Coral Springs Animal Hospital's Pawfessional Spring 2017 | Page 19

applied. The patients in our study are under anesthesia at the time of treatment. Treatment times are less than 5 minutes per area. When treating tendon and ligament injuries, the aim is to increase blood supply and stimulate regeneration of tendon tissue. ESWT has shown promise in the treatment of biceps and supraspinatus tendinopathies avoiding the need for surgery in most cases. Treatments may need to be performed 1-3 times about 3 weeks apart. For osteoarthritis, ESWT has been shown to provide pain relief and decrease in lameness similar to that of NSAID treatment. This makes it particularly beneficial in patients with intolerance to NSAIDs due to concurrent medical issues. The expectation of treatment is healing of soft tissue or bone injuries, or symptom relief from osteoarthritis for 6-12 months. Shock wave therapy should not be used over neoplastic lesions, the thorax, or abdomen and it is not a replacement for fracture stabilization or traditional wound management. It is however, a very useful tool to add to your tool box for multi-modal treatment plans for osteoarthritis, tendon or ligament injuries, and some fractures and orthopedic surgeries. It is also used in human medicine to treat delayed and non-union fractures, plantar fasciitis, shoulder tendinitis/rotator cuff injury, and acute and chronic wound healing (including diabetic ulcers).