The primary tendon affected in a shoulder impingement is the rotator cuff tendon, which is a tendon for the teres minor, infraspinatus, supraspinatus, and subscapularis muscles. These muscles contribute to overall joint stability and travel from your shoulder blade to the top of your humerus (arm bone), and are responsible for external rotation, internal rotation, and abduction.
The side effects of shockwave therapy are limited. However, shockwave therapy should not be used if there is a circulation or nerve disorder, infection, bone tumor, or a metabolic bone condition. It should also not be used if there are any open wounds or tumors or during pregnancy pregnant.
The number of treatments may vary for each patient. Patients with a quick response are more likely to benefit than those without a quick response. However, the effect of the treatment is cumulative, so you will typically need more than one (3–5) treatment.
Most patients do not experience pain during shockwave therapy but may feel some discomfort. Anesthetic is rarely used in shockwave therapy as most patients can tolerate it due to attenuation of shock from the fat pad.
Extracorporeal shock wave therapy (ESWT) is a non-invasive treatment that involves the delivery of shock waves to injured soft tissue to decrease pain and promote healing. It has been used in the treatment of many musculoskeletal conditions, primarily those involving connective tissues such as ligaments and tendons.
Plantar fasciitis is a degenerative condition of the plantar fascia, a fibrous band of tissue on the sole of the foot that helps to support the arch. It typically occurs when the plantar fascia is overloaded or overstretched and results in heel pain with symptoms ranging from mild to severe.
If the injured area is unusually painful, you may want to see your physiotherapist. We want to rule out fractures and reduce the risk of reoccurring sprains. Constant aching, night pain, and inability to bear weight could be signs of a fracture. But you should see a physician before self-diagnosing and panicking.
This all depends on the severity of the injury, but most sprains require 2-6 weeks to heal. Our goals are to control inflammation, regain strength and range of motion, and restore muscle control and endurance levels before returning to sports or everyday life.
An ankle sprain is an injury to one or more of the ligaments in your ankle. Treatment includes resting your ankle, applying ice, compression and elevation (RICE), and taking over-the-counter pain relief if needed. If your ankle is severely swollen or you can’t bear weight on it, see a doctor.
There are three grades of ankle sprains. Grade 1 ankle sprains are light injuries that usually allow the return to sport in 2-3 weeks. Grade 2 sprains involve greater injury to the ligament and can take up to 4-6 weeks to allow a full return to sport. Grade 3 sprains are more severe and often involve full tearing of the ligament and possible bone fracture.