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The OssaTron is a high energy shock wave system that provides a non-surgical alternative for patients diagnosed with chronic proximal plantar fasciopathy (severe heel pain), usually referred to as fasciitis.
Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow [9], [10] [11] shoulder rotator cuff pain, [12] [13] Achilles tendinitis, [14] [15] plantar fasciitis, [16] [17] and greater trochanteric pain syndrome. [18] ESWT is also used to promote bone healing and treat bone necrosis. [19]
The CPT code revisions in 2013 were part of a periodic five-year review of codes. Some psychotherapy codes changed numbers, for example 90806 changed to 90834 for individual psychotherapy of a similar duration. Add-on codes were created for the complexity of communication about procedures.
Plantar fascial fibromatosis, also known as Ledderhose's disease, Morbus Ledderhose, and plantar fibromatosis, is a relatively uncommon [2] non-malignant thickening of the feet's deep connective tissue, or fascia. In the beginning, where nodules start growing in the fascia of the foot, the disease is minor.
Plantar fasciitis is the most common type of plantar fascia injury [10] and is the most common reason for heel pain, responsible for 80% of cases. The condition tends to occur more often in women, military recruits, older athletes, dancers, [ 1 ] people with obesity, and young male athletes.
Heel pad syndrome is a pain that occurs in the center of the heel. [1] There are many causes, but a mechanical etiology is most common: risk factors include obesity. [1] Other conditions with similar symptoms include plantar fasciitis. [1]
The use of Level III codes was discontinued on December 31, 2003, in order to adhere to consistent coding standards. [3]: 2 Level III codes were different from the modern CPT Category III codes, which were introduced in 2001 to code emerging technology. [4]
In an experiment using cadavers, it was found that failure of the plantar fascia averaged at loads of 1189 ± 244 newtons [3] (121 ± 24 kgf or 267 ± 55 lbf). Failure most often occurred at the proximal attachment to the calcaneus, which is consistent with the usual location of symptoms (i.e. in plantar fasciitis).