Your Health Matters

Shockwave therapy – what it is, what it’s for and what it’s not for

What is Shockwave Therapy?

Shockwave therapy involves the application of acoustic waves to the affected area of the body.

Shockwave therapy is delivered via a mechanically powered handpiece that generates shockwaves, which are transmitted into the tissues.  A single session will usually consist of between 2000-3000 pulsed shockwaves delivered over 3-5 minutes.

Usually between 3-5 sessions are required, spaced 5-10 days apart.

Shockwave therapy has been shown to:

  • Deplete substance P in the tissues via prolonged activation of C-nerve fibres (leading to an immediate analgesic effect)
  • Promote expression of growth factors
  • Reduce neurogenic inflammation leading to ongoing analgesic effect
  • Promote the formation of new blood vessels (angiogenesis) while stimulating blood supply, fostering faster healing of treated tissues
  • Induce mechanical muscle relaxation
  • Improve movement of tendon gliding due to increased amounts of Lubricin
  • Stimulate tendon remodelling
  • Stimulate proliferation and differentiation of osteoblasts
  • Stimulate proliferation of tenocytes
  • Stimulate Collagen synthesis

Over 80% of patients report significant improvements in their tendon pain with a course of Shockwave therapy treatment. Shockwave may be a viable, lower risk alternative to cortisone injections and surgery for certain conditions.

Conditions Treated by Shockwave Therapy

Shockwave therapy has shown efficacy in treating a variety of conditions, particularly those related to musculoskeletal pain. One of the keys to success with shockwave treatment is ensuring it is being used for the right condition or reason. Here are some common examples:

  1. Plantar Fasciitis

Plantar fasciitis is one of the most prevalent conditions treated with shockwave therapy. This painful condition affects the fascia, a thick band of tissue running along the bottom of the foot. Shockwave therapy helps to reduce inflammation and promote healing in the affected area, allowing patients to return to their normal activities with less pain.

  1. Tendinopathies (tendinitis)

Chronic tendinopathies, which can occur in various locations such as the elbow (tennis elbow), shoulder (rotator cuff tendinitis), lateral hip pain (gluteal tendon) and Achilles tendon, can benefit significantly from shockwave therapy. The treatment can help reduce pain and stimulate the repair of damaged tendons. Shockwave has been shown to be most effective in tendon pain that hasn’t responded well to other treatments, or has lasted for longer than 4-6 weeks.

  1. Calcific tendonitis of the Shoulder

Calcific tendonitis is characterized by the accumulation of calcium deposits in the shoulder tendons, leading to severe pain and restricted movement. Shockwave therapy aids in reducing pain and breaking down the calcium deposits, facilitating improved mobility.

  1. Achilles Tendinopathy

Athletes and active individuals often suffer from Achilles tendinopathy. Shockwave therapy can help reduce pain, promote healing, and restore function in this critical tendon, enabling athletes to return to their sport more quickly.

  1. Osteoarthritis

There is some growing evidence that shockwave treatments can also be beneficial in reducing pain for sufferers of arthritis. As with most treatments, shockwave alone will not be as beneficial as a multi-modal approach incorporating strengthening, exercise and weight management.

When Shockwave Therapy May Not Be Appropriate

While shockwave therapy can be an effective treatment for many, it is not suitable for everyone. Here are some instances when shockwave therapy might be inappropriate:

  1. Pregnancy

Pregnant women should avoid shockwave therapy, particularly in the abdominal or pelvic regions, as the effects of acoustic waves on a developing foetus are not well understood. Shockwave should be safe for treatment say on the foot, but a full assessment with your health professional should be conducted first before making decisions on treatment.

  1. New pain and Injuries

Even for tendonitis, and new (or acute) tendonitis issue doesn’t generally respond to shockwave therapy as well. This is because in the early stages there are different chemical and healing processes at play. The same goes for acute sprains and strains. Shockwave tends to be more effective for ongoing or persistent soft tissue issues

  1. Infections or Tumours

Shockwave therapy should not be applied to areas with active infections or tumours, as it can exacerbate these conditions or interfere with medical treatments.

  1. Blood Clotting Disorders

Individuals with blood clotting disorders or those on anticoagulant medication should consult their healthcare provider before undergoing shockwave therapy, as the treatment may increase the risk of bleeding.

  1. Severe Osteoporosis

Patients with severe osteoporosis may be at increased risk for fractures and may need to avoid shockwave therapy to prevent complications.

As part of any treatment or management plan – our team would always provide a full assessment prior to any treatment and determine which treatments would be the most effective, and safe. If we do not believe shockwave would be safe or beneficial for your condition, we would provide you with the most beneficial alternative treatment.

Shockwave therapy represents a promising and effective treatment option for a range of musculoskeletal conditions, providing patients with a non-invasive means to manage pain and accelerate healing. However, it’s essential to consult with a qualified healthcare professional to determine if shockwave therapy is appropriate for your specific condition. At our clinic, we are committed to offering personalized treatment plans that incorporate the latest advancements in physiotherapy to help you achieve optimal health and well-being. If you think shockwave therapy might be right for you, reach out to us today to schedule a consultation! Our physiotherapists Nick, Ethan and Duncan; and our Podiatrist Dr Dimitri all have additional training in using Shockwave Therapy. You can read more about our Shockwave therapy services here.

Back to all posts
Call Book Ask Shop
x