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#500-55 Water Street
Vancouver BC V6B1A1
604.282.7393

Physiotherapy

Our Physiotherapist Alyssa Matheson offers Physiotherapy through Soft Tissue Manual Therapy treatments, Shockwave Therapy and IMS Dry Needling treatments.

Radial Shockwave Therapy has shown success rates as high as 91% for conditions such as calcific tendinitis, and 90% for plantar fasciitis. Recurrence of conditions treated with shockwave therapy is extremely rare. While most patients find benefit during shockwave therapy, continued benefit is usually noted after a full treatment plan (3 to 5 visits, on average) has completed.

Conditions Treated:
Shockwave therapy is used to treat a variety of conditions at various points in the healing process. We recommend it when traditional manual therapies have proved ineffective, or have improved the condition but the treatment has plateaued before a complete recovery is achieved. Research into the effectiveness of shockwave therapy has shown high success rates and long-term results for various conditions. It’s an excellent non-invasive treatment option to consider for:

- Plantar fasciitis
- Tendonitis
- Tennis elbow
- Jumpers knee
- Calcific tendinitis
- Frozen shoulder
- Bone spurs
- Trigger point therapy
- Scar tissue therapy

Note that Radial Shockwave Therapy at MVMTLAB requires no anesthetic!

While previous forms of shockwave therapy required anesthetic for patients to tolerate the treatment, the more recently developed Radial Shockwave treatments we use at MVMTLAB have shown to be significantly less painful. Most patients report mild to moderate discomfort levels during treatment, but often much less pain than what they normally experience with the injury being treated. Also, pain during treatment rarely lasts beyond the duration of the treatment itself – therefore anesthetics and pain killers are not used during Radial Shockwave Therapy.

Shockwave Therapy Treatment Duration:

Radial Shockwave Therapy takes about five to fifteen minutes depending on the target area. It’s used in conjunction with other physiotherapy techniques and exercises to correct any biomechanical causes of the original condition, thus optimizing the long-term effectiveness of the physiotherapy treatment. While shockwave therapy has shown to be an extremely effective treatment, it is important to note that the mechanical cause of the condition must be addressed for sustained long term success. Rapidly healing the tissue is of little help if the mechanical fault causing the issue is still present.  On average, most patients require 3 to 5 shockwave sessions spaced one week apart.

Special Instructions While Undergoing Treatment:

While undergoing shockwave therapy, patients are asked to stop any strenuous physical activities that would stress the target tissue. After a series of sessions, patients are encouraged to rest the target area to allow the now stimulated repair mechanisms of the body to do their job. After a two week rest period, additional sessions can be administered on an as-needed basis, but are often not required.

Little To No Side Effects:

One of the greatest benefits of using Radial Shockwave Therapy is that there are no side effects, aside from the rare occurrence of mild bruising at the treatment site. Post treatment soreness is occasionally noted, but is uncommon and short lived when present. In fact, literature shows that individuals who receive Radial Shockwave treatments tend to recover faster than those receiving traditional therapies. Furthermore, the non-invasive nature of Radial Shockwave Therapy makes it a beneficial alternative for those who are considering more aggressive treatments such as surgery or corticosteroid injections.

When Not To Use Radial Shockwave Therapy:

Radial Shockwave Therapy does have some limits. It cannot be used in cases of localized infection, fractures, tumors or metabolic bone disorders. In addition, patients who have had recent corticosteroid injections should wait a minimum of four to six weeks before beginning shockwave therapy.

Caution should also be observed in patients who are pregnant, on blood thinners, have osteoporosis, or have had recurring instances of gout. The use of anti-inflammatory medications has also been shown to decrease the effectiveness of shockwave therapy.

Any patient currently taking prescription anti-inflammatory drugs should consult their doctor before discontinuing any medications. However, it is recommended patients discontinue over the counter anti-inflammatory medications while under doing Radial Shockwave Therapy.

What is IMS Dry Needling?

Dry Needling is a general term for a therapeutic treatment procedure that involves multiple advances of a filament needle into the muscle in the area of the body which produces pain and typically contains a "Trigger Point".

It is an effective treatment for acute & chronic pain, helps with injury rehabilitation, and can even prevent pain & injury. It has very few side effects. Dry needling technique is excellent for finding and eliminating neuromuscular dysfunction, all the while preventing pain and functional deficiencies.

Is Dry Needling painful?

Most patients will not even feel the needle penetrate the skin, but once it has and is advanced into the muscle, the feeling of discomfort can vary drastically from patient to patient. There is no injectable solution and typically the needle which is used is very thin.

Usually a healthy muscle feels very little discomfort with insertion of the needle; however, if the muscle is sensitive and shortened or has active trigger points within it, the subject may feel a sensation much like a muscle cramp — which is often referred to as a ‘twitch response’. The twitch response also has a biochemical characteristic to it which likely affects the reaction of the muscle, symptoms, and response of the tissue.

Along with the health of the tissue, the expertise of the practitioner can also attribute to the variation of outcome and/or discomfort. The patient may only feel the cramping sensation locally or they may feel a referral of pain or similar symptoms for which they are seeking treatment.

Why does Dry Needling work so well?

A reproduction of the patient's pain can be a helpful diagnosis indicator of the cause of the patient’s symptoms. Patients soon learn to recognize and even welcome this unique cramping/twitching sensation, as it results in deactivating the trigger point, thereby reducing pain and restoring normal length & function to the involved muscles.

How many Dry Needling treatments are needed?

Typically positive results are apparent within 2-4 sessions, but treatment time can vary depending on the cause of the symptoms, and overall health of the patient.

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