Complimentary Focused and Radial Shockwaves or there are two types of Extracorporeal Shockwave Therapy Radial and Focused (ESWT) and now in 2021 Extracorporeal Magnetotransduction Therapy (EMTT)
Acclerated Healing Through Natural Responses
Radial Pressure Waves has a depth of up to 3 to 4 cm slow impulse and low energy for Superficial treatment depths, large treatment areas Large muscle groups such as hamstrings calve muscles shoulder muscles, plantar fasciitis Myofascial Pain Syndrome Chronic Tendinopathies
Focused Shockwaves have a depth of penatration of 12 cms Faster impulse high energy This is a more expensive shockwave device so it is less common however this is probably the more useful shockwaves for the high performance athlete which a greater risk of boney pathologies such as stress fractures
Helen has been using shockwave therapy for over 2 years but in fact it is not anything to do with electricity the some reason it’s called shockwave therapy. As you can see from this presentation shockwave therapy is in fact only pressure waves and it was introduced in the last 30 years. The therapeutic pressure waves were introduced as a medical treatment for eliminating kidney stones 20 years ago. Some of the side-effects discovered during these treatments were the effects on bone healing as well as accelerated tissue healing in this area. The radial pressure waves are pulses generated by compressed air.
So in fact shockwave therapy should not be called shockwave it should in fact be called compressed air which is used to drive a projectile in the cylinder inside the handpiece to our shock transmitter. So maybe that is why it’s called shockwave because the transmitter transmits the pressure waves there is no reason for this treatment to ever be painful it has to be to one’s own tolerance.
Pressure wave treatment is only part of your treatment and consultation it is very much just to reduce muscle spasm help tendons to heal and recover a bit better this has to be only a small part of your treatment. This treatment is enormously helpful at easing chronic back muscles spasms even spasms which occurred after severe or mild sciatic pain once the sciatic pain has eased the muscle spasms can be reduced by some low level pressure waves.
In the last two year has Helen has noticed a huge increase in interest in the use of pressure wave therapy both here in Scotland and a massive increase in England.
It is just part of the rehabilitation process and should not be seen as the major rehabilitation process.
Shockwave therapy as you can read from these lecture notes actually has been around for well over 20 years being used for kidney stones in hospital settings
Storz Medical AG founded 1987 30 Year`s Aniversary
Below is some of the many studies and literature on shockwaves
Abdelkader(2021)- rSWT for Achilles Tendinopathy – Double Blind RCT Moretti(2009)- SWT in Rx of Stress FracturesElster(2010)- SWT for Tibial Non-UnionAlkhawashki(2015)- SWT for Fracture Non-UnionHaffner(2016)- SWT for Tibial Non-UnionAbdelkader(2021)- rSWT for Achilles Tendinopathy – Double Blind RCTCarlisi(2018)- fSWT in GTPS – RCTlin(2015)- swt in coccydynia – rctmarwan(2014)- swt in coccydynia – case series1.plantar fascia eswt original_recurrence-pfaqil(2013)- eswt for ch pf – rctgerdesmeyer(2008)- swt for pt – multicentre rcthaghighat(2016)- swt in chronic refractory coccydynia