Hey, welcome to Podiatry practice Mastery done here. What I'm going to be including here in just a minute or so is a explanation. It's part of a lecture that Paul hobro gave about Shockwave and specifically how to explain Shockwave to patients. I think you're going to like it, it's about an eight minute segment because I couldn't take his whole lecture, but these same questions that he goes
over. I've included them in my patient presentations, so if you want to go get My patient, presentations tool, it's on Podiatry, practice Master e.com, just put your email in there, go to the 11, plantar, fasciitis, or achilles tendonitis. You're going to see the same questions that he asked. They're included in these. These slides that I use for each of my patients, use them but here at listen to see what Paul has to say.
And if you want to learn more about Paul hell, bro, I'll put a little link underneath this episode so you can learn more about him. Okay. Thanks guys. With that, you go to be quite engaging when you do it. So I didn't think about at this stage, making everyone really uncomfortable and say, I want to write down how you would explain Shockwave do. I was going to get someone to stand up and say it, but I'm going to be kind to you because that's, that's one of those
things. So, irritating, the speaker does it? But I will say that when a patient is to me. So what is Shockwave? I say, it's a, he Healing modality, there's probably going to speed up your heating by about 50%. It's got an 82 percent success rate and what we can do is supercharge your healing, your body May well. Have storage is like a defibrillator. When you restart the heart of defibrillator, restarting the natural healing processes but only we're going to restart it.
We're going to ten exit and we're going to end up with you being back. Doing the things, you love far quicker than if you don't use it, it's going to double the cost of treatment so it's up to you whether you decide to write There's no work best as I can, to help you get to where you want to go. Then when I say, what about EMT
t.i. So, this is an add-on because we can kick-start your healing process for me speed, the whole thing up. But if we do the MTT, we're going to reboot yourselves, just like your own laptop which when you reboot, it starts to go faster again if we reboot those cells and then we zap them. This then everything is going to work so much better, and the combination is great. Greater than sum of its parts. And those rcts, two of them, proved that Shockwave versus Shockwave an EMT tee shot.
Wavy MTT outperform Shockwave on his own. So we've got signs to prove that. So in TT, reduce pain inflammation. Optimize the cell radio pressure wave to the surrounding tissue. He swt treat the underlying pathology and exercise therapy to treat the cause of the injury.
Hopefully that landed yesterday. I'm not just about Out treating the little bit because frankly, anyone can do that, if you've got enough money, you could buy a machine, you can stick it on the bit that hurts and you can treat and successfully the person walks out. And you've got rid of that mythology, big fucking where. Well done you, what's happening with the human body? Then what have you done? You just giving them three to six months for they got to come
back in again as you fix them. So this becomes a really important element. So how do I achieve two friends to each other? So I got my patient coming in. I consider him a friend. Yeah, and I've got Shockwave over here. This is one of my best friend's. I want to try and get those two people to enjoy each other's company. So step by step approach to Patient engagement, ethics and concordance.
Now, concordance is a huge word. Okay, concordance means that it's not the doc say, this is what you need, and they go. Okay, concordance is when you educate a person and have an opportunity, to make a decision based upon what you've told them, what they've learned and what they've understood. And if they're making the decision, they are far more likely to engage those. You've got staff.
If you walk in one day and go, by the way system that we work on is all change and it's now this they're buying minimum. If you think is the problem we're going to work together to find a solution. I was on board by the time that solution is because they all involved in the process. If you don't involve the patient in the process, you're just doing something passively to them.
And they're hoping that it might work when you educate them there, then on board and then they get involved, and then they get great outcomes and by the way, that really have to pay for it. So how do we introduce? We educate them. First of all, you've got to achieve a diagnosis, right? And you going to demonstrate that to your patient, the easiest demonstration the world. World is when someone has ITB friction syndrome. Iliotibial band runs down the side of the leg there.
It's origin is at the tfl and the group Max and you can put them inside line. And you can do what's called overs test, which is a pretty average test. But it's very, very easy. If you put them in a position for the ogres test, their knees should drop and hit the couch. Yeah, if it doesn't, it's hanging in midair and you can measure one, two, three, four fingers, a whole fist to fist distance from the couch and you Patient. You can see very very easy. There lateral knee.
Pain is coming from there tfl. And if those of you that don't have great, anatomy and physiology. If you got some sexy jeans on today, if you just decide your right pocket there's a little pocket. We used to put coins if you put two fingers into your coin pocket and you push down, that's where your tfl is. That's where most of lateral knee pain comes from? Because that gets time, the IT band has a tensile strength of
steel. You can foam roll it, you An shock wave at. You can do any kind of percussion device on, it isn't going to lengthen. The only thing that's going to change that, is that the tfl? So, when we do a little bit trigger point on the tfl, and the patient sees, their knee, drop into the couch, it's like the lights from them. We've achieved some, they can see that you can test and measure diagnosis. Some of these really easy test. The patient can see and buys
into the do 5 single leg. Squats, get back on the capsule. Tightened up again. We haven't achieved anything we've done is Hampton. Stand. We then must give them options as I'm going to go through how I give options about What treatments they might have. Let me go and give them an opportunity to decide this for the ethics, come into it. I've educate, you about Shockwave, I think it'd be a great treatment options.
You have made it as one of my three options for you to decide, but I'm not going to sit there silently. What you want to do? You want to go through this now? So I explained to you in a second, how you give that bit of Time bit of delay to give them a chance to think about what they want to do. And this is really important to me from an ethical point of view. Stay focused on the patient is offering the modality that only or best option as an 82 percent success rate.
So you will struggle many times to convince me that it's not their best option, but isn't their only option, are we going to leave them destitute and able to feed their kids or heat their house? Because we talked them into this. Yeah. So we've got to think about what the options are they? You could have. So the way I introduced my patient to the process of let's call it a Pall over meant they could. It sounds good. And I asked three questions. They come in.
They say, my knee pads. Keep it simple. I said what the three things you can't do, as a result of this knee pain and they wrap them off and that goes in my notes. So, I can't bend down to pick up my baby when they're crawling around the floor. I can't run actually, I'm struggling to do my job in a three, pretty big things. Yeah, so what your three goals when you're pain free, if we're successful working together, what the three goals you would like to achieve And it might be run.
I want to run the Chicago, marathon. It might be that. I want to be pain free and not feeling like a 90 year old when I'm only 35, it could be all sorts of things, but then their goals, you write them down. And guess what? You refer back to these at the end of your secrets. Of treatment with them or maybe another month on top of that and you say, these are the three goals. You said to me a couple of months ago, how we doing on those?