Extracorporeal Shockwave Therapy

Shockwave is a non-invasive treatment that promotes and accelerates the recovery of injured tissue. Shockwave Therapy creates changes in the tissue causing overall effects of accelerated tissue repair, cell growth, analgesia and mobility restoration. All of these are employed simultaneously and are used to treat chronic, sub-acute and acute conditions. Shockwave Therapy is often used in conjunction with Chiropractic treatments and is offered as an alternative to surgery.

Shockwave Therapy can be used to effectively treat the following conditions: 

  • Calcifications
  • Jumper's Knee
  • Adhesive Capsulitis/Frozen Shoulder
  • Tennis Elbow
  • Heel Spurs
  • Insertional Pain 
  • Chronic Tendinopathy 
  • Medial Tibial Stress Syndrome 
  • Hip Pain

Shockwave Therapy will create the following effects: 

  • New Blood Vessel Formation - Blood flow is necessary to start and maintain the repair processes of damaged tissue. Shockwaves create capillary microruptures in tendon and bone. 

  • Reversal of Chronic Inflammation - Mast Cells are one of the key components of the inflammatory process. Their activity may be increased by using pervasive shockwaves. These pro-inflammatory compounds first enhance the inflammatory process and in the next step, will help to restore normal healing and regenerative processes. 

  • Stimulation of Collagen Production - The production of a sufficient amount of collagen is a necessary precondition for the repair processes of the damaged musculoskeletal and ligamentous structures. Shockwave therapy accelerates procollagen synthesis, thereby making the newly formed tendon fibers more dense and stiff, creating a firmer overall structure. 

  • Dissolution of Calcified Fibroblasts - Calcium build up is most often the result of micro-tears or other trauma to a tendon. Shockwave therapy breaks up the existing calcifications. 

  • Dispersion of "Substance P" - Substance P is a neurotransmitter that mediates pain information through C-fibers. It relays pain messages to the central nervous system. Shockwave therapy will lower the concentration of Substance P and create pain relief. 

  • Release of Trigger Points - Shockwave therapy delivers acoustic energy that unblocks the calcium pump, reversing metabolic crisis in the muscles, thereby releasing the trigger points. 

Frequently Asked Questions:

Will Shockwave therapy help me?
Most patients with chronic pain problems have been through various unsuccessful types of treatments. Up to 80% of the same patients worldwide report that Shockwave therapy has helped them eliminate their problem.

Does the treatment hurt?
There may be a slight feeling of discomfort during the treatment, depending on the level of pain the patient is already experiencing in the area. However, since the treatment lasts only about five minutes, most patients are able to tolerate this discomfort. Additionally, the intensity of the treatment can be adjusted throughout the session.

How many treatments will I need?
The number of treatments varies depending on the indication and tissue response. The effect of the treatment is cumulative, so you will typically need more than one (3–5) treatment. Very often though, you will experience relief right after the first treatment.

How often will I need the treatment?
Most indications require 3–5 treatments which are done 3–10 days apart, depending on the patient’s tolerance and their tissue response.

Will I feel any pain after the treatment?
Most patients will experience an immediate pain relief following the treatment. However, within 2–4 hours after the treatment, they may experience some soreness in the treated area. This soreness has been reported as tolerable and not limiting.

Are there any restrictions after the treatment?
It is recommended that patients refrain from physical activity, especially one that would involve the treated region, for about 12 hours following each treatment session.