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SHOCKWAVE
Extracorporeal Shockwave Therapy (Shockwave) is a modality used for the treatment of a variety of musculoskeletal conditions, primarily applied to chronic conditions, particularly those affecting medium to large sized tendons and their insertions on bone. Shockwave stimulates the body’s natural healing process. Additionally, Shockwave has been shown to have a direct effect on local nerve endings resulting in a decrease in pain.
Shockwave therapy works by sending controlled acoustic pressure waves through the skin and into the injured area beneath. During treatment, a handheld applicator is placed directly over the problem site, where it delivers a series of rapid energy pulses into the tissue.The clinician adjusts the pressure level, pulse frequency, and number of impulses depending on the condition being treated and how sensitive the area is. That flexibility allows the treatment to be tailored to each patient rather than applied as a one-size-fits-all approach, which is part of what makes it effective across a range of musculoskeletal issues.A typical shockwave therapy session takes between five and fifteen minutes depending on the condition being treated. During treatment, patients often feel a rhythmic pulsing sensation and may experience some discomfort, particularly over acutely tender tissue. Most people find this manageable, and clinicians can adjust pressure settings accordingly. Understanding how shockwave therapy is used for a specific condition helps set the right expectations, some areas require more pulses or higher pressure than others, and your clinician will calibrate the session based on what your tissue needs.
Shockwave therapy has a well-established track record when performed by a trained professional, and serious adverse effects are rare in the published literature. Shockwave treatments are noninvasive, and there's minimal to no activity restrictions required after the procedure. Documented side effects include skin erythema, mild skin bruising and pain at the application site. Your practitioner will help determine if Shockwave is safe and appropriate for you.
As acoustic energy moves through tissue it helps stimulate cellular activity in the treated area. The body interprets this activity as a signal to begin repair. As a result, tissue that has remained stuck in a slow or incomplete healing cycle can start responding again. This process is one of the reasons shockwave therapy supports meaningful recovery at the tissue level rather than simply providing temporary symptom relief. Shockwave therapy improves circulation in areas where healing has slowed. Treatment helps stimulate the formation of new capillaries, supporting a healthier environment for recovery. Shockwave leads to collagen production increases, supporting the rebuilding of tendons, ligaments, and other soft tissues. The goal is not ongoing symptom management, but meaningful improvement that continues to hold in the months following treatment.
Shockwave therapy has a strong safety profile and is well tolerated by the vast majority of patients – but like any clinical treatment, it’s worth knowing what to expect. Being informed going in makes for a better experience and more realistic expectations around results. Some patients do experience mild, short-lived effects following treatment – most commonly slight redness, localised swelling, or temporary tenderness at the treatment site. These reactions are a normal part of the biological response the therapy is designed to trigger and typically resolve within a day or two. If you have any concerns about how your body is responding after a session, your treating clinician is the right person to speak with.
Shockwave therapy offers a clinically backed, non-invasive approach to treating pain and musculoskeletal conditions that have often proven difficult to resolve through conventional methods including:● Plantar fasciitis.● Chronic tendon pain such as achilles, patellar, rotator cuff etc● Lateral epicondylosis (tennis elbow).● Medial epicondylosis (golfer’s elbow).● Frozen Shoulder● Calcific tendonitis (supraspinatus tendon, etc.).● Patellar tendinosis (jumper’s knee).● Morton’s neuroma.
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