Shockwave Therapy

Shockwave therapy at Whanganui Osteopathy

Shockwave Therapy (SWT) or Radial Pressure Wave Therapy (RPWT) is a fast and effective treatment for common tendon and other soft tissue injuries. It can be used as a standalone treatment or, more often, we use if as part of a comprehensive care package along with rehabilitative exercise, manipulation etc.

SWT is effective for tendon injuries such as achilles, hamstring, gluteal tendinopathy, plantar fasciitis, tennis or golfers elbow and rotator cuff injures. It can also be very effective for the treatment of trigger points and chronic muscular conditions.

What is a tendon injury?

Tendons are the very strong and dense fibrous tissues that connect muscles to bones. As they anchor the muscles to the bones they need to be remarkably strong and have one of the highest tensile strengths of any of the body’s soft tissues.

Tendons can become damaged via sudden trauma as in acute sports injuries or by gradual process change resultant from repetitive loading of the tendon over time. The more acute injuries may require surgical intervention if there is evidence of significant tear or rupture. Those not requiring surgery can often be rehabilitated with appropriate prescriptive exercise in the context of addressing any underlying mechanical issues.

Poorly rehabilitated injuries or chronic presentations are more challenging to treat and this is where SWT becomes a very effective intervention.

The shock waves that are produced by the SWT machine are acoustic waves that are introduced to the body by means of a transmitter and handpiece and they then radiate outwards from the point of contact. The pressure waves produce an effect at a cellular level in the tissues being treated. These are beneficial for healing and blood flow, and the formation of new blood vessels that create an improved environment for tissue repair.

Results:

Most people experience an immediate improvement in their symptoms which is the result of influencing the body’s pain regulating mechanisms resulting in local pain relief.

Over time, SWT has been shown to help assist in tendon remodelling and healing through the normal effects of inflammation encouraging cell regeneration  and tissue repair.

Chattanooga Radial Pressure Wave Machines.

At Whanganui Osteopathy we chose Chattanooga. Chattanooga are world leaders in the development of Shock Wave Machines with robust research supporting their efficacy and excellent customer support.

Clinical Studies

  1. Ioppolo F et al. Clinical application of shock wave therapy (SWT) in musculoskeletal disorders. Eur J Phys Rehabil Med. 2014 Apr;50(2):217-30.
  2. Raza A et al. Extracorporeal Shockwave Therapy for Peripheral Arterial Disease: A Review of the Potential Mechanisms of Action. Ann Vasc Surg. 2017 Nov;45:294-298.
  3. Cristina d'Agostino M et al. Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg. 2015 Dec;24(Pt B):147-53.
  4. Facchin F et al. Physical energies to the rescue of damaged tissues. World J Stem Cells. 2019 Jun 26;11(6):297-321.
  5. Schmitz C et al. Pain relief by extracorporeal shockwave therapy: an update on the current understanding. Urol Res. 2009 Aug;37(4):231-4.
  6. Gleitz M et al. Orthopedic trigger point shock wave therapy with focused and radial shock waves: a review of the current situation. Orthopädische Praxis 42, 5 (2006), 303-12.
  7. Lou J et al. Effectiveness of Extracorporeal Shock Wave Therapy Without Local Anesthesia in Patients With Recalcitrant Plantar Fasciitis: A Meta-Analysis of Randomized Controlled Trials. Am J Phys Med Rehabil. 2017 Aug;96(8):529-534.
  8. Beyazal MS et al. Comparison of the effectiveness of local corticosteroid injection and extracorporeal shock wave therapy in patients with lateral epicondylitis. J Phys Ther Sci. 2015 Dec;27(12):3755-8.
  9. Gerdesmeyer L et al. Current evidence of extracorporeal shock wave therapy in chronic Achilles tendinopathy. Int J Surg. 2015 Dec;24(Pt B):154-9.
  10. Cacchio Aet al. Effectiveness of Radial Shock-Wave Therapy for Calcific Tendinitis of the Shoulder: Single-Blind, Randomized Clinical Study. Phys Ther. 2006 May;86(5):672-82.
  11. Leung R et al. What are patients' knowledge, expectation and experience of radial extracorporeal shockwave therapy for the treatment of their tendinopathies? A qualitative study. J Foot Ankle Res. 2018 Apr 5;11:11.

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