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Shock waves are audible high-energy sound waves. They occur in the atmosphere, for example when lightning strikes, or when aeroplanes break through the sound barrier. In the medical world, shock waves have been employed since around 1980 to disintegrate kidney stones. For pain and soft tissue therapy, shock wave energy is conducted from the place of generation to the painful body regions where it accelerates the healing process by activating the body’s self healing powers (inflammation). The process stimulates metabolism and enhances blood circulation, damaged tissue gradually regenerates and eventually heals. The following are some disorders that can be treated with Shock Wave Therapy:
The effects of shockwave occur across several levels:
1. Cell Level Change – shockwave stimulus affects the chemical environment of tissues at a cellular level. This causes changes to free radicals which boost the release of the substances that help to prevent pain and inflammation.
2. Blood Flow Change – Normal blood flow is critical to the healing process, and shockwaves create a revascularization effect. This type of stimulus redirects new blood flow into the affected area which improves soft tissue healing and regeneration.
3. Muscle Tone Reduction – Shockwave treatment reduces the contractile activity of muscle and can also break patterns of neuro-cognitive pain that are associated with chronic conditions. This effectively decreases muscle tone and spasm, and has specific benefits with eliminating trigger points.
4. Pain Reduction – Shockwave pulses directly affect the nerve fibres that transmit pain signals to our brain. Through the Gate Control Mechanism, shockwaves impact the interneurons in the A-β fibers which prevent the communication of pain.
Along with your treatment, your initial appointment will include an assessment to ensure Shockwave Therapy is both safe and appropriate for your specific problem. Our clinic uses the Storz Shockwave System to deliver treatment, which is the most widely used system for Radial Pressure Wave ECSW in practice. Aside from pre and post treatment prep and clean up, the actual application of shockwave lasts 3-5 minutes. The majority of our patients appreciate the faster rate of improvement when combining rehabilitation with shockwave treatment. After the treatment, the rest of your visit will be spent with your practitioner, who may also use manual therapy, exercise prescription, or other modalities to facilitate rapid recovery.
Most patients experience mild discomfort during treatment, but it is generally well tolerated. The initial discomfort typically fades as the area becomes desensitized as it is being treated. Your physiotherapist will adjust the intensity of stimulus depending on your comfort level, and can gradually ramp it up to minimize discomfort. Shockwave Therapy purposefully creates an inflammatory response in injured soft tissue, so you may also experience mild discomfort following treatment. Patients should not apply ice or take anti-inflammatories after shockwave treatment, as this inflammatory healing response shouldn’t be reduced.
Most conditions require THREE treatments at one-week intervals. However, more chronic or complicated conditions may require up to five treatments. Most patients experience significant improvement while undergoing the first three treatments, and improvements often continue for several weeks. In some cases, improvements can be seen up to three to four months following therapy.
Shockwave Therapy is one of the most widely researched rehabilitation modalities used in physiotherapy clinics, with increasing numbers of scientific studies added each year. The majority of research validates the effectiveness of extracorporeal shockwave, and shows successful treatment rates of up to 90%! References to current research studies on Shockwave Therapy can be found below.
Registered practitioners administer our shockwave treatments, so if you have extended health benefits that include physiotherapy or chiropractic you may have a portion (or all) of your treatment covered. IMPACT Chiropractic and Rehabilitation Centre can also bill directly to most health insurance companies. Please call us for further details.
IMPACT Chiropractic and Rehabilitation Centre
Milton Shockwave Therapy
Contact Us Today! 905-875-4393
Extracorporeal shock wave therapy as a treatment for heterotopic ossification. Physical Therapy Reviews. Aug2013, Vol. 18 Issue 4, p300-307.
Treatment for insertional Achilles tendinopathy: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. Jun2013, Vol. 21 Issue 6, p1345-1355.
A single application of low-energy radial extracorporeal shock wave therapy is effective for the management of chronic patellar tendinopathy. Knee Surgery, Sports Traumatology, Arthroscopy. Feb2013, Vol. 21 Issue 2, p346-350.
Conservative Management of Midportion Achilles Tendinopathy. Sports Medicine. 2012, Vol. 42 Issue 11, p941-967.
Shockwave therapy for chronic Achilles tendinopathy: A double-blind, randomized clinical trial of efficacy. Acta Orthopaedica. Apr2008, Vol. 79 Issue 2, p249-256.
Extracorporeal shock wave therapy in runners with a symptomatic heel spur. Knee Surgery, Sports Traumatology, Arthroscopy. Oct2006, Vol. 14 Issue 10, p1029-1032.
Extracorporeal shock wave therapy promotes cell proliferation and collagen synthesis of primary cultured human tenocytes. Knee Surgery, Sports Traumatology, Arthroscopy. Dec2011, Vol. 19 Issue 12, p2159-2168.
The Efficacy of Extracorporeal Shock-Wave Treatment: A New Perspective. Athletic Therapy Today. Nov2005, Vol. 10 Issue 6, p50-51.