Posts by Dr. Cremata, DC
Also known as Shockwave Therapy (ESWT)
The Non-Invasive Solution for an Active Lifestyle™
Acoustic Compression, also known as Extracorporeal Shockwave Therapy, is now available at Relief Medical Group!
Many patients have reported excellent results with only seven in-office sessions. Anesthesia is not required! ESWT is the healing technology that ends incurable foot, shoulder, elbow, and other areas of pain without surgery!
ESWT is also an effective, non-invasive treatment for Erectile Dysfunction and Cellulite Reduction!
The full price for consultation, examination, any necessary x-ray, and the seven weekly sessions of ESWT is only $1175 (when paid in advance—regularly $1275)
Only Seven Sessions Required! Please contact us for more information or any questions you may have!
Download information about Therapeutic Advances in Urology
ESWT has been used effectively worldwide to treat "insertional tendinopathies," such as:
- Heel Pain (Plantar Fasciitis)
- Tennis Elbow (Lateral Epicondylitis)
- Shoulder Calcifications (Calcific Tendonitis)
- Achilles Tendonitis
- Knees (Patellar Tendonitis)
- See our cosmetic pages to learn how this same technology is used to remove CELLULITE
Millions of people suffer from pain caused by inflammation of tendons and other soft tissues attached to bones, commonly referred to as "insertional tendinopathies” or enthesopathies".
How Does Extracorporeal Shockwave Treatment Work?
The widely accepted theory is that Extracorporeal Shockwave Treatment (ESWT) causes micro-trauma and controlled injury at the affected area, thereby leading to the formation of blood vessels (revascularization) which triggers the body's natural healing process and repair mechanisms. The sound waves are also thought to release adhesions and scarring to help increase mobility and optimize healing. Studies have shown a 60-80% success rate in significantly reducing or eliminating pain.
What Happens Before, During and After ESWT Treatment?
BEFORE: Patients will be instructed to discontinue medication containing aspirin or non-steroidal anti-inflammatory medications (e.g. Motrin) for several days before treatment (and most likely for up to 10 days following treatment) unless otherwise instructed by the treating doctor.
DURING: Treatment typically lasts 10 to 30 minutes and is performed in the office without the need for anesthetic. We use a high quality, low-medium energy ESWT unit.
AFTER: Patients may experience discomfort in the treated area after the effects of anesthesia have subsided. Some bruising, swelling, and temporary numbness is normal and expected. In the days immediately following treatment, many doctors will recommend stretching exercises to maintain mobility.
Patients can then typically resume normal activity. Heel pain patients are recommended to use custom orthotics when they have hyperpronation (flat feet) to optimize healing of the planter fascia and prevent recurrences.
Healing is generally near complete at about twelve weeks after the completion of the treatment visits, although patients may continue to experience additional reduction in pain and increased capacities thereafter.
What are Alternative Treatments?
Most doctors will first pursue conservative treatment options to reduce or eliminate pain. Conservative treatment may include such measures as rest, non-steroidal anti-inflammatory medications (NSAIDs), over-the-counter pain relievers, physical therapy, and orthotics (for heel pain). ESWT should be tried before cortisone injections, since injections increase the chances of tendon ruptures. Doctors will usually recommend ice, physiotherapy, exercises, and orthotics (heel lifts) prior to considering more aggressive approaches. However, when conservative treatments have failed, ESWT is increasingly being used to avoid traditional invasive surgery. Acoustic Compression is a more aggressive, more effective, and yet still conservative management for the conditions shown above.
Is This Treatment Right for Everyone?
You should speak to Dr. Cremata DC about your specific needs to see if Extracorporeal Shockwave Treatment is right for you. ESWT is not recommended for use on pregnant women, children, anyone with a pacemaker, or anyone on anti-coagulant therapy, or who has a history of bleeding problems.
How Do You Get Treatment?
Call Dr. Cremata, DC about your specific medical condition to see if Extracorporeal Shockwave Treatment (ESWT) is right for you.
The full price for consultation, examination, any necessary x-ray, and the weekly sessions of Acoustic Compression (Shockwave) is $995.00 (reg. $1195.00) when paid in advance. ONLY SEVEN VISITS REQUIRED!
Dr. Cremata, DC can provide additional complementary medical treatments as needed.
Pain Relief and Pain Management
Control of your pain is very important for your comfort, ability to sleep well, take care of yourself and your family, perform your job duties, etc.
At Relief Medical Group, we can provide you with prescription and non-prescription options to relieve your pain while you are undergoing treatment to improve the cause of your pain. We can dispense or prescribe various topical creams, anti-inflammatory agents, muscle relaxants, and other appropriate medications. When necessary for acute and severe pain, we can deliver these medications to you by injection for a rapid effect.
The ultimate goal is to improve your underlying condition enough so that you don’t need prescription medication for very long. The more conservative options of a topical medication cream, as opposed to oral medication, helps to prevent the dangerous and sometimes avoidable adverse effects from medications, such as stomach problems like ulcers, liver problems, or kidney toxicity.
A New Way of Thinking About Back Pain
The majority of back pain is preventable
This statement is at odds with the standard medical narrative for back pain. So much of western medicine focuses on treating injury and illness reactively- that is treating a problem symptomatically. But this relies on the logic that a problem need occur in the first place- why have we accepted this hook, line and sinker? A more logical way of treating pain is to prevent it in the first place. And while many types of back pain, the kinds that result from traumatic injury, genetic predisposition, or tumors, are unavoidable, the vast majority of back pain is preventable.
Envisioning a New Year with Less Headaches
Chronic headache sufferers have little cause for cheer during the holidays
If you suffer from regular headaches, it can be hard to know when one will strike. This can be particularly prominent during the holiday season when you are surrounded by holiday cheer one minute, then stricken by a headache the next. Headaches menace people of all ages and health profiles, and our medical community is still at an early level of understanding the causes which contribute to this menace of society. If you suffer from headaches we are willing to wager that you are interested in prevention. At our office in Fremont, we realize that banishing headaches forever may not be realistic. However, we can strive to reduce the intensity, duration and frequency of your headaches to help you live a better life despite your condition
Common Sense Saves You a lot of Back Pain
Listening to your body goes a long way
Too many people live their life at a pace too busy to consider their body’s internal signals. Technology is making it easier than ever to delegate the responsibility of listening to your body to your phone. There are apps that will ping reminding you to drink water, stretch, or take a break from the computer screeen. And while smart apps are designed to optimize our lives, we often find that all the optimization distracts us from what really matters: being in touch with our bodies. Besides, if you are too busy to remind yourself to stretch, you can just as easily ignore an app that tries to perform the same function. Now consider that instead of ignoring signals of muscle tension, you constantly ignore signals of pain. Human bodies are infinitely more powerful than we give them credit for: our capacity to perform everyday functions despite serious pain signals has the potential to cause a lot of problems in our lives.
Headstart 2018: A New Year Full of Health
After the dust of Christmas settles…
…and the confetti of New Year has been swept from the streets, you may be feeling slightly burnt out. The holiday season, for all its fun, is a hectic time of the year. As we are uprooted from our normal routine, stress tends to accumulate in the body and mind. This stress manifests itself physically; mental stress is directly linked to muscle tension, which can pull the spine out of alignment. What’s more, higher levels of the stress hormone cortisol contribute to inflammation. This is hardly a good recipe for the start of 2018.
A Holiday Full of Natural Pain Relief
This holiday season, focus on natural pain relief
You are halfway through a marathon day of cooking with family that will culminate in the first of three consecutive nights of holiday dinner parties. You haven’t been able to exercise or stretch and now your back is throwing you a curve ball. The last thing you need is a stiff, sore back as you try to enjoy dinner with family and friends. So you do what anyone in your position would: reach for the ibuprofen or aspirin. The problem in this scenario is that you are only treating the surface symptom- which is the pain, and waylaying it til a later time. In this scenario, you will have to keep taking painkillers to fend off the pain.
When Holidays Spells Back Pain: Don’t let your Spine Jeopardize your Holiday Travel Plans
Sitting in ill-designed chairs for hours on end is a nightmare for people with back pain.
The holidays offer many of us the chance to take off from home, whether in car, plane or train, to visit family and friends in far flung places. But for people with chronic back pain, the thought of hours spent in the car or stuck on a plane causes trepidation. When it comes to the cheer of Christmas, the last thing we want our patients to be thinking about is the pain in their back.
Spinal Health: The Gift that Keeps on Giving
What gift could be better than a healthy spine?
If you are looking for a gift for a loved one this holiday season, whether they be old or young, an awareness of spinal health is one of the best gifts you can give. Chances are, anyone over the age of 30 is going to have experienced back pain. A recent study from the Gallup-Palmer College of Chiropractic interviewed more than 6,000 people over the age of 18, and 63% of them acknowledged having experienced back pain bad enough that they sought medical help. Us ailing adults aside, what’s going on with the spines of our youth? As we move rapidly into the future, young spines are under more threat than ever.
Sports-related Sciatica: an All-natural Approach to Healing
Weight lifting and lower back pain go hand in hand
Building muscle is important for just about every sport. But lifting is one of the worst motions for your spine; when you add larger weights into the equation, the risk only increases. A further factor that can aggravate lower back pain is insufficiency in the core muscles which stabilize the spinal segments in the lower back and prevent any slippage of the vertebrae from occurring. If you then lift with poor posture, you are setting yourself up for lower back pain due to nerve compression caused by vertebrae moving out of position.
When the nerve-under-compression in question is the sciatic nerve, serious problems can ensue
As you find in our last blog here, sciatic nerve pain is insidious: it comes in many forms. But there is a simple way you can determine if you may be suffering from sciatic nerve compression using the straight-leg raise. Grab yourself an exercise band, then lay flat on the floor. Using the exercise band around the bottom of your foot, raise your leg, making sure to keep your knee straight. If this causes pain in the lower back, or other sciatica symptoms, give our office in Fremont a call to find out how we can start fighting back against sciatica today.