Shockwave therapy (focused) - Some Indications

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					     Equine Clinic Burg Müggenhausen - Weilerswist


Shockwave therapy (focused) –
      Some Indications
              General Comments
- Clear Diagnosis
- Clear Localisation of the lesion; no Ultrasound-Inline
Orientation necessary      Treat an area and not just
the visible lesion
- Real Shockwave can treat every Insertional-
Desmopathie & Periostitis you can reach
- Until now (approx. 4.000 treatments) no negative
response
- We use only mild sedation with detomidine
- Only in 8 horses local anesthesia
Proximal Splint Fractures / open & closed
Proximal Splint Fracture
    Probe: 5 & 20 mm

    Energy-Level: E 9 / High Level

    Shots: 600 - 900

    Repeats: 2 – 3x ; every 14 – 21 days

    Training:
            Rest: 14 – 2 days
            Walk: 14 days
            Trott: depends on X-ray check
    Specials: Training and Therapy depending from injury
Splint Reactions
Splint Reactions

Probe: 5 & 20 mm

Energy-Level: E 9 / High Level

Shots: 600 - 900

Repeats: 2 – 3x ; every 14 – 21 days

Training:
        Rest: 14 – 2 days
        Walk: 14 days
        Trott: depends on X-ray check
Specials: Training and Therapy depending from injury
Suspensory Ligament Proximal Part
Suspensory Ligament Proximal Part
         Probe: 20 & 35 mm

         Energy-Level: E 6 - E 9

         Shots: 800 - 1000

         Repeats: 2 – 3x ; every 14 – 21 days

         Training:
                  Rest: 14 – 2 days
                  Walk: 14 days
                  Trott: depends on clinical & ultrasound check
         Specials: If acute inflammation we use the lower Energy-
         Level; we treat the leg in standing and upward
         position;Training and Therapy depending from injury
         Aquatrainer
Insertional Desmopathie
Insertional Desmopathie
    Probe: 5 & 20 mm

    Energy-Level: E 9 / High Level

    Shots: 600 - 800

    Repeats: 2 – 3x ; every 14 – 21 days

    Training:
            Rest: 14 – 2 days
            Walk: 14 days
            Trott: depends on clinical & X-ray check
    Specials: Training and Therapy depending from injury
Navicular Problems / Syndrome
     Navicular Problems / Syndrome
1.
                     2.




        3.
     Navicular Problems / Syndrome
1.                   2.




        3.
Navicular Problems / Syndrome
      Navicular Problems / Syndrome
              Probe: Pos.A) 35 & 80 mm;
                       Pos.B) 20 & 35 mm
              Energy-Level: E 9 / High Level
              Shots: Pos.A) 800; Pos.B) 600 - 800

              Repeats: 2 – 3x ; every 14 – 21 days

              Training:
                       Rest: 14 – 2 days                  Position B)
                       Walk: 14 days
                       Trott: depends on clinical check
Position A)   Specials: Before treatment preparing the sole & soaking in
              hot water for approx. 20 min; Training and Therapy
              depending from success; Orthopedic and correct Shoeing !!
Back Problems
Back Problems
Back Problems
Back Problems
Back Problems
Back Problems
 Probe: 5, 20, 35 & 80 mm

 Energy-Level: E 6 – E 9 / High Level

 Shots: ?

 Repeats: 1 – 2x ; every 14 days

 Training:
          Rest: 0 - 2 days
          Walk: 0 - 6 days
          Trott: latest after 8 days
 Specials: For „physiotherapy treatments“ we let the
 probe find the point; Periosteal reactions are treat like
 splint bone reactions
Sesamoid Problems
Sesamoid Problems
  Probe: 5 & 20 mm

  Energy-Level: E 9 / High Level

  Shots: 600 - 900

  Repeats: 2 – 3x ; every 14 – 21 days

  Training:
           Rest: 14 – 2 days
           Walk: 14 days
           Trott: depends on clinical & X-ray check
  Specials: Training and Therapy depending from injury;
  correct shoeing !!
Neck Problems
Neck Problems
Probe: 35 & 80 mm

Energy-Level: E 6 – E 9 / High Level

Shots: 800

Repeats: 1 – 2x ; every 14 days

Training:
         Rest: 0 - 2 days
         Walk: 0 - 6 days
         Trott: latest after 8 days
Specials: Longing & riding with „straight“ head and
not flexed; better results with the insertional problems
then the bursitis
Wound & Periosteal Problems
Wound & Periosteal Problems
Wound & Periosteal Problems
        Probe: 20, 35 & 80 mm

        Energy-Level: E 9 / High Level

        Shots: 600 - 900

        Repeats: 2 – 3x ; every 14 – 21 days

        Training:
                Rest: 14 – 2 days
                Walk: 14 days
                Trott: depends on clinical & X-ray check
        Specials: Training and therapy depending from injury
Chronic P 3 Fracture
Chronic P 3 Fracture
    Probe: 20 & 35 mm

    Energy-Level: E 9 / High Level

    Shots: 600 - 900

    Repeats: 2 – 3x ; every 14 – 21 days

    Training:
            Rest: 14 – 2 days
            Walk: 14 days
            Trott: depends on clinical & X-ray check
    Specials: Before treatment soaking in hot water for
    approx. 20 min; special & correct shoeing
Periosteal Reactions
Periosteal Reactions
Periosteal Reactions
    Probe: 5 & 20 mm

    Energy-Level: E 9 / High Level

    Shots: 600 - 900

    Repeats: 2 – 3x ; every 14 – 21 days

    Training:
            Rest: 2 days
            Walk: 14 days
            Trott: depends on X-ray check
    Specials: Training and Therapy depending from injury
Calcification of Tendons
Calcification of Tendons
      Probe: 5; 20 & 35 mm

      Energy-Level: E 9 / High Level

      Shots: 600 - 900

      Repeats: 2 – 3x ; every 14 – 21 days

      Training:
              Rest: 2 days
              Walk: 14 days
              Trott: depends on ultrasound &X-ray check
      Specials: Training and Therapy depending from injury
      & success
C6 / C7 Vertebral problems
C6 / C7 Vertebral problems
       Probe: 80 mm

       Energy-Level: E 9 / High Level

       Shots: 800 - 1000

       Repeats: 2 – 3x ; every 14 – 21 days

       Training:
               Rest: 2 days
               Walk: 14 days
               Trott: depends on clinical check
       Specials: Training and Therapy depending from injury
Biceps Bursitis / Osteophytes
Biceps Bursitis / Osteophytes
        Probe: 20, 35 & 80 mm

        Energy-Level: E 9 / High Level

        Shots: 800 - 1000

        Repeats: 2 – 3x ; every 14 – 21 days

        Training:
                Rest: 14 – 2 days
                Walk: 14 days
                Trott: depends on clinical check
        Specials: Training and Therapy depending from injury
        and success, ultrasound check
Osteophytes / Arthrosis / Spavin Bone
Osteophytes / Arthrosis / Spavin Bone
             Probe: 5 & 20 mm

             Energy-Level: E 9 / High Level

             Shots: 800 - 1000

             Repeats: 2 – 3x ; every 14 – 21 days

             Training:
                     Rest: 14 – 2 days
                     Walk: 14 days
                     Trott: depends on clinical & X-ray check
             Specials: Training and Therapy depending from injury
Ringbone / Arthrosis
Ringbone / Arthrosis
    Probe: 5 & 20 mm

    Energy-Level: E 9 / High Level

    Shots: 600 - 900

    Repeats: 2 – 3x ; every 14 – 21 days

    Training:
             Rest: 2 days
             Walk: 14 days
             Trott: depends on clinical X-ray check
    Specials: Training and Therapy depending from injury
    & clincal success
Sesamoid Alterations
Calcification & Osteophytes
Sesamoid Alterations
     Probe: 5 & 20 mm

     Energy-Level: E 9 / High Level

     Shots: 600 - 900

     Repeats: 2 – 3x ; every 14 – 21 days

     Training:
              Rest: 2 days
              Walk: 14 days
              Trott: depends on clinical & X-ray check
     Specials: Training and Therapy depending from injury
     ; correct shoeing
Thank You   !