CK Physiotherapy

AREAS COVERED
W7, W5, W13, Ealing, West London

57 Elthorne Avenue
Hanwell, W7 2JY

T: 020 8566 4113
M: 07957246185
E: info@ckphysio.co.uk

Location / Parking

We are situated in Hanwell, between Boston Manor Road and Northfields Avenue, south of the Uxbridge Road.

57 Elthorne Avenue
Hanwell, W7 2JY

There are parking restrictions Mon - Fri 9-10am and 2-3pm. If you need a permit during this time please inform your therapist when you arrive. There are no parking restrictions at other times.

Opening Times

Monday – Thursday
8am-8pm
Friday
8am-6pm
Saturday
9am-12pm

Please phone the number above during working hours to make an appointment. Our reception service will be happy to book your session.

London Underground / Bus Services

London Underground

10 min. walk from Boston Manor Tube Station.
15 min. walk from Northfields Tube Station.

Bus Service

E8, E3, E2, 207, 607, 83

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PiezoWave2 machine.jpg





SHOCKWAV
E THERAPY (ESWT)

Here at CK Physiotherapy, we are always working to ensure we deliver the most up to date evidence-based therapies to our clients.

We are very pleased to now offer Shockwave therapy or Extra Corporal Shockwave Therapy (ESWT).

Not all Shockwave therapy is the same. At CK Physiotherapy we are pleased to offer true Focussed Shockwave rather than Radial Shockwave offered by many other clinics. See our blog on why.

We use the very latest shock wave therapy technology to treat recreational and professional athletes. Our equipment allows the use of multi-applicator technology enabling us to choose the precision transducer head for your condition. See a testimonial video for a patient who had shockwave

 

Shockwave Therapy – An Effective Treatment Option

Therapeutic shock waves were introduced as a medical treatment for eliminating kidney stones without causing skin injury over 20 years ago.

Today the use of shock waves has been successfully extended to other therapeutic and wellness applications. Although especially popular in Europe it is still a relatively new technology for musculoskeletal intervention in the UK.

PIEZOwave2-indicazioni-ferrara.jpg

Hypotheses of the mode of action

 

  • Pain reduction: the intensive pulses transmitted from the handpiece to the tissue help inhibit the transmission of the pain signal (Gate Control theory)

 

  • Increased metabolism: shock waves influence the tissue on a cellular level, promoting the release of pain inhibiting and inflammatory inhibiting substances

 

  • Revascularisation: repeated shock waves influence the blood flow, promoting tissue healing and regeneration

 

  • Reduced muscle tone: shock waves help restore a normalized muscular tone by reducing the impact of pain on muscle tone

 

Safety

 

The basic technology involved in extracorporeal shockwave therapy has been used for decades to treat millions of people. The technology has been used most extensively in Europe and during all this time, ESWT of the musculoskeletal system has been found to have virtually no serious side-effects when used by trained physicians. In fact, even mild side-effects such as tingling, aching, redness, or bruising are relatively rare, mild, and transient.

 

 

The Evidence

 

The effectiveness of the treatment modality for specific conditions has however been reviewed accepted by both NICE (UK National Institute for Health and Clinical Excellence) and FDA (US Food and Drug Administration). There is a growing body of evidence on the effectiveness of shockwave therapy as well as having a large body of academic evidence for the positive outcomes of this type of therapy (e.g. Legat 2014; Loska 2017; Moya et al 2015).

 

This is a very effective therapy for many chronic painful musculoskeletal problems, examples of which are:

  • Plantar Fasciitis of the foot
  • Achilles Tendonopathy
  • Trochanteric pain syndrome
  • Tennis Elbow
  • Calcific Tendonitis of the shoulder

 

It has the added benefit of having very few risk factors or contra-indications so there is little potential to cause any harm.

 

This type of treatment is now recommended by the majority of Consultant Orthopaedic surgeons when the muscular, connective tissue (the web of connecting the tissue between structures) and tendon problems become chronic (i.e. lasting longer than 3 months).

 

In some studies, it has shown to be as effective as steroid injections

https://www.ncbi.nlm.nih.gov/pubmed/23044704

https://www.ncbi.nlm.nih.gov/pubmed/27282594

 

 

 

The use of Shockwave Therapy for specific conditions

 

We have collected together a series of links relating to the use of Shockwave Therapy in specific conditions:

 

Shoulder

 

//www.nice.org.uk/guidance/IPG21

American Journal of Sports Medicine: //ajs.sagepub.com/content/31/3/425

 

Plantar Fasciitis

 

//www.nice.org.uk/guidance/IPG311

 

Patellar Tendinopathy (Jumpers Knee)

 

//ajs.sagepub.com/content/35/6/972.abstract

 

Achilles Tendinopathy

 

https://www.nice.org.uk/guidance/ipg571

//ajs.sagepub.com/content/36/3/502.abstract?sid=156738d6-653c-47fe-bb96-3949e710c89b

 

Trochanteric Bursitis

 

//www.nice.org.uk/guidance/IPG376

 

Tennis Elbow

//www.nice.org.uk/guidance/IPG313

//ajs.sagepub.com/content/32/3/734.abstract?sid=e64a9aa7-fd6a-438d-8835-d6f1e4af972b

 

Carpal Tunnel Syndrome

https://www.ncbi.nlm.nih.gov/pubmed/23044704

 

 

At initial assessment, if shockwave is for some reason not the best clinical option for you, the physiotherapist will discuss alternative options.