Shock Wave Therapy Helps Two Cases of Hip Pain

Mon, 23 Nov 2020 17:05:54 +0000

I recently have had two female cases over the age of 70 come in with two different causes of hip pain who both have responded very well to a combination of radial (rSWT) and focused (fSWT) extra corporeal shock wave therapy.

Case #1
One has been an elite tennis player for may years who apparently developed osteoarthritis of the hip
and deep hip pain that was hindering her play. She had stem cells injected in her hip joint at another facility several months ago but was having some thigh pain radiating down the middle of her thigh just above her right knee and periodic difficulty with walking.  With 3 weekly treatments using both devices (rSWT and fSWT) each treatment she has noted marked improvement in her thigh pain and she is walking considerably better. It will be a great joy to hear her confidently get back on the tennis court with minimal or no pain.

Case #2|
The second patient was again a female over the age of 70 who apparently had a bursitis on her right hip over the “Greater Trochanter”, the bony prominence you feel when you make a circular motion around your hip bone.  When you have a bursitis there (fluid filled sack to protect the hip) the bursae becomes in flamed and it makes it difficult to lay on that side and can be aggravated by different activities and positions. She has had some prolotherapy with partial relief but noted just after the first treatment some definite improvement and continues to improve after 4 treatments and will probably go to five treatments once weekly. This patient is doing well with some additional weight loss, being on the anti-inflammatory regimen of the Inflamx product (pea and rice protein with anti-inflammatory nutrients) two times daily with just fruits and vegetabls for a couple of weeks.

I will be writing about more cases (with literature back up) of using shock wave therapy (radial and focused) as a non-invasive way of stimulating the body to heal itself along with an anti-inflammatory diet, exercise, a few nutrients in a wide variety of pain syndromes of different body parts.  Shock wave therapy, along with an anti-inflammatory diet, is a powerful “1-2 punch” in helping you reduce pain and resolving a source of chronic pain.

Each “body part” (1 leg, 1 knee, 1 hip, etc.) is a 20-30 minute treatment session. It costs $150 per treatment and should be down at least 3 times, one week apart but no more than 5 times to see if there will be a therapeutic response. Each treatment builds off the last and this regenerative effects continues to be built upon weeks after the treatment.

Radial Pressure Wave vs Focused Shock Wave Therapy

A shock wave is a type of sound wave that is created by either:

1) a pneumatic air driven device which moves a pellet up and down in a chamber hitting a movable tip which delivers its maximum force right at the skin level and then some energy dissipates deeper into the tissue but most is spread in a radial fashion on or just below the skin surface. Sometimes this is called a radial pressure wave device (rSWT or EPAT)….
OR
2) a magnetic coil creates a shock wave that goes deep into the tissue (tip dependent) and the maximum force of the shock wave crosses below the surface of the skin. This can be several centimeters or several inches deep. This is known as Low Intensity Shock Wave Therapy (L-SWT or fSWT).

Many physicians such as orthopedists or podiatrists originally started treating injuries to ligaments and tendons and painful joints with rSWT device but have added the focused device (fSWT) and commonly use them both in combination for a surface and deeper healing effect.

Shock waves induce a response in the body like it has been “gently” injured and it sends healing factors that are:
1) angiogenic – make new blood vessels from old ones increasing blood flow to the effected tissue
2) stimulate stem cells for healing and tissue regeneration
3) have an anti-inflammatory effect
4) have an anti-fibrotic effect – breakdown fibrous tissues

I will be writing more and showing the medical literature about the many different conditions which can be helped (i.e. from plantar fasciitis to ED) with these two related therapies ALONG WITH an anti-inflammatory diet (from water fasting, to Prolon, to Inflamx and vegetables to my BED Diet). People do not realize how much pain is caused in their body or enhanced by just diet alone…. “ The Food You Eat Frequently Causes You Daily Pain You Just Live With!”

If a patient has persistent pain after physical therapy, Li-SWT, diet and some nutrients then more complicated reasons for inflammation and pain come into play such as gut health, chronic infections and environmental exposures.

But before that a whole bunch of people can have significant pain relief just by dietary adjustment and radial and/or focused shock wave therapy!

See Partial References Below On Painful Hip Conditions and Shock Wave Therapy

Focused Shockwave Treatment for Greater Trochanteric Pain Syndrome: A Multicenter, Randomized, Controlled Clinical Trial . J Bone Joint Surg Am. 2020 Aug 5;102(15):1305-1311. https://pubmed.ncbi.nlm.nih.gov/32530874/

Long-term outcome of low-energy extracorporeal shockwave therapy on gluteal tendinopathy
documented by magnetic resonance imaging. PLoS One. 2018 Jul 17;13(7):e0197460. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050036/

Radial Extracorporeal Shock Wave Therapy (RSWT) in a Person With Advanced Osteonecrosis of the Femoral Head (AVNFH). Am J Phys Med Rehabil. 2016 Sep;95(9):e133-9.  https://pubmed.ncbi.nlm.nih.gov/26787117/

Radial shock wave therapy in dogs with hip osteoarthritis. Vet Comp Orthop Traumatol. 2016;29(2):108-14. https://pubmed.ncbi.nlm.nih.gov/26787117/

Clinical application of extracorporeal shock wave to repair and reconstruct osseous tissue framework in the treatment of avascular necrosis of the femoral head (ANFH). Zhongguo Gu Shang. 2010 Jan;23(1):12-5. https://pubmed.ncbi.nlm.nih.gov/20191955/

Effects of radial shockwave therapy on the limb function of dogs with hip osteoarthritis. Vet Rec. 2007 Jun 2;160(22):762-5. https://pubmed.ncbi.nlm.nih.gov/17545646/

If you would like to make an appointment and also get a treatment make a one hour appointment at the office (916-489-4400) so I can take a history, examine you and do the first treatment.

Then the treatments would be weekly, 1/2 hour per limb for another 2-4 times. I also am going to recommend to you to implement some type of anti-inflammatory diet program that fits your personal preferences.

You can talk to me briefly about your situation from 8-9 a.m. Monday-Friday 916-489-4400.

You can also find more information about Shock Wave or Acoustic Wave Therapy at
https://kwikermedical.com/treatments – SCROLL DOWN TO:

1) ACOUSTIC WAVE THERAPY (RADIAL AND FOCUSED DEVICES used individually and in combination)
2) ERECTILE DYSFUNCTION ( HEART – ED REVERSAL PROGRAM ) – ACOUSTIC WAVE THERAPY (FOCUSED & RADIAL SHOCK WAVE THERAPY) – DIET – EXERCISE – NUTRITIONAL SUPPLEMENTS – MEDICATION

Be Well,

Kirk Hamilton PA-C
Prescription 2000, Inc.
Health Associates Medical Group
3301 Alta Arden, Suite 3
Sacramento, CA 95825
(916) 716-2295 (m) / (916) 489-4400 (w)
krhammer@surewest.net
www.KwikerMedical.com
www.HealthyLivingforBusypeople.com
www.StayingHealthyToday.com