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Contraindications for Radial Shockwave Therapy (RSWT)

I have had great successes treating Chronic conditions with this modality. Recently I examined a 12 year old elite athlete. He was experiencing 2 year history of bilateral heel pain, examination revealed signs and symptoms of Plantar Fasciitis. Typically I would resort to RSWT for this condition because of previous successes. However, I had reservations so wanted to research contraindications using this modality with someone who has active epiphysis. My research revealed little regarding contraindications, can you help clarify contraindications using this modality?

Terry Redmond

1 month ago

Back to Contraindications Channel

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Prof Tim Watson
Prof Tim Watson

I had a look through this topic again yesterday in response to another query, and like Cliff, can see no issues so long as you are using radial / low power shockwave. Caution would be prudent if you are directing high power / focussed directly over an active growth plate, but I assume this is not your intent. Tim

Cliff Eaton
Cliff Eaton

Lohrer et al (2012) published a paper sucessfully trialling ESWT for Osgoods Schlatters with a mean subject age of 14 years. Last year (2016) the group followed up on the subject group and as far as I am aware no-one reported having had any adverse reaction to having had shockwave over their growth plates. The ISMST concensus statement do not contraindicate growth plates for low energy Radial or Focused Shockwave. Only for high energy focused shockwave. You may well find manufacturers contraindicating growth plates in their supporting hand books. This is due to their having to demonstrate that it will not cause harm before being awarded a licence to sell their prodcuts. I hope this information is of benefit Cliff

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