What is Musculoskeletal shockwave Therapy?

Extracorporeal Shockwave Therapy (ESWT) is a new technology that uses shock waves primarily to treat chronic irritation conditions in the body. Extracorporeal means "outside the body" and refers to sound waves generated outside the body, after which they are directed directly to the site of injury without affecting the surface of the skin. The shockwave is produced by a short intense energy wave that is emitted many times faster than sound. Shockwave treatment can therefore be compared to ultrasound treatment, but the shockwave has a much higher frequency and intensity. The therapeutic shockwave is a further development of the technology used to treat kidney stones.

Since 2007, Sportsfyssen has used a shock wave machine from Richard Wolf with extremely satisfactory results.

Hvad er muskuloskeletal chokbølgeterapi?

Extracorporeal Shockwave Therapy (ESWT) is a new technology that uses shock waves primarily to treat chronic irritation conditions in the body. Extracorporeal means "outside the body" and refers to sound waves generated outside the body, after which they are directed directly to the site of injury without affecting the surface of the skin. The shockwave is produced by a short intense energy wave that is emitted many times faster than sound. Shockwave treatment can therefore be compared to ultrasound treatment, but the shockwave has a much higher frequency and intensity. The therapeutic shockwave is a further development of the technology used to treat kidney stones.

Since 2007, Sportsfyssen has used a shock wave machine from Richard Wolf with extremely satisfactory results.

What types of injuries can be treated with shockwave therapy?

In particular, irritations that occur at the attachment points of tendons and ligaments - so-called tendinitis - in the large joints, such as the shoulder, elbow, hip and knee, can be treated effectively with shockwaves. Below is a list of the causes of damage where shockwaves has so far proven to be most effective.

  • Irritation of the arch of the foot (Plantar fasciitis)

  • Heel spur

  • Runner's knee and jumper's knee

  • Calcifications in tendon tissue (Tendinosis calcarea)

  • Tennis elbow and golfer's elbow (epicondylitis)

  • Stress fracture

  • Irritation of the Achilles tendon (Tendinitis)

  • Pain due to tissue degeneration

What types of injuries can be treated with shockwave therapy?

Især irritationer, der opstår ved tilhæftningssteder for sener og ledbånd – såkaldte tendinitter – i de store led, såsom skulder, albue, hofte og knæ, kan behandles effektivt med chokbølge. Nedenfor ses en liste med de skadestyder, hvor chokbøljen indtil videre har vist sig mest effektiv.

  • Irritation af svangsenen i foden
    (Plantar fascitis)

  • Heel spur

  • Runner's knee and jumper's knee

  • Kalcifikationer i senevæv
    (Tendinosis calcarea)

  • Tennis elbow and golfer's elbow (epicondylitis)

  • Stress fracture

  • Irritation of the Achilles tendon (Tendinitis)

  • Pain due to tissue degeneration

What is the effect of shockwave?

The biological mechanisms of action behind shockwave treatment have not yet been clarified, but much research is being put into it. One of the theories is that the shockwaves affect different chemical mediators (mediators are the cells that signal different mechanisms of action in the body) as well as pain mediators in the damaged area, which then leads to regeneration and renewed healing.

In shockwave therapy, high-energy waves are focused through a parabolic sound head and deposited with an effect that is a hundred times more intense than that seen with ultrasound. Local effects in the area of ​​damage include:

  • Ingrowth of new blood vessels (angiogenesis)

  • Increased local circulation and metabolism (increased metabolism in the area)

  • Stimulates osteoblasts, which are the cells responsible for healing bone tissue

  • Has a pain-reducing effect

Most often, the immediate effect of the shockwave experienced by the patient is caused by the pain reduction that the shockwaves induce in the area of ​​injury. The tissue effects come later (days / weeks).

Treatment course

A typical course of shock wave therapy consists of 3-6 treatments. There are only a few side effects of the treatment in the form of pain during the treatment (very individual) and possibly subsequent soreness and restlessness.

Sources:

WebMD
Mayo Clinic

What is the effect of shockwave?

The biological mechanisms of action behind shockwave treatment have not yet been clarified, but much research is being put into it. One of the theories is that the shockwaves affect different chemical mediators (mediators are the cells that signal different mechanisms of action in the body) as well as pain mediators in the damaged area, which then leads to regeneration and renewed healing.

In shockwave therapy, high-energy waves are focused through a parabolic sound head and deposited with an effect that is a hundred times more intense than that seen with ultrasound. Local effects in the area of ​​damage include:

  • Ingrowth of new blood vessels (angiogenesis)

  • Increased local circulation and metabolism (increased metabolism in the area)

  • Stimulates osteoblasts, which are the cells responsible for healing bone tissue

  • Has a pain-reducing effect

Most often, the immediate effect of the shockwave experienced by the patient is caused by the pain reduction that the shockwaves induce in the area of ​​injury. The tissue effects come later (days / weeks).

Treatment course

A typical course of shock wave therapy consists of 3-6 treatments. There are only a few side effects of the treatment in the form of pain during the treatment (very individual) and possibly subsequent soreness and restlessness.

Sources:

WebMD
Mayo Clinic