Extra Corporeal Shockwave Therapy (ESWT)
How does shockwave therapy work?
Sound waves are mechanical, they cause ripples in dense connective tissue and scar tissue to break it down. This action also stimulates increased blood vessel formation to help transform scar tissue into more healthy normal tissue. The proposed mechanisms of action for ESWT at the site of treatment include the following:
- Promote natural formation of new blood vessels.
- Reversal of Chronic inflammation
- Stimulation of collagen production
- Dissolution of calcification
- Dispersion of pain mediating substances.
- Release of trigger points and fascial densifications.
Shockwave therapy has shown to effectively treat the following conditions:
- Feet – heel spurs, plantar fasciitis, Achilles’ tendonitis
- Elbow – Tennis and golfer’s elbow
- Shoulder – Rotator cuff tendinosis and frozen shoulder
- Knee – patellar tendonitis, Jumper’s knee
- Hip – Trochanteric Bursitis, Piriformis syndrome.
- leg – shin splints and Iliotibial band syndrome
- Back and neck pain caused by scar tissue, tendonitis, adhesions, muscle tightness
Multiple high-quality randomized clinical trials have provided substantial evidence that ESWT is a safe and effective non-invasive option for treatment throughout the musculoskeletal system.
Shockwave treatments are not painful. When the sound waves pass through normal, flexible, and hydrated tissues and bones, it simply passes through without any disturbance or sensation. When the waves hit dense and dehydrated scar tissue the receiver feels an achy feeling. This is how we know exactly where to work. The intensity of the machine can but turned up or down accordingly. Treatments last about 10 min.
Fascia is a type of white connective tissue that is strong and flexible. It serves as the pliable foundation for all the soft tissues in our body. Fascia layers separate muscles and forms slings to support organs, and creates compartments for blood vessels and nerves to pass through. Fascia can vary greatly in size from a thin invisible netting under the superficial skin to large broad bands, and thick base layers against the bones.
Fascia can tear during injury and become inelastic with chronic inflammation. It can develop sticky adhesions or restrictions that either binds things too tightly or causes them to become too rigid. These cause pain and other strange sensations that do not respond to regular massage.