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Delivering shockwave when pregnant

Hi,

I am a physio that uses extra-corporeal shockwave therapy, I am just wanting to know if there are any contraindications to delivering this to patients when I am pregnant.

Many Thanks

Sarah

sarah parker

2 weeks ago

Back to General Electrotherapy

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Cliff Eaton
Cliff Eaton

The ONLY contraindication cited by the ISMST and DIGEST relating tyo preganancy is: Low energy radial or focused shockwave and High energy focused shockwave should not be administered dirtectly over the foetal area. You and your baby should be fine Sarah. Good luckj and enjoy your pregnancy Cliff

Dinesh Verma
Dinesh Verma

Agreed with above comments too.. !

Dr Sandy Rennie
Dr Sandy Rennie

Hello Sarah. I too agree with Professors Watson and Liebano. Although not female, I have used ESWT on patients and even myself (for Duputren's contracture) and while I felt it in the treated hand, my "delivery" hand felt nothing. Cheers, Sandy

Prof Richard Liebano
Prof Richard Liebano

I agree with Tim. You are delivering mechanical waves to your patients. The most common shockwave units are pneumatic or electromagnetic. I have not found information on how much electromagnetic energy is released to the therapist when using an electromagnetic shockwave unit. But if you unit is pneumatic I also believe it is very safe to you as therapist.

Prof Tim Watson
Prof Tim Watson

From what I can see in the literature, there is no reason that I can find which identifies a risk to you as a therapist - you are not in receipt of the energy being delivered - assuming that you use the machine as designed! - so I think it is fine. In the same way, it is perfectly acceptable for a therapist who is pregnant to use an ultrasound device - they are not 'getting' any of the ultrasound. The story is different if you are using radiofrequency (shortwave, microwave) devices as you are being potentially exposed to the energy (see www,electrotherapy.org if you want the details on the radiofrequency issues). Hope that might help? Tim

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