EXTRACORPOREAL SHOCKWAVE THERAPY
WHAT IS SHOCKWAVE?
Extracorporeal shockwave therapy (ESWT) is a non-invasive treatment used by allied health
professionals such as physiotherapists, chiropractors and podiatrists to treat musculoskeletal
conditions. These conditions can range from ligament sprains, muscle strains and certain
bone conditions.
HOW DOES IT WORK?
ESWT uses high frequency ultrasound waves that break up soft tissue calcifications, enhance collagen synthesis to stimulates the body’s healing process and promote tissue repair. In short, it uses micro-trauma to stimulate the body to heal the injured tissue.
WHAT CAN IT TREAT?
As mentioned previously, ESWT can treat a multitude of musculoskeletal conditions. Below are some examples of specific conditions that have shown good results following ESWT therapy:
Bursitis
Sub-acromial bursitis (shoulder)
Greater trochanteric bursitis (hip)
Tendon injuries
Tendinopathy of the rotator cuff in the shoulder
Tendon calcifications
Ligament injuries
Rolled ankle
Muscle strains
Overuse injuries
De Quervains tenosynovitis
Shin splints
Iliotibial band (ITB) syndrome
Jumper’s knee
Plantar fasciitis
Certain bone conditions
Heel spur
Stress fracture
Non-union fracture
ARE THERE ANY CONTRAINDICATIONS/PRECAUTIONS?
Pregnancy
Malignancy
Blood clotting disorders
Over joint replacements
Open wounds
Cortisone injections – must wait 6 weeks before commencing shockwave to area
Pacemakers
Disturbed sensory or nervous function e.g. diabetes
ARE THERE SIDE EFFECTS?
There are minimal side effects to shockwave therapy. Some of the most common include:
Redness
Bruising
Tenderness
IS IT PAINFUL?
Depending on the severity of the condition or the pain tolerance of the patient there can be localised discomfort during ESWT. However, it is important to let your practitioner know if it is too painful as the settings can be adjusted to your tolerance.
HOW LONG DOES IT TAKE? HOW MANY SESSIONS DO I NEED?
Each ESWT session can last up to 10-15 minutes depending on the area being treated. Research has shown the best results in 3-8 sessions with a 3-10 day gap in between each session.