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What is shock wave treatment in medicine?

Published in Orthopedic Treatment 3 mins read

Shock wave therapy is a regenerative medicine technique used to treat tendinopathy and difficult-to-heal ligament injuries. Often referred to as an orthobiologic therapy, it's sometimes used to address degenerative tendinopathies associated with calcium buildup in the tendon.

Here's a more detailed look:

  • What it is: Shock wave therapy uses acoustic waves to deliver energy to specific tissues in the body. These waves are short, intense bursts of mechanical energy, similar to sound waves but with a higher amplitude.

  • How it works: The mechanism of action isn't fully understood, but it's believed that shock waves stimulate healing by:

    • Stimulating blood flow: Increasing blood supply to the injured area, bringing essential nutrients and oxygen to promote healing.
    • Reducing pain: Interrupting pain signals and triggering the release of endorphins, the body's natural pain relievers.
    • Breaking down calcifications: Helping to dissolve calcium deposits in tendons, which can contribute to pain and limited mobility.
    • Promoting tissue regeneration: Stimulating the production of collagen and other proteins necessary for tissue repair.
    • Activating stem cells: Encouraging stem cells to migrate to the injured area and differentiate into the necessary cells for repair.
  • Conditions treated: Shock wave therapy is commonly used to treat:

    • Plantar fasciitis
    • Achilles tendinopathy
    • Tennis elbow (lateral epicondylitis)
    • Golfer's elbow (medial epicondylitis)
    • Shoulder pain (rotator cuff tendinopathy)
    • Hip pain (trochanteric bursitis)
    • Non-union fractures (though this is less common)
  • Types of shock wave therapy:

    • Focused shock wave therapy: Delivers the energy to a specific, targeted area.
    • Radial shock wave therapy: Spreads the energy over a larger area.
  • Procedure: The treatment typically involves applying a probe to the skin over the affected area. The shock waves are then delivered in short bursts. Multiple sessions are often required.

  • Effectiveness: Shock wave therapy has been shown to be effective in treating a variety of musculoskeletal conditions, though the results can vary depending on the individual and the specific condition being treated. It's generally considered a non-invasive alternative to surgery.

In summary, shock wave therapy is a non-invasive treatment option utilizing acoustic waves to stimulate healing and reduce pain in various musculoskeletal conditions.

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