What Exactly Is Shockwave Therapy?
Extracorporeal Shockwave Therapy (ESWT) was first used in the 1980s for the treatment of kidney stones called lithotripsy. Since then, it has been technologically advanced to be utilized in multiple medical conditions. ESWT is a non-invasive treatment method used in various medical fields, particularly orthopedics, sports medicine, and rehabilitation. It involves delivering ballistic sound waves to targeted tissues to promote healing, reduce pain, and improve functionality.
How Does Shockway Therapy Work?
Kinetic energy is converted into mechanical focused shockwaves. The shockwaves cause microtrauma in the treated tissue, triggering a healing response. This response includes increased blood flow, stimulation of cellular activity, and the release of growth factors, which can accelerate tissue repair and regeneration by stimulating the natural healing process.
Additionally, ESWT may reduce calcifications and break up scar tissue.
Shockwave Applications For The Lower Extremities
ESWT is beneficial for the following musculoskeletal conditions:
- Plantar Fasciitis (70-90% success rate)
- Achilles tendonitis
- Peroneal Tendonitis Trigger points
- Wound healing (e.g., diabetic ulcers)
What To Expect At A Shockwave Therapy Appointment
When a patient comes in for a Shockwave Therapy appointment, the shockwave device is
calibrated for the appropriate energy levels, frequency, and depth and brought into contact with
the treatment area. A ballistic sound wave is emitted from the ESWT machine into the treatment
area. Treatments are typically performed once a week for 5-7 sessions, depending on the
condition.
Benefits Of Schockway Treatments
ESWT is a great option for patients with musculoskeletal conditions who are also looking for
non-invasive treatment options with minimal side effects and short treatment duration. ESWT
may reduce the need for surgery or long term medication and it encourages natural tissue
repair.
The Risks and Side Effects Of Shockwave Therapy
Patients may experience temporary pain or discomfort during or after treatment. Because
ESWT causes microtrauma to the treatment area, redness, swelling, or bruising may occur. In
rare cases, patients may experience an aggravation of symptoms.
Contraindications
Shockwave Therapy is not recommended for patients with bleeding disorders, blood thinning
medications, cancer near the treatment site, or who are currently using antiinflammatories.
Coverage
Although FDA approved for the treatment of plantar fasciitis in 2000, ESWT is not covered by
most insurances outside of lithotripsy for kidney stones.
