Shockwave therapy is used to successfully treat a growing number of tendon, joint and muscle conditions. These include plantar fasciitis, tennis elbow, chronic tendonitis of the knee, shoulder rotator cuff pain, Achilles tendonitis and hamstring tendonitis. Please click the following link for more research information Research booklet RPW
The above conditions are often difficult to treat using other methods and can become chronic. With shockwave therapy, patients report reduced pain and faster healing, without significant side effects.
Shock waves stimulate angiogenesis (new blood vessels) and neurogenesis (new nerve cells). During shockwave treatment the cells undergo micro trauma which promotes the inflammatory processes that are associated with removing damaged tissues and stimulating wound healing mechanisms.
The Science: A shock wave is an intense, short energy wave that moves faster than the speed of sound. They are typically characterized by: High positive pressures of more than 100 MPa Extremely short rise times (about 10 microseconds) Fast pressure rises (less than 10 nanoseconds) Narrow effective beams (2-8mm diameter)
When a pressure wave passes through the human tissue, it produces physiological and therapeutic effects. It is believed that four phases are involved in producing these therapeutic effects.
1) Phase one is the direct effect of the shock. Mechanical pressure directly affects the cells in the tissues being targeted for treatment.
2) Phase two is the physical-chemical phase which influences the metabolism in the cell, increasing their activity to promote healing.
3) Phase three is the chemical phase which may be accompanied by molecular changes and intracellular reactions.
4) The last phase, phase four, involves physiological responses to the first three phases.
These physiological responses lead to:
– Faster and long-term healing.
– Regeneration of the tissue.
Shockwave Therapy can help to:
– Reverse chronic inflammation that is very common in conditions such as plantar fasciitis.
– Stimulate collagen production, which is a vital substance in natural tissue repair.
– Dissolution of calcium fibroblasts which are often part of the problem in chronic shoulder pain.
Does it hurt?
Sometimes the treatment is a bit painful, but most people can normally tolerate this. If you cannot tolerate it, please let your practitioner know, as the dose can be amended to ensure you are comfortable. It is also normal to feel a little tender on the area that has been treated during your session. Our team at Cram Osteopaths will advise you how to keep this at a minimum and what activities to avoid directly after your treatment.
The National Institute for Health and Care Excellence (NICE), have issued guidance on ESWT to UK clinicians for a number of clinical indications. NICE state ESWT raises no major safety concerns.
Cram Osteopaths are one of only a few clinics in Scotland that offer both focused and radial shockwave therapy treatment.