Recovery
Rehabilitation
Results

• Total knee replacement
• Total hip replacement
• ACL reconstruction
• Knee arthroscopy / meniscal repair / Multi-ligament rehabilitation
• Shoulder replacement 
• Rotator cuff repair
• Sub-acromial decompression
• Spinal decompression / discectomy
• Ankle surgery / ligament reconstruction / Achilles repair
• Elbow surgery
• Post open reduction internal fixation (O.R.I.F) rehabilitation

• Muscle strains
• Ligament sprains
• Tendinopathy
• Contact injuries

Radial pressure wave / shockwave therapy uses high energy acoustic (sound) waves to treat bone and soft tissue injuries. Energy is directed at the painful / injured tissues and can help reduce muscle pain and promote healing without surgery or medication.

RPW therapy has been shown to safely and effectively reduce tendon pain, improving function and enabling patients to do rehabilitative exercise with less pain, and get better quicker.

It has been shown to improve pain in various musculoskeletal conditions^(1-8) including:
 

• Achilles tendon pain
• Plantar fasciitis
• Gluteal tendinopathy
• Hip / knee / shoulder pain

A £10 surcharge applies for self-paying follow up appointments utilising shockwave.

1. Cristina d’Agostino M et al. Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg. 2015 Dec;24(Pt B):147-53.
2. Damian M et al. Trigger point treatment with radial shock waves in musicians with nonspecific shoulder-neck pain: data from a special physio outpatient clinic for musicians. Med Probl Perform Art. 2011 Dec;26(4):211-7.
3. Beyazal MS et al. Comparison of the effectiveness of local corticosteroid injection and extracorporeal shock wave therapy in patients with lateral epicondylitis. J Phys Ther Sci. 2015 Dec;27(12):3755-8.
4. Cacchio A et al. Effectiveness of Radial Shock-Wave Therapy for Calcific Tendinitis of the Shoulder: Single-Blind, Randomized Clinical Study. Phys Ther. 2006 May;86(5):672-82.
5. Rompe JD et al. Eccentric Loading Versus Eccentric Loading Plus Shock-Wave Treatment for Midportion Achilles Tendinopathy. A Randomized Controlled Trial. Am J Sports Med. 2009 Mar;37(3):463-70.
6. Furia JP et al. A single application of low-energy radial extracorporeal shock wave therapy is effective for the management of chronic patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2013 Feb;21(2):346-50.
7. Gerdesmeyer L et al. Radial Extracorporeal Shock Wave Therapy Is Safe and Effective in the Treatment of Chronic Recalcitrant Plantar Fasciitis. Results of a Confirmatory Randomized Placebo-Controlled Multicenter Study. Am J Sports Med. 2008 Nov;36(11):2100-9.
8. Rompe JD et al. Home Training, Local Corticosteroid Injection, or Radial Shock Wave Therapy for Greater Trochanter Pain Syndrome. Am J Sports Med. 2009 Oct;37(10):1981-90.

• Neck pain
• Back pain
• Sciatica / nerve pain
• Plantar fasciitis
• Achilles tendinopathy
• Tennis / golfers elbow
• Shoulder impingement
• Jumpers / runners knee / anterior knee pain
• Bursitis
• Whiplash
• Headaches

• Massage – manipulation, either light pressure or ‘deep tissue’, aiming to increase circulation, promote healing, improve mobility, reduce pain and / or to improve swelling management
• Joint mobilisations – to increase range of movement and modify pain
• Passive and assisted mobility – to affect range of motion, increase muscle activation, modify pain.

• Deep tissue massage / manipulation of soft tissues aiming to improve mobility, increase circulation, promote healing and reduce pain associated with soft tissue injury.

• Rigid sports taping – to reduce or inhibit an undesired motion of a joint during training / play
• Kinesiology taping for swelling management – enhancing the body’s own lymphatic drainage

• Knowing which areas require strengthening or increased load capacity – and how to - is key to quality physiotherapy and rehabilitation. Manual therapy can be a helpful adjunct but without addressing the underlying reason for injury / pathology, results will be limited. At Peak Physiotherapy you can be sure that you will be given the advice and knowledge on how to manage and resolve issues for the long term, and claim back your life.

• Whether its injury prevention or returning post injury, being physically prepared for ALL the demands of your sport or activity is key to performance. Peak Physiotherapy can help assess readiness, ability and coach you in how to prepare for and deliver peak performance.