Shockwave Therapy

Shockwave Therapy – AKA the jackhammer for tendons, Shockwave Therapy is a new technology whereby high energy shock waves are acoustically transmitted into target tissues to stimulate healing responses and pain relief.

There is a growing body of evidence to support the efficacy of Shockwave Therapy for chronic tendon problems, calcific tendonopathies as well as other soft tissue disorders and muscle pain.

Conditions which have been treated successfully include:
Tendon pain disorders
Heel pain – Plantar facsciitis/ fasciopathy, heel spur
Lateral hip pain – Gluteus medius tendonopathy/ bursitis
Achilles tendinopathy
Shin Splints (medial tibial stress syndrome)
Patellar tendinopathy
Tennis and golfers elbow (medial and lateral epicondylalgia)
Biceps tendinopathy
Rotator cuff tendinopathy

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How does it work?
The basic premise of SWT is a stimulation of healing responses in conditions where healing has been slow, stalled or incomplete.
With a radial shockwave therapy device the ballistic principle is utilised which consists of a handpiece with a projectile which is pneumatically accelerated towards an applicator transmitter. Upon impact, a wave is produced which propagates in radial direction from the applicator into the tissues.

As the energy wave is transmitted into targeted tissues there has been demonstrated increased local blood flow, increased cellular metabolism (activity/ release of chemicals), modulation of inflammation, an analgesic effect from stimulation of nerves and break down of calcific deposits (an abnormal healing response in tendons). There have been no demonstration of detrimental effects at clinical treatment levels.

Who we wouldn’t use Shockwave Therapy for:
Haemophiliacs, people taking strong anticoagulants, cancer/ malignancy, local infection, osteoporosis, metal implants, near growth plates in children, pregnancy. You can find out more in our informative blog post on Shockwave Therapy.

Private Clients

A referral is not required for Physio as a private client. If you have private insurance health fund extras cover please bring your fund card and we can process your claim directly via HICAPs. Also bring along any relevant reports, scans etc.

Enhanced Primary Care Program (EPC)

Physio can attract rebates through Medicare EPC program for chronic disease management [item 723, 721, 732]. Up to 5 allied health consultations per year, or 10 for Aboriginal and Torres Straight Islanders. There are qualifying criteria and a GP referral is required for this program. Please bring along your referral, Medicare card and EFT card. Clients pay for the consultation and then the Medicare rebate is processed onsite back into your account. This is not a bulk billing service, the out of pocket expense is $19.05 per visit.

CTP Third Party Claims

Our clinic is registered to provide rehabilitation from any Compulsory Third Party motor vehicle accident claims. Please bring along your GP referral and current acceptance of liability specific for physiotherapy. If all details are correct we can invoice the insurer directly.

DVA

Our Physios are Accredited DVA providers. Please bring along your Gold or White Card as well as a current GP referral and we can claim directly through DVA.

Work Injuries

For Early Intervention services appointments are made by your HSO and invoiced via pre-arranged PO numbers or paid over the phone via credit card. Normally up to 5 sessions would be directly funded by your employer and then by their Workers Compensation Insurance company if beyond this.
For Workers Compensation injuries please bring along your GP referral and Certificate of Capacity, Insurance Company Information including Claim Number so that we can invoice directly as well as any other relevant reports and scans etc. Our physios are accredited NSW SIRA Workers Compensation Providers.

What to expect in your consult?

• Improvement of blood and lymphatic circulation
• Pain reduction, analgesic effect
• Reduction of muscle tension
• Reduction of calcification and fibrotic changes (long term)
• Better range of motion
• Strengthening of connective tissue
• Increased cell regeneration process

Possible minimal side effects of Shockwave Therapy reported are some short term pain and discomfort, minor skin irritation and sometimes numbness which all resolve within a short period of time.
From clinical research the number of sessions required typically involve 3-5 sessions in most instances, sometimes up to 7 in slower cases and these are usually delivered around 1 week apart.

Importantly Shockwave Therapy has been found to be much more effective when combined with other treatment modalities particularly an appropriate exercise/ controlled loading program and stretches in some instances under the guidance of your physiotherapist.

Conditions we help with:

Tendon pain disorders

Heel Pain

Hip Pain

Achilles tendinopathy

Shin Splints

FAQ's

New episode physio appointments are normally 45 minutes to allow us the time to adequately assess, diagnose, develop a management plan and treat your condition or injury. Subsequent appointments are generally 30 minutes in duration.

For private clients no referral is required so you can book in straight away! If you have a work injury, DVA, Medicare EPC or 3rd party insurance claim then a referral is required.

Please bring along/ wear suitable light loose fitting clothing that you can move in and to allow access to your problem area. Eg. for the neck/ shoulder a light singlet, shorts for the knee/ ankle. We also have gowns available. Bring along your running shoes if you have foot and ankle problems.

Please bring all recent relevant reports, scans, letters and any other information regarding your injury with you. You may also bring a medication list if you have one.

Our physios are popular, however in most cases we can help you see a physio within 24 hours. You can check availability by selecting a service below, and if nothing suits give us a call and we’ll do our best to make something work.

Physios can refer for spinal xrays via Medicare if indicated (though in the vast majority of cases they are not indicated). For peripheral xrays and other scans a GP or Specialist referral is required for Medicare funding coverage- we can advise you if we think that these are necessary and liaise directly with your doctor to arrange fast tracking when needed.

Yes, we provide on the spot claims with your health fund with our HICAPs terminal, the vast majority of funds are eligible via HICAPs.

What can we help you with? Feel free to give us a call or chat with us here online and we’ll be happy to talk about the fees with you. The cost to fix your problem will depend on a number of factors which we can clearly discuss at your first consultation where we strive to work within your budget and needs.

No, however as Medicare registered providers we can process your claim with Medicare who will contribute $52.95 towards your appointment fee if you have a GP referral under the Enhanced Primary Care (EPC) plan. After claiming you are just paying the $19.05 difference, that’s all. Your doctor (GP) can refer you for up to 5 sessions in a year for chronic conditions such as Diabetes.

We are not presently NDIS registered however we can see NDIS clients who are “self managed”. Please contact us for more information regarding this service.

We understand that life gets hectic and doesn’t always go to plan! Our therapists are in demand though so if you are unable to make your appointment then someone else misses out too. Should you need to reschedule or cancel your appointment, please inform us at least 6 hours prior as per our late notice fee policy.

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