Sports Medicine Surrey & Regenerative Orthopedics

A common injury amongst runners, and those who enjoy playing sports such as basketball & soccer, Achilles tendinitis is often treated using a combination of focused or radial shockwave, deep laser therapy and recommendations for home, including cold water immersion & stretching. Shockwave has been shown in several clinical studies to be an effective approach for many cases. When radial shockwave has not been successful in the past, it is still recommended to consider focused shockwave, as the sound waves penetrate more effectively, and induce growth factors in response, which is a unique benefit of focused shockwave as compared to radial. In short, it’s therapeutic action can be more intense then radial.

When these methods are not successful, or there is more significant damage to the tendon (e.g. partial tear), then prolotherapy, prolozone, and PRP therapy are all effective considerations.

Similarly to Achilles tendinitis, plantar fasciitis is typically treated via both radial and focused shockwave, deep tissue laser therapy, orthotics, and home care recommendations. It responds very well to shockwave therapy.

Whether tennis elbow, golfer’s elbow, or rotator cuff tendonitis, the typical approach to treatment begins with isolating the strained tendon, accessing the degree of inflammation, determining the causative or aggravating factors preventing recovery, and choosing an appropriately matched treatment strategy based on the history. If the tendonitis is more recent and painful, or if stiffness and poor range of motion are the most significant qualities, then focused shockwave and deep tissue laser therapy, can be an ideal therapeutic combination to initiate. If the tendonitis is more chronic, and there is significant weakness and muscle atrophy, then the more regenerative injection based treatments of prolo, prolozone, and PRP would be more applicable strategy.

Although there remains a place for manual joint adjustments, soft tissue work, laser therapy, and even botox therapy, focused shockwave has proven itself to be an incredibly effective stand-alone treatment approach that has delighted many a patient with chronic TMJ syndrome. One typically feels an immediate improvement in the openness and improvement in the joint post treatment.

For chronic neck and back pain, the goal is to meet the patient where they are at currently, and to provide the appropriate treatment for the underlying cause of pain. We offer many different therapies, which allows a more individualized approach to chronic pain – specific for one’s underlying condition.

The treatments range from non-invasive manual therapies that are gentle, such as osteopathic techniques such as bowen therapy or myofascial release, or using an activator, or chiropractic adjustments. To reduce inflammation, EMTT, Focused Shockwave Therapy, or Deep Tissue Class IV Laser Therapy might be used. And for painful regions due to irritated nerves or tight muscles, trigger point therapy or peri-neural therapy might be used.

For neuropathic (nerve related) pain, Pulsed Radio Frequency (PRF) Therapy could be used.

And for chronic pain that has not responded to other, less invasive therapies, regenerative medicine therapies which help to stabilize the ligament scaffolding that holds the spine in alignment, might be used. These include Prolotherapy, Prolozone and PRP.