{"id":76272,"date":"2024-05-31T08:58:33","date_gmt":"2024-05-31T14:58:33","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=76272"},"modified":"2024-05-31T08:58:33","modified_gmt":"2024-05-31T14:58:33","slug":"extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/","title":{"rendered":"Extracorporeal shockwave therapy helps UCCS athlete recover from lingering pain"},"content":{"rendered":"
<\/div>
\"University
University of Colorado Colorado Springs lacrosse player Annalise Carr sought extracorporeal shockwave therapy treatment at UCHealth after injuring her back. Photo courtesy of Lou Alexander.<\/figcaption><\/figure>\n

By Jeanne Davant, for UCHealth<\/strong><\/p>\n

Annalise Carr was in her third year on the lacrosse team at the University of Colorado Colorado Springs when injuries to her back forced her medical retirement.<\/p>\n

She had two back surgeries, but throughout 2023, she also had lingering foot pain that did not yield to treatment. Toward the end of the year, her trainer referred her to Dr. Nicholas Piantanida<\/a>, UCHealth\u2019s medical director for sports medicine and head team physician at UCCS.<\/p>\n

Carr consulted with Piantanida, who suggested shockwave therapy. After half a dozen sessions at the UCHealth Primary Care and Sports Medicine Clinic<\/a>, her pain had resolved significantly.<\/p>\n

\u201cShe had not benefited from a very generous period of rest in a boot, as well as appropriate treatment with medications,\u201d Piantanida said. After completing the series of shockwave treatments in late 2023, \u201cshe was able to re-engage her running schedule in the new year.\u201d<\/p>\n

\"Dr.
Dr. Nick Piantanida demonstrates extracorporeal shockwave therapy. Photo by Chuck Bigger, for UCHealth.<\/figcaption><\/figure>\n

Treated with extracorporeal shockwave therapy<\/strong><\/h2>\n

Carr was among the first patients treated at the clinic with extracorporeal shockwave therapy, which delivers acoustic energy waves to stimulate healing in soft tissue, ligaments and tendons. Although the technique has been around for several decades, its use now is widening as the technology has been upgraded.<\/p>\n

Piantanida began using it at the clinic in south Colorado Springs in November 2023, after he experienced its benefits himself.<\/p>\n

\u201cI was at an international conference in Phoenix, Arizona, in early April 2023, where the machine was being demonstrated,\u201d he said. \u201cI had hurt my calf running, and I hopped onto the treatment table as one of their demo patients.\u201d<\/p>\n

After the treatment, \u201cI had significant reduction in pain, and three days later, I was able to do a modified workout.\u201d<\/p>\n

UCHealth uses two of the devices, which produce energy in nanosecond bursts at penetration depths of 3-6 or 13-14 centimeters.<\/p>\n

Finding solution for minimizing discomfort<\/strong><\/h2>\n

When Carr first consulted a doctor, the source of her foot pain wasn\u2019t apparent.<\/p>\n

\u201cWe thought it was potentially a stress fracture, but the x-rays showed nothing. There was no soft tissue calcification, so it was kind of a mystery,\u201d she said.<\/p>\n

She was given a boot to wear, which she would take off to play or practice and put on afterward. Walking remained uncomfortable, and in late summer 2023, the pain worsened and persisted even when she was off her feet.<\/p>\n

Piantanida explained that shockwave therapy can be useful for patients with soft-tissue injuries who have not recovered after treatment with other modalities including medication, massage, physical therapy and acupuncture. Through a musculoskeletal ultrasound, he found Annalise had a small, partial tear to one of the ligaments in her foot.<\/p>\n

\u201cI thought it was worth a shot, because I didn\u2019t know what else to do,\u201d she said.<\/p>\n

Carr\u2019s treatments lasted about five minutes each.<\/p>\n

\u201cIt was kind of like an ultrasound machine because there were gels,\u201d she said. \u201cAfter my first treatment, I noticed a difference. I took the boot off, and I was able to walk a little better without a limp.\u201d<\/p>\n

Carr experienced little discomfort during the treatments, she said. As they continued, she began to feel some discomfort after treatment. But that would lessen after a couple of days, and she felt significant relief between treatments.<\/p>\n

\u201cI still have pain every once in a while,\u201d she says, \u201cbut on a scale of one to 10, it probably reaches a three, compared to before, when it hit a nine or 10.\u201d<\/p>\n

Stimulating the healing process through shockwave therapy<\/strong><\/h2>\n

With a muscle, tendon or ligament injury such as Carr\u2019s, \u201cthere should be initial signs of recovery in four to six weeks,\u201d Piantanida said.<\/p>\n

\u201cThe body was originally intended to heal itself,\u201d he said. \u201cIt provides all of the growth factors, neurohormonal changes and the blood supplies important to heal the injured part.\u201d<\/p>\n

Shockwave therapy becomes an option in scenarios where the body has not produced an appropriate healing response. The acoustic energy delivered by the shockwave machine improves blood flow to the injured tissue.<\/p>\n

\u201cIt essentially kickstarts the inflammatory and, ultimately, healing cascade,\u201d Piantanida said. \u201cWith more blood flow, we\u2019re stimulating fibroblasts and other tissue-growth factors. I think of it as an orchestra \u2014 you start off with the horns, and the conductor then brings in other brass and maybe the string instruments. Before long, a beautiful melody of healing happens.\u201d<\/p>\n

Besides athletes of all ages, shockwave therapy is being used to benefit older individuals with degenerative joint changes and can be combined with other regenerative products such as platelet-rich plasma.<\/p>\n

Piantanida points out that, as a regenerative treatment, shockwave therapy is not currently covered by health insurance. UCHealth has striven to keep the treatments affordable for self-pay patients.<\/p>\n

Carr received six treatments, but Piantanida has found that the orchestration of healing is optimized by the fourth treatment. After that, patients can experience an incremental recovery and return to their sport.<\/p>\n

Now serving as a lacrosse coach at UCCS, Carr said she recommends injured athletes give shockwave therapy a try if it is appropriate.<\/p>\n

\u201cIt does help lower the level of pain you\u2019re experiencing,\u201d she said. \u201cI would highly recommend using it.\u201d<\/p>\n

To learn more about shockwave therapy, click here.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

By Jeanne Davant, for UCHealth Annalise Carr was in her third year on the lacrosse team at the University of Colorado Colorado Springs when injuries to her back forced her medical retirement. She had two back surgeries, but throughout 2023, she also had lingering foot pain that did not yield to treatment. Toward the end […]<\/p>\n","protected":false},"author":22,"featured_media":76298,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[351,395],"class_list":["post-76272","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-primary-care","tag-sports-medicine"],"acf":[],"yoast_head":"\nExtracorporeal shockwave therapy helps athlete recover from lingering pain - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Extracorporeal shockwave therapy delivers acoustic energy waves to stimulate healing in soft tissue, ligaments and tendons.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Extracorporeal shockwave therapy helps UCCS athlete recover from lingering pain\" \/>\n<meta property=\"og:description\" content=\"Extracorporeal shockwave therapy delivers acoustic energy waves to stimulate healing in soft tissue, ligaments and tendons.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2024-05-31T14:58:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2024\/05\/28125056\/Annalise-Carr-photosized.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"UCHealth Writers\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"UCHealth Writers\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/\"},\"author\":{\"name\":\"UCHealth Writers\",\"@id\":\"https:\/\/www.uchealth.org\/today\/#\/schema\/person\/b42635b22028b4761efa8849bfec3811\"},\"headline\":\"Extracorporeal shockwave therapy helps UCCS athlete recover from lingering pain\",\"datePublished\":\"2024-05-31T14:58:33+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/\"},\"wordCount\":922,\"publisher\":{\"@id\":\"https:\/\/www.uchealth.org\/today\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2024\/05\/28125056\/Annalise-Carr-photosized.webp\",\"keywords\":[\"Primary care\",\"Sports medicine\"],\"articleSection\":[\"Healthy living\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/\",\"url\":\"https:\/\/www.uchealth.org\/today\/extracorporeal-shockwave-therapy-helps-athlete-recover-from-lingering-pain\/\",\"name\":\"Extracorporeal shockwave therapy helps athlete recover from lingering pain - 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