Patient had suffered an acute grade 2 hamstring strain. Mechanism of injury is tennis related. Patient came in from 10/1 to 10/15 for 5 treatments of Extracorporeal Shockwave therapy (ESWT). After 3 sessions the patient had an excellent response to pain and an increase in isometric contraction. After 5 sessions of ESWT with sports specific rehab the patient was able to return to tennis with no residuals after 3 weeks of injury onset.
Patient had suffered a closed fracture of the right tibia and fibula. Mechanism of Injury was a fall from a horse. Patient underwent ORIF surgery for multiple tibia/fibular fractures. She commenced with rehab, during the course it was noted she had significant distal quadriceps contractor and delayed fracture healing. We began Extracorporeal Shockwave therapy (ESWT) in these areas over a 3 week period where the patient received 9 sessions. The patient received this treatment from week 4 to week 7 post surgery for 2-3 days/wk. At the end of the course f/u radiographs demonstrated persistent callus formation over fibular and anterior lateral fibula. Quad activation, knee ROM and distal quad contracture all had marked improvement. The patient has returned to elite level equestrian sport riding with no residuals, no pain and full function of lower extremity.
Patient had originally come in with left shoulder pain and decreased ROM. After x-ray, MRI and examination patient was diagnosed with hydroxyapatite deposition and adhesive capsulitis of the left shoulder. Pre tx patient’s pain was a 9/10 on VAS with ROM values of 5 degrees ABD, 0 degrees ER/IR with pain, 5 degrees flex, and 0 degrees of horizontal ABD and ADD. She commenced with Extracorporeal Shockwave therapy (ESWT) from 10/1 to 11/5 with 3 treatments/wk. After two weeks (6 sessions) of treatment ROM greatly increased by 50%. Over the next two weeks of ESWT (as of 11/5), in conjunction with comprehensive physical therapy, her ROM has increased to 90%, pain has significantly decreased and strength has increased from 1/5 to 4+/5. Post tx (11/5) patient’s pain was a 2/10 on VAS with ROM values of 170 degrees ADD, 170 degrees flex, 70 degrees IR, 75 degrees ER, and horizontal ABD/ADD were WNL.
Patient presented with 3 wk hx of persistent grade 1-2 right hamstring strain. She presented with a 3/5 supine and prone hamstring isometric flexion with pain. Heel and toe walking were painful. Pain was experienced with completing a single leg toe touch, stair climbing and sitting. Mechanism of injury was slipping while performing a stunt as a flyer during cheerleading practice. She began Extracorporeal Shockwave therapy (ESWT) beginning on 5/5 and ending on 6/29 (12 treatments). On 6/22 she began to return to light to moderate cheerleading practice and no pain accompanied stair climbing or sitting. By 7/13 patient was able to return to full practice with no residuals. Sports specific comprehensive rehab was implemented along with the ESWT.
Patient came in with a 3 wk hx of right Achilles tendinopathy. She tried intermittent stretching and resting on her own with no change. Patient is an avid fitness enthusiast who runs and lifts 4-5 days/wk. Achilles injury was secondary to overuse and change in shoe wear. Pertinent exam findings were gait, valgus positioning of calcaneus at mid stance, pain with single leg balance (SLB), moderate pain and thickening of right Achilles tendon (greatest at distal 1/3). Extracorporeal Shockwave therapy (ESWT) was performed from 9/27 to 10/18 with combined comprehensive sports specific rehab. With ESWT and rehab patient was able to return to her first run, 7 wks post injury and 3 wks of treatment, with no pain.