Radial shockwave therapy is an excellent alternative to surgery and a non-invasive solution for the treatment of tendonitis or plantar fasciitis that has been present for more than 3 months, or that has calcified.
Radial shockwave therapy is a non-invasive solution for the treatment of your chronic pain. Radial shockwaves are high-energy acoustic waves, similar to those of an ultrasound, but at a much higher power. They are transmitted through the surface of the skin and radially (spherically) scattered into the human tissue. The body reacts by increasing metabolic activity and restarting the inflammatory process around the painful area. This stimulates and accelerates the healing process in the affected tendon/fascia, and helps with adhesions, scar tissue and even calcifications that have been causing you pain for a long time.
In addition to significantly decreasing pain and increasing function, Shockwave therapy is an excellent alternative to surgery or cortisone.
What happens during an appointment?
A complete evaluation is performed by the physiotherapist to ensure that you are a good candidate for shockwave. The treatment lasts only a few minutes. There will usually be 3 to 4 sessions, separated by about 1 week.
Shockwave is only the first step of the treatment. Following the shockwave treatments, you will receive a program of stretching, strengthening and proprioception exercises to be performed for a period of at least 12 weeks. These exercises are essential to ensure a higher success rate. A gradual return to your activities or to sports is also suggested. It is the combination of all of these factors that promotes your recovery from the injury.
Are the treatments painful?Treatments can cause discomfort that varies depending on your pain tolerance and the inflammation of your injury. Although relatively painful, the treatment is generally well tolerated.
How many treatments would I need?Shockwave therapy works by a cumulative effect. In general, 3 to 4 treatments are required with 5 to 10 days between treatments. The treatment plan is tailored and specific to each individual. The duration of recovery is very variable depending on the response of the body and the diligence of the patient. Improvements can be felt fairly quickly, but take an average of 3 months following treatment. However, the physiological effects of shockwave (activation of the metabolism, healing process and improvement of pain) can continue to improve the condition for up to 1 year following treatment.
Who is the treatment for?Shockwave is known to help clients who have tried several types of treatments without success. It is a device that is very useful for clients with chronic foot, shoulder, or elbow injuries (present for more than 3 to 6 months). If you are wondering if this treatment is appropriate for your condition, talk to your therapist, and they will be able to advise you.
Shockwave has a success rate of almost 90% for Achilles’ tendonitis, 85% for plantar fasciitis, 80% for shoulder rotator cuff and 70% for lateral epicondylitis (“tennis elbow”).
During treatment, rest is necessary. You should not perform any activities that may irritate or stress the treated area (strenuous physical work, sports, heavy household chores) for the four weeks following the treatment.
This treatment is not recommended for pregnant women, clients at risk of hemorrhages, clients with systemic inflammatory diseases or who have had cancer within the last 5 years. If you have received a cortisone infiltration at the treated site within 2 months prior to treatment or if you are taking anti-inflammatory drugs (including ibuprofen such as advil) within 2 weeks prior to treatment, it is recommended to wait.
Aditi KapoorFounder & Physiotherapist
Maxime BesnerFounder & Physiotherapist
Aditi has completed her levels 1, 2, and 3 in manual therapy with the Association Québécoise de Physiothérapie Manuelle Orthopédique (AQPMO). She is passionate about complicated shoulder cases, and has completed motor control training with Shirley Sahrmann and Jeremy Lewis. She continues to expand her knowledge through continuing education and learning from her colleagues.
To take care of her mental and physical health, Aditi has been doing hot yoga and improving her practice for over 7 years. In December 2019, she successfully turned her personal passion into a professional skill by completing a medical yoga therapy course.
Another activity that helps Aditi recharge her batteries is hiking! In September 2020, she and her boyfriend spent two weeks in the Gaspé and managed to hike 13 times for a total of 76.8 km! She finds it a great way to take a break from her mind, but also to challenge her body to another level!
Maxime's reputation is well established when it comes to jaws, headaches, migraines, concussions and other neck, face and head disorders. An expert in the field, he teaches health professionals about jaw disorders and works with the majority of dentists in the west of Montreal. He is compassionate, treats his clients as a whole and does not hesitate to work with other professionals to optimize his clients' results.
Involved with sports teams since his graduation, Maxime has recently been working mainly with elite soccer players, the Quebec Freestyle Ski Team (moguls) and with local schools (Cité-des-Jeunes and the sport-études program at Chêne-Bleu).
Father of 3 children and self-described as a passionate, Maxime plays several instruments. Mainly mastering the guitar and the piano, he also plays percussion, ukulele and recently started playing the cello. Playing music is the best way for him to take a break and, as he says himself, “it helps stop the 8 hamsters running around in his head”. Camping and the outdoors are other hobbies that Maxime values as a way to take care of his mental health.
For his physical health, Maxime likes to ride his bike to work. He plays soccer, tennis, golf and also enjoys water sports such as kayaking and paddle boarding.