Red 635 nm. This wavelength is clinically proven in numerous trials, studies to be the one most in-tune with the human cell for healing. The lasers are frequency specific to resonate specifically with the different cellular structures targeted. All cells have a different physiological role with their own resonance/ vibration. The lasers are programmed to  match a cell’s pecific cellular vibration energies for optimal biostimulation.

Low level laser therapy does not generate any heat, so is very safe. It is often termed ‘cold’ laser. There are no reported Erchonia 3LT adverse reports. It can be safely used to treat many conditions.

During treatment, most patients do not feel a thing, though some have reported a slight tingling sensation or a sense of deep relaxation after the treatment.

Patient is assessed for  suitability  before any  3LT laser treatment:

• Podiatrist may offer a  laser session during your treatment to ascertain effectiveness
• May advise a course of 6 laser sessions
• Treatments are tailored to be laser specific to specific condition treated
• Treatments are only 1 – 3 minutes in duration
• Several treatment settings may be used
• Treatments can be combined with orthotics, kinetic taping, mobilisation, exercises

The unique  EVRL is the world’s only low level laser to simultaneously treat infection and accelerate healing outcomes at the same time. It combines 2 therapeutic wavelengths; blue antimicrobial 405nm and red healing  635nm. These are the same 2 wavelengths utilised in the Lunula laser which we use to treat damaged and fungal diseased nails.

We can use the EVRL to help us treat highly infected wounds, poor healing and post-operatively after nail surgery to reduce infection risks and expedite healing.

3LT laser effects are accumulative like taking medication, but a reduction in pain, improved ranged of motion, reduced inflammation  can often be noted after 1 treatment. Chronic conditions respond a little slower than acute ones, with treatment programme spread out over a longer period of time.

• Acute conditions require 6 sessions
• Chronic conditions require 6 – 12 sessions

PRICE

Course of 6 3LT treatments                                                   £130

Individual sessions                                                                   £26

The main clinical response of ESWT is to initiate a healing response and reduce pain. When patients have chronic heel pain / plantar fasciitis the healing process has stagnated. The application of ESWT will break this state of stagnation by:

• Creates an inflammatory response to promote healing
• Increase cellular metabolic activity in stressed, injured tissues
• Promotes remodelling of dysfunctional collagenous tissues
• Breaks down scar tissue and any calcification
• Reduces pain by inhibition of pain receptors

• Patients who have not responded to conservative treatments for their condition e.g. physio,
rest, ice therapy, steroid injections, orthotics
• Patients who don’t want to take non-steroidal anti-inflammatory drugs (NSAIDs)
• Patients who do not want steroidal injections and reduce need for invasive surgery

Patients will have a consultation first to assess their suitability for ESWT treatment. Below are the
general contraindications:

• On antiplatelet medication e.g. Clopidogrel, excluding 75 mgs Aspirin
• On anticoagulant medication e.g. Warfarin, Rivaroxaban
• Have a blood clotting disorder
• Under the age of 18
• Diabetic neuropathy
• Have been diagnosed with bone cancer
• Have a lower limb/ foot infection
• History of Tendo-Achilles or plantar fascia ligament rupture
• Internal fixation, joint replacements
• Pacemaker
• Had a steroid injection into the affected area within the previous 6 weeks
• Pregnant
What to expect during a treatment?
1. You will need to expose the area to be treated and lay down on your front on the couch.
Ultrasound gel will be applied to the area. The ESWT device will deliver approximately 2000

You will need to expose the area to be treated and lay down on your front on the couch.
Ultrasound gel will be applied to the area. The ESWT device will deliver approximately 2000
shocks through a specialised handpiece directly to the area of concern. There will be loud
audible sounds as each shockwave is delivered. Each 2000 shockwaves takes 5 minutes to
administer. Some areas may require more shockwaves.
2. You will feel a deep vibrating sensation which we will adjust in intensity to suit the chronicity
of your condition. It may be uncomfortable at first, but it will be tolerable after a few
minutes as the area becomes number.
3. Post treatment we may use a low level laser (3LT) to optimise healing and recovery, we may
also massage or tape the area of concern.
What to expect after treatment?
1. The area may feel numb which can last 7 – 10 days
2. The area may be red and inflamed which will dissipate
3. There may be some bruising or petechial bleeding
4. There may be some discomfort which may last several days
5. In rare cases there could be minor rupture if ligaments and tendons
How successful is ESWT?
It is a NICE recommended treatment which means it has been proven to be clinically effective. A
successful treatment is considered as a patient having at least 75% reduction in pain within 3
months. Reported global ESWT results are 80 – 90% reduction in pain and improvement in stiffness
and immobility.
How many treatments do I need?
Standard course of treatment is 3 spaced at 1 – 2 week intervals. Depending on chronicity of
condition sometimes more treatments are required. The improvements are incremental.
Afterwards will it affect normal activities?
Generally, no but you may feel a little bit bruised. We advise you don’t embark on high impact
activities for at least 24 – 48 hours after treatment. You may want to ice area or take paracetamol,
but not Ibuprofen, Voltarol NSAIDs. We want an anti-inflammatory response, not inhibit it.
What can I do to prepare for an ESWT treatment?
You need to stop taking NSAIDs at least 2 weeks before treatment. Wear comfortable clothing. You
can take paracetamol. If you are on blood thinning, anticoagulant therapy please discuss 1st with GP.
What will happen if ESWT treatment does not work?
The short-term effects are very good with reduced pain and stiffness, but for full resolution you may
have to wait 3 – 4 months. If after this time, there has not been any marked imp

We recommend an initial course of 3 ESWT treatments scheduled at weekly intervals. After the 3rd session we recommend leaving a gap of 4 – 6 weeks for an additional course of 3 treatments.

For long standing chronic heel pain and plantar fasciitis a course of 6 sessions if required. Less chronic conditions may only require  3 sessions. It can take several weeks for patients to appreciate the benefits of ESWT. Time is needed, to allow for the healing process  to progress. We must remember that bone takes up to 6 weeks to re-model. Fascia, ligaments and tendons 4 – 8 weeks to repair.