Common Conditions

ESWT (Extra Corporeal Shockwave Treatment) is a non-invasive procedure used for treating a number of painful orthopaedic conditions. The procedure is widely used in other states throughout Australia and overseas and is also available in Queensland at Brisbane Private Hospital. The conditions we treat include:

Plantar Fasciitis

photo_epos_plantar fasciitis2bPlantar means foot.

Fascia is taught fibre that runs along the bottom of the foot to support the arch and which attaches itself onto the heel bone medially ( to the inside edge)

Itis means inflammation.

So Plantar Fasciitis basically means inflammation of the fascia of the foot.

 

Achilles Tendon

photo_epos_plantarfasciitis_achillestreatment_pos1Achilles treatment is done prone (lying on your tummy) and we treat from the side and across the tendon rather than treating from the top into the tendon. Therefore we are able to visualise the tendon throughout the whole procedure ensuring accurate targeting.

The Achilles Tendon attaches at the back of the heel and can be divided into 2 sections – insertional and non-insertional.

Insertional is the area that attaches to the bone.

Non-insertional is from where the tendon leaves the bone and runs up the back of the leg to become calf muscle.

Calcium Deposits can form as a result of inflammation and they sit within the body of the tendon and are not attached to the bone like a spur would be. It is more common to find calcium with insertional than non-insertional tendonitis.

 

IMAGING REQUIREMENTS

 

Only an xray is required prior to treating Plantar Fasciitis.

 

For all other areas x-ray is the minimum requirement, but additionally an ultrasound would give a greater idea of exactly what is happening in the specific tendon being treated.

 

Shoulders require both xray and ultrasound prior to treatment.

 

Rotator Cuff (Shoulder)

photo_shoulder_calcificationaphoto_shoulder_calcificationbCalcium is also very commonly associated with tendons of the shoulder.

It is called the Rotator Cuff because there are several tendons that wrap around the bone  – each being responsible for a different rotational action of the arm.

 

photo_shoulder2The most common tendon where you see calcium deposits is the Supraspinatus, but you can often get  an inflammatory process happening in there without calcium being  present.

The calcium deposition usually follows as a result of the inflammation.

Because the shoulder is a more complicated structure an ultrasound is required prior to treatment so that it can be determined which tendon is the cause of the pain.

 

 

Trochanteric Bursitis (Hip)

Trochanteric bursitis of the hip occurs where the tendon attaches to the Greater Trochanter on the side of the hips and can cause pain both down the leg and into the groin. Again, there may be some calcium deposited in the tendon as a result of the inflammation.

Tennis Elbow / Golfers Elbow

Tennis and Golfers elbow (or lateral and medial epicondylitis as it is also called)  is found where the tendon attaches to the bone on either side of the elbow.

Tennis elbow is the most common and is found along the top of the elbow, if the arm is bent and resting on a surface. Golfers is found underneath along the bottom of the elbow.

Patellar Tendonitis

Patellar tendonitis is at the front of the knee and is the tendon which attaches to the bottom of the patella and is often seen as the result of sport involving hard impact or jumping.

 

Dequervains

Dequervains is a relatively less common area to get inflammation, along the top edge of the base of the thumb.

 

Peyronies Disease

Although the causes of Peyronies disease is not completely understood it is believed to be the consequence of micro trauma, usually the result of vigorous sexual activity or accidental impact to the penis. As a result of the healing process, scar tissues forms (sometimes referred to as plaques)

When a male becomes sexually aroused, blood flow to the penis increases which then causes the body of the penis to expand and lengthen but as scar tissue is inelastic it cannot stretch. As a result this can cause the penis to bend or become disfigured, resulting in pain, discomfort and sometimes difficulty in maintaining an erection.

 

Erectile Dysfunction

Also called impotence, is a condition where a man is unable to get or maintain an erection to such an extent that penetration during sexual activity cannot be achieved.

ED can happen at any age but it is far more common in older men. An Australian survey showed that at least 20% of men over the age of 40 years have, at some stage, suffered from erectile problems and up to 50% of these are unable to engage in sexual intercourse as a result of ED.