The Clinic for Foot and Ankle Surgery Orthopaedic Clinics LLP London. W1T 5HE

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Extracorporeal Shockwave Therapy

The Clinic for Foot & Ankle Surgery is able to provide a tried and tested low-energy shockwave therapy as an alternative treatment for some tendonopathies and orthopaedic conditions, without the need for invasive surgery or anaesthetic.

The treatment is provided with the assistance of the Swiss DolorClast equipment, which has been designed and manufactured in Switzerland by Electro Medical Systems (EMS), a 28-year-old company that is an official member of DIGEST and a strong supporter of ATRAD.

How does it work?

The Swiss DolorClast passes low-energy shockwaves through the skin to the injured part of the body. The shockwaves are generated by a projectile that is propelled at high speed and makes contact with an applicator that is placed on to the surface of the skin. By using a 'coupling medium' such as ultrasound gel, this impulse is delivered to the tissue as a shockwave and spreads inside the injured part of the body as an aspherical 'radial' wave.

What is the result?

Passing shockwaves through the surface of the skin initiates an inflammation-like condition in the injured tissue that is being treated. This prompts the body to respond naturally by increasing blood circulation, the number of blood vessels and therefore metabolism in the injured tissue. This accelerates the body's natural healing process by increasing cell generation and dissolving calcium deposits.

What are the advantages?

Because the Swiss DolorClast administers low-energy shockwaves through the surface of the skin, there is no need for any medication during the treatment process (such as pain relief or anaesthetic). The use of ESWT is designed to support the body's natural self-healing mechanisms and patients commonly experience a reduction in pain and improved movement in the injured part of their body after treatment.

How does treatment occur?

Courses can vary but an injury that would normally be treated with invasive surgery and then a six-month programme of rehabilitation would be treated with one ESWT treatment per week for 3- weeks. Each treatment takes less than 30 minutes.

To know more visit Dorset Shockwave website

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One day course covering the anatomy and exposure of the ankle joint with implantation of the Salto T.A.R, and discussing the design features of this prosthesis and long term result.

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