Shock Wave Therapy

Shock Wave Therapy

Why we use Radial Shock Wave Therapy (RSWT)?

RSWT is the application of a high-energy acoustic pulse transmitted into the tissue of the affected area of the body.
Each RSWT treatment works to increase the metabolic activity around the site of pain or discomfort. This stimulates the body’s natural healing process, thus reducing pain and promoting the reabsorption of irriative calcium deposits in tendons.

Our pain management, RSWT is usually applied in 4 to 6 treatment sessions, each 5 to 7 days apart. Approximately 80-90% of all patients report a substantial improvement after the 2nd treatment by approximately 50%.

How does shockwave work?

C nerve fibres are responsible for transmitting pain in our bodies. They release a specific substance, commonly known as substance P. This substance is responsible for causing slight discomfort during and after your shock wave treatment. However, with prolonged activation, C nerve fibres become incapable, for some time, of releasing substance P and causing pain.

Less substance P in the tissue leads to reduced pain and a reduction on neurogenic inflammation. A decline in neurogenic inflammation may in turn promote healing through the release of growth factors and the activation of stem cells in the treated tissue.

When we treat tendinopathies we know that the energy delivered via the shockwave results in an increase in the diffusion of substances called cytokines across vessel walls into the pain-generating are. This results in the healing of the tendinopathy via the stimulation of angiogenesis (development of new bloods vessels) and the treatment process.

 

Contraindications:

  • Treatment over air-filled tissue (e.g. lung, gut)
  • Treatment of pre-ruptured tendons
  • Treatment of pregnant women
  • Treatment of patients under the age of 18 (except for the treatment of Osgood-Schlatter disease/growing pain)
  • Treatment of patients with blood-clotting disorders (including local thrombosis)
  • Treatment of patients treated with oral anticoagulants Treatment of patients with local tumors or local bacterial and / or viral infections
  • Treatment of patients treated with cortisone

Possible adverse risks:

  • Pain and discomfort during and after treatment (an anaesthetic is not necessary)
  • Reddening of the skin Petechia (tiny purple / red bruises on skin)
  • Swelling and numbness of the skin over the treatment area
  • Potential damage of lung and gut tissue if applied over these areas
  • Potential rupture of pre-ruptured tendons if applied over these areas
  • Potential damage of immature epiphyses if used directly over the growth plates
  • Possible dissemination of malignant tumors
  • Potential damage of articular cartilage if applied too close to the joint line.
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