The Best Posture After Kidney Stone Lithotripsy

After extracorporeal shock wave lithotripsy (ESWL), the recommended posture largely depends on the size and location of the kidney stone. For stones located in the renal pelvis, middle or upper calyx, patients can generally maintain a normal posture, such as lying flat or walking regularly. In these cases, drinking plenty of water, engaging in light physical activity, and taking prescribed stone-expelling medications can help pass smaller stones naturally.

However, if the stone is located in the lower calyx and doesn't pass with normal movement, a more specific posture may be required — the head-down, hips-up position. Some patients may even benefit from inversion techniques like gentle headstands at home, which can help dislodge the stone more effectively.

In recent years, external expulsion devices have become increasingly popular in medical facilities. These machines allow patients to lie down while the device adjusts their posture and gently oscillates to help move the stone. This method is particularly effective for stones that are difficult to pass using traditional methods.

It's important to note that the success of stone expulsion is closely related to both the stone's size and its location within the kidney. Choosing the appropriate posture based on these factors can significantly improve the chances of passing the stone without further intervention.

Nowadays, most hospitals in China are equipped with these external expulsion devices. Combining lithotripsy with external expulsion therapy is currently considered one of the most effective non-invasive approaches for treating kidney stones. Patients are encouraged to consult with their urologist to determine the best course of action based on their specific condition.