High-pressure acoustic waves are passed through the body in order to get pain relief along with the tissue repair.
History Of Shock Wave Therapy:
Shockwave treatment is used for the breakdown of the renal calculi. It is known as Lithotripsy treatment. It is originally developed to avoid the surgery for the removal of kidney stones. Kidney stone treatment also increases the recovery of chronic musculoskeletal conditions. This has opened the new doors of research on the use of shock wave for musculoskeletal problems since the early 1900s.
A principle of Shockwave Therapy:
When a high-intensity sound wave is passed through the body, it will break down the scars. As a result, new tissue generation starts. There will be neovascularization in order to provide the essential components for the synthesis of the new tissues. It causes the resolution of the chronic inflammation and also stimulates the formation of the collagen.
A technique of Application Of Shockwave Therapy:
Two main types of shock wave machines are available. One is low energy, while the other is high energy machine. Whenever high energy treatments are required, the treatment is done in the operating room by giving the patient regional or general anesthesia. on the other hand, when low energy treatments are required, they can be done without any regional or general anesthesia.
However, nowadays only low energy treatments are usually given. With the placement of the probe of the shock wave machine requiring treatment. Then the shock waves are passed for the recommended time period.
A dosage of Shockwave Therapy:
There are 5 sessions of dosage of shockwave therapy. Most of the time it takes about 10-15 minutes.
Indications of Shockwave Therapy:
- plantar fasciitis/heel spur (calcaneal spur)
- Achilles tendinopathy
- Gluteal tendinopathy
- proximal hamstring tendinopathy
- Calcific tendonitis of the shoulder
- Patellar tendinopathy
- Tennis elbow (lateral epicondylitis)
- Other forms of insertional tendinopathy
other musculoskeletal problems:
- Muscle strains
- Calcified Hematomas
- Shin splints
- Osteitis pubis
- Recalcitrant trigger points
- Osgood Schlatter Disease
- Coagulation disorders and the use of anticoagulants
- Polyneuropathy as in diabetes
- Cortisone injections within one month before the Shock Wave Therapy treatment
- Any cardiac or circulatory problems
- Nerve or blood supply that is passing close to the area of the treatment
- Don’t take NSAIDS one week before the treatment.
- After the treatment avoids to use ice.
- Avoid using anti-inflammatory drugs after the treatment.