Focused Shock Wave
Focused Shockwave / Extracorporeal shockwave therapy (ESWT)
Focused shockwave is a non-invasive treatment option that is effective at healing pain and injuries in many musculoskeletal conditions. The shock wave is an innovative therapy that requires no downtime and is an excellent non-invasive alternative to surgery. ESWT can penetrate deeper into the tissues and provides all of its power at the designated depth. Focused shockwaves are generated electromagnetically and have a minor focal point for greater treatment accuracy and greater treatment depth.
ESWT works mechanotransduction, causing an inflammatory response similar to the body’s natural healing process. In medicine, we know the deficiency of blood flow is a major contributing factor that holds back healing in muscles, tendons, bones, and wounds. The shock waves stimulate VEGF (vascular endothelial growth factors),which causes angiogenesis, which stimulates the growth of new blood vessels in addition to other growth factors for tendons, cartilage, and bone. This type of treatment is a game-changer in pain and injury treatment.
Due to the reduced cost of low-energy shockwave machines, many patients may have the impression that they have received “True” shockwave therapy. Misinformed patients and uninformed practitioners often generate this impression. There certainly can be differences in the effectiveness of high-energy vs. low-energy shockwave therapy. In general, the effectiveness of ESWT tends to be 80%. Compliance with treatment and rehabilitation recommendations are essential factors in achieving optimal treatment results.
In recent years, ESWT has become the gold standard for musculoskeletal disorders as it treats the cause, not the Symptom.
Biological effects:
Acoustic waves with high energy peaks used in Shockwave therapy interact with tissue causing overall medical effects of accelerated tissue repair and cell growth, analgesia, and mobility restoration.
- New Blood Vessel Formation
- Reversal of Chronic Inflammation
- Stimulation of Microcirculation (Blood, Lymph)
- Stimulation of Collagen Production
- Dissolution of Calcified Fibroblasts
- Dispersion of Pain Mediator “Substance P Neurotransmitter responsible for pain modulation”
- Release of Trigger Points
- Increase of cell wall permeability
- Stimulation of Microcirculation (Blood, Lymph)
- Release of Substance P Neurotransmitter responsible for pain modulation.
- It is a powerful vasodilator, causing considerable hypotension
- Cavitation Release of nitric oxide (increased cell metabolism, neoangogenesis, anti-inflammatory effect)
- Stimulation of growth factors
Patient benefits:
- Non-invasive
- No anesthesia required
- No risk of infection
- No scarring
- No downtime
- Over 80% patient satisfaction
- Faster, easier healing
Focused shockwave indications
ESWT is used for the treatment of but not limited to:
- Acute injuries in elite athletes
- Knee & Joint arthritis
- Bone and Stress Fractures
- Shin Splints
- Osteitis Pubis -Groin Pain
- Insertional Achilles Pain
- Tibialis Posterior Tendon Syndrome
- Medial Tibial Stress Syndrome
- Haglunds Deformity
- Peroneal Tendon
- Tibbialis posterior ankle sprain
- Tendinopathies and Enthesopathies
- Male Impotence or Erectile Dysfucntion (ED)
- Chronic Pelvic Pain / Peyronie’s
- Delayed bone-non unions/bone healing
- Wound Healing and other dermatological and aesthetic indications
- Many other musculoskeletal conditions