Can You Climb Stairs After Extracorporeal Shock Wave Therapy for Knees? - Orthopedics

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Can I go up and down stairs after extracorporeal shock wave therapy for both knees?


Dear Dr.
Zhan,
I would like to ask you about undergoing extracorporeal shock wave therapy on both of my knees.
The issue with my right knee is more severe, and it will receive 1500 pulses, while my left knee will receive 1000 pulses.
However, I live on the second floor and need to climb a flight of stairs (about 17 steps) to get to my apartment, and there is no elevator in the building.

After receiving extracorporeal shock wave therapy on both knees, will I be able to go up and down the stairs? Are there any precautions I should take when doing so? For example, should I lead with my left foot when going up, taking one step at a time? Should I consistently use my left foot first? And when going down, should I start with my right foot, etc.?
Thank you sincerely for your help and time! I look forward to your response.

Lin Ting, 20~29 year old female. Ask Date: 2023/11/09

Dr. Zhan Xian reply Orthopedics


Hello, you can go up and down the stairs, but do not overdo it.
Wishing you safety!

Reply Date: 2023/11/09

More Info


After undergoing extracorporeal shock wave therapy (ESWT) for knee issues, it is understandable to have concerns about engaging in activities such as climbing stairs. ESWT is a non-invasive treatment that utilizes acoustic waves to promote healing in musculoskeletal conditions, particularly in cases of chronic pain and inflammation. While the therapy can be beneficial, it is essential to approach post-treatment activities with caution and awareness of your body's response.


Climbing Stairs After ESWT
1. Immediate Post-Treatment Care: After receiving shock wave therapy, it is generally advisable to allow some time for your knees to recover before engaging in strenuous activities, including climbing stairs. The treatment can cause temporary soreness or discomfort, which may affect your mobility. It is crucial to listen to your body and avoid pushing through pain.

2. Timing: If you have just completed your ESWT session, consider waiting at least 24 hours before attempting to climb stairs. This waiting period allows any immediate post-treatment discomfort to subside. If you experience significant pain or swelling, it may be wise to postpone stair climbing until you feel more comfortable.

3. Technique for Climbing Stairs: When you do decide to climb stairs, using proper technique is essential to minimize strain on your knees:
- Ascending Stairs: It is generally recommended to lead with your stronger leg (in your case, the left leg) when going up. This means stepping up with your left foot first, followed by your right foot. This technique helps distribute the load more evenly and reduces the risk of overloading the weaker knee.

- Descending Stairs: When going down, it is often advised to lead with your weaker leg (the right leg) first. This allows you to control your descent better and reduces the impact on the knee joint. Step down with your right foot, followed by your left foot.

4. Pace Yourself: Take your time when climbing stairs. Avoid rushing, as this can lead to missteps and increase the risk of injury. If you feel any discomfort, consider resting or using a handrail for additional support.

5. Gradual Increase in Activity: If you find that climbing stairs is manageable after your initial attempts, gradually increase the number of stairs you climb and the frequency of your activity. Monitor how your knees respond and adjust accordingly.

6. Consult Your Healthcare Provider: It is always a good idea to discuss your specific situation with your healthcare provider or physical therapist. They can provide personalized advice based on your condition and recovery progress. They may also suggest specific exercises to strengthen your knees and improve your overall stability.


Conclusion
In summary, after receiving extracorporeal shock wave therapy for your knees, you can climb stairs, but it is essential to do so with caution. Pay attention to your body’s signals, use proper techniques for ascending and descending, and consult with your healthcare provider for tailored advice. By taking these precautions, you can help ensure a safe and effective recovery while managing your daily activities.

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