Comments on GaryMoller.com: Extracorporeal Shockwave Therapy for Plantar Fasci...

Acute osteonecrosis needs treatment with hyperbari...

2008-12-09T22:21:00.000+13:00

Acute osteonecrosis needs treatment with hyperbaric oxygen.The symptomatic response can be dramatic but you need to have the diagnosis within days of onset.

SatyaI do not know anything about this form of Chi...

2008-05-25T00:01:13.933+12:00

Satya
I do not know anything about this form of Chinese medicine. But I would not discount its benefits for a moment. I am increasingly of the view that therapies that have developed over thousands of years should not be discounted. Instead, they should be respected and studied carefully. I have an open and positive mind about these traditional medicines.

With regards to avascular necrosis of bone, I am not an expert on this either. However; I am very interested in some of the common causes such as drugs like Warfarin and the biphosphenates like Fosamax. If the osteonecrosis is the result of drugs like these then any kind of therapy would be of limited value. Obviously, one should avoid these drugs at all costs. I am not aware of anything that can treat osteonecrosis.

Anything that can reverse or halt osteonecrosis would be exciting to know about. Let me know if you discover anything!

Gary,Thank you for the clarification. Recently I c...

2008-05-23T17:37:00.000+12:00

Gary,
Thank you for the clarification. Recently I can accross a website about a china Herb called 'Osteoking'.
http://www.osteoking.com/

Do you think this is helpful in treating Avascular Necrosis(AVN). Does it have any side effects.

Thank you,
Rao

Thanks for your comment Satya.I have not said that...

2008-05-22T10:39:48.463+12:00

Thanks for your comment Satya.
I have not said that it does not work as a therapy. But I would argue that the jury is still out and I would argue that this therapy is probably no better than what can be achieved by an experienced hands-on therapist. From my reading of the research literature, of which there is plenty, the results are mixed. It would seem other factors such as weight, diet, posture, sporting biomechanics are as big a factors as anything else. In sport the solution to chronic injuries is to review technique by a good technical coach.

After all, the plantar fasciitis is the result of some kind of injurious mechanism and one must identify and deal with the cause. To treat the end result without dealing with the cause is poor medicine - in my opinion.

Again, thanks for commenting.

doctors have no problems spending $100,000 on some...

2008-05-22T09:15:00.000+12:00

doctors have no problems spending $100,000 on some high tech gear thats of negligible use, a compuer engineer I know commented to me, he's seen surgeries full of expensive gear that may hardly be used and they are running an old computer that barely works at all. medical professionals can be very good at putting all their eggs in one basket.

Gary,I am quite surprised with the kind of critici...

2008-05-22T04:54:00.000+12:00

Gary,
I am quite surprised with the kind of criticism by Gary. i came cross many published literature which claim that ESWT helps in regeneration of bone tissue.

http://www.shockwavetherapyindia.com/
http://www.eswtusa.com/

Below are some research papers.

Treatment of osteonecrosis of the hip: comparison of extracorporeal shockwave with shockwave and alendronate
Ching-Jen Wang • Feng-Sheng Wang • Kuender D. Yang • Chung-Cheng Huang •
Mel Shiuann-Sheng Lee • Yi-Sheng Chan • Jun-Wen Wang • Jih-Yang Ko

Extracorporeal shockwave therapy shows regeneration in hip necrosis
C.-J. Wang1, F.-S. Wang2, J.-Y. Ko1, H.-Y. Huang3, C.-J. Chen4, Y.-C. Sun2 and Y.-J. Yang2

Extracorporeal Shockwave Treatment of Osteonecrosis of the Femoral Head in Systemic Lupus Erythematosis
Po-Chun Lin, MD,* Ching-Jen Wang, MD,* Kuender D. Yang, MD, PhD,y Feng-Sheng Wang, PhD,z Jih-Yang Ko, MD,* and Chung-Cheng Huang, MD

Treatment for Osteonecrosis of the Femoral Head: Comparison of Extracorporeal Shock Waves with Core Decompression and Bone-Grafting
Ching-Jen Wang, Feng-Sheng Wang, Chung-Cheng Huang, Kuender D. Yang, Lin-Hsiu Weng and Hsuan-Ying Huang

Extracorporeal Shock Wave Therapy for treating musculoskeletal conditions.
WCB Evidence Based Practice Group Dr. Craig W. Martin, Senior Medical Advisor

Osteonecrosis of the humeral head after Extracorporeal shock-wave lithotripsy
H. B. Durst, G. Blatter, M. S. Kuster
From Kantonsspital, St Gallen, Switzerland

regards,
Rao