neck pain treatment at a frequency of your choosing (4-8 weeks usually) to help maintain your spine and prevent future outbreaks.

If you have been delaying an appointment with us, you can make an appointment online. We look forward to helping you in soon.

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Back Pain

Low Back Pain and Sciatica

The stresses and strains of modern life are a big contributor to back pain and sciatica.Over 80% of people today are leading an inactive life. This gradually results in poor posture, obesity, fatigue, and back pain. One of the most common problems here is lower back pain.

 

Is it Just age when it comes to low back pain and sciatica….

Lower back pain can happen when you start to age. However, you can suffer from lower back pain at any age. Usually, it is a result of excess strain in the lower back or from injury and trauma. Today, there are several ways in which you can relieve lower back pain. Cram Osteopaths use spinal manipulation adjustments to relieve the discomfort. In chronic cases spinal manipulation adjustments combined with shockwave therapy reveals remarkable results. 

 

Everyday we do simple tasks that can set off our spines in a negative way! If we can correct these it will have a profound effect on reducing our back pain. 

 

Check out our tips for back pain below:

 

Sitting down (boo,hiss) 

Most people are not aware of the correct posture when working on a computer or laptop! Hence, it means you are sitting for long hours and causes excess stress in your low back leading to low back pain. If this effects your lower back in a severe way, this can cause back pain and sciatica. In the long term the increase stress on your low back from sitting leads to degenerative changes to your spine and more low back pain. Make it a point that you are standing and moving for 15 minutes in every hour. 

 

Walking is an extremely simple and effective way to help your low back pain.

When you start walking at a normal pace your back, leg and hip muscles pull your joints. This puts your body under normal loading patterns meaning they get stretched gently and begin to heal. Making sure you are getting enough movement through your low back is paramount in preventing low back pain. Walking 12000 steps a day will have you well on the road to a healthier back and help avoid low back pain.

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Back pain

Best Car Seats for Back Pain

Ford claims the new Ford Focus will give relief for back pain sufferers due to the optional comfort seats for the driver and front-seat traveller.

The seats adjust in eighteen ways to add support and comfort – earning Ford Focus the seal of approval from Aktion Gesuner Rücken e.V. (AGR), a German group movement for healthier backs.

To obtain the seal, the seat should be able to adapt to the person in their sitting position, instead of the person adapting their position to the seat. The Ford Focus is the 1st vehicle to receive AGR recognition.

To read more about back pain and car seats click here. You may also like our pages on getting help for your back pain and sciatica.

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Scoliosis

Osteopathy – Treatment Possibility for Spinal Curvature/Scoliosis

Scoliosis affects 2-3% of youngsters age 10-16 years. A recent literature review found that manipulation, mobilisation, and soft tissue techniques can help. These treatments are ordinarily provided by Osteopaths. For this reason Osteopathy is an effective treatment to help pain and mobility in patients with Scoliosis. Michael and Joanna routinely use spinal adjustments, mobilisation and soft tissue techniques to treat scoliosis. We also advise on lifestyle modifications and home based exercise treatment so you are in very safe hands. You may also like reading our Sciatica, Back Pain, Adjustment & Scoliosis pages .
Journal of Bodywork and Movement Therapies, January 2019

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Back Pain

Back Pain With Working Long Hours

Long Work Hours Linked to Musculoskeletal Back Pain

Using data from the Fourth Korean Working Conditions Survey involving nearly 25,000 workers, researchers report that working over 40 hours a week is associated with up to a 40% increased risk for pain in men and up to a 66% elevated risk for pain in women. To learn more visit this link
Annals of Occupational and Environmental Medicine, December 2018

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Musculoskeletal

Active or Static Stretching for Neck Pain

Among a group of 24 sedentary workers with neck pain, researchers found that both active and passive stretching resulted in similar improvements in range of motion, pain threshold, and perceived disability. Joanna and Michael commonly incorporate these types of stretches into their treatment plans for patients with neck issues.
Journal of Back and Musculoskeletal Rehabilitation, November 2018
https://www.cramosteopaths.co.uk/condition/neck-pain/

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Headaches May Lead to Impaired Brain Function Later in Life…

Following a review of data from six published studies that included a total of 291,549 participants, researchers report that individuals with a history of headaches may have a 24% elevated risk for dementia. Though further research is necessary to identify the nature of the relationship between the two disorders, the research team notes that previous research has demonstrated that chronic headaches may lead to changes in the brain which could set the stage for cognitive impairment over time.
Journal of Headache and Pain, October 2018

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