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is osteoporosis a contraindication for shock-wave therapy.

We have started to use shock wave therapy for tendinopathies and plantar fasciitis with great results. however i'm finding it hard to find a consensus for the use of shockwave on patients with osteoporosis. some of the research i have found states it could actually be beneficial for osteoporosis, however some publications have included osteoporosis as a contraindication.

thomas skinner

1 week ago

Back to General Electrotherapy

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thomasskinner599
thomasskinner599

Hi Cliff,

that's a huge help, thank you very much for your reply.

Cliff Eaton
Cliff Eaton

Hi Thomas If you look on the ISMST website you will see that they list Osteoporosis under ‘experimental’. So as yet there is no conclusive evidence to say that shockwave will be effective in treatment of osteoporosis. Equally there are no studies demonstrating that shockwave will result in harm for this patient population. For this reason Prof Tim Watson and I advise use iof shockwave ‘with caution’ I hope this helps with your clinical decision Cliff

Cliff Eaton
Cliff Eaton

Hi Thomas If you look on the ISMST website you will see that they list Osteoporosis under ‘experimental’. So as yet there is no conclusive evidence to say that shockwave will be effective in treatment of osteoporosis. Equally there are no studies demonstrating that shockwave will result in harm for this patient population. For this reason Prof Tim Watson and I advise use iof shockwave ‘with caution’ I hope this helps with your clinical decision Cliff

thomasskinner599
thomasskinner599

Thank you for your reply,

sometimes we may have access to their scans however sometimes they may just tell us they have osteoporosis.

so the question im trying to get answered is if we are using shockwave for plantar fasciitis and a patient has told us during the subjective they have osteoporosis can we still perform it?

Niki Giada
Niki Giada

Someone say yes, someone no, but it depends by:

  • grade of osteoporosis
  • area of treatment
  • intensity Legally speaking, you must read the book of the device made by the producer.

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