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 What will happen on the day of the ESW treatment?
Dr. Cowin and his staff will probably ask you to come to the center for advanced foot and ankle surgery a few hours before your ESW treatment is scheduled. You should wear shorts or loose fitting
clothing that can easily be rolled up to the knee of your affected leg. Otherwise, you may be asked
to change from your own clothing into a hospital gown. The staff may take your temperature, pulse
and blood pressure and ask you some questions about your general health. They also will make sure
you have signed a consent form for the ESW treatment.
The ESW treatment may cause some pain or discomfort, so an anesthetic
is commonly given before the procedure. Usually, this is a local anesthetic or a regional
anesthetic call a heel block. During the ESW treatment, you will be asked to rest comfortably on
your back while the doctor holds your foot up to the OssaTron shock head as shown on the front of
this pamphlet.
An ESW treatment for chronic proximal plantar fasciitis usually takes
about 30 minutes. The ESW treatment is performed as an outpatient procedure. No overnight hospital
stay is necessary.
EXTRACORPOREAL SHOCK WAVE
What will happen after the ESW treatment?
Immediately after treatment, you will stay at the center for advanced foot and ankle surgery until the anesthetic wears off enough that it is safe for you to walk. Dr. Cowin will
probably ask you to restrict "stressful activity" involving the treated foot for four weeks after
treatment. "Stressful activity" may include running or jogging, doing heavy housework or yard work,
and participating in sports.
Some patients need a mild pain medication following ESW treatment.
Although some patients in the clinical study felt immediate relief from pain after the ESW
treatment it is more common for it to take up to six weeks for pain relief to begin.
What are the expected results from ESW treatment?
In the OssaTron clinical study, patients with chronic proximal
plantar fasciitis were graded "Success" or "Fail" according to four measurements: 1) The doctor
graded the amount of pain with pressure on the heel; 2) The patient graded the amount of pain during
walking first thing in the morning; 3) The patient graded the time and distance he or she could
walk without pain and 4) The patient reported the amount of pain medication he or she needed for
heel pain.
Percentage of Patients with Successful Outcome at 12 weeks
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RESULTS AT 12 WEEKS
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Measurement
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OssaTron Treatment (n=119)
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Placebo Treatment(n=116)
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Investigator Assessment
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62.2%
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44%
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Self Assessment (pain in a.m.)
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60%
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48%
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Activity Level
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71%
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67%
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Medication Use
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70%
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65%
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Composite (all four components)
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47%
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30%
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Dr. Cowin will ask you to return to the office for a follow up
visit, six or eight weeks after your OssaTron treatment. Please check with Dr. Cowin about this
follow up visit.
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Text Source:
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HealthTronics, Inc.
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1841 W. Oak Parkway, Suite A.
Marietta, GA 30062
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