Shockwave Therapy (ESWT) - Ortokinetic

Treatments

Shockwave

Shockwave is a new technology that uses shockwaves to treat chronic musculoskeletal pain. Shockwave therapy is based on the generation of a very intense energy in a very short period of time (10 milliseconds), the shockwave thus penetrating the tissues at a speed faster than the speed of sound.

 

How does it work?

  • The shock wave creates a mechanical pressure on the affected tissues, which leads to increased cell permeability, thus increasing microcirculation and cellular metabolism, thus accelerating healing and dissolving scale deposits.
  • Shock waves act on pain through 2 mechanisms
  • anesthetic hyperstimulation – when the nerves on which the shock waves act are hyperstimulated so much that they decrease their activity is a temporary effect that appears at the first session.
  • Then by further stimulating the nerves, in the following therapy sessions, the threshold is crossed, thus a recalibration of the perception of pain sensation occurs

What does shockwave therapy do?

  • eliminate pain
  • promotes healing
  • increases local circulation thus improving tissue metabolism
  • increases collagen production
  • relaxes the muscles
  • dissolves calcified fibroblasts

Advantages of shockwave therapy:

  • effective in 70-80% of cases
  • treating chronic pain
  • increasing mobility
  • without medication
  • short-term therapy 10-20 min
  • non-surgical, non-invasive treatment

It can treat the following conditions

  • Plantar Fasciitis – Calcaneal spur occurs under the heel or behind the heel and is due to long-term inflammation of the plantar fascia or Achilles tendon where it attaches to the calcaneus. Shockwave therapy is able to eliminate the symptoms so that you can once again walk with full force on the foot without pain.
  • Hip pain – a trochanteric bursitis that forms between the gluteus maximus and the trochanter.
  • Knee pain – patellar tendinitis manifested by pain at the patellar tendon insertion
  • Pain in the Achilles tendon – Achilles tendinitis that can occur after activities such as running, jumping or other traumas
  • Shoulder pain – Shockwave therapy has proven effective in 81% of cases by reducing pain and increasing shoulder mobility.If you have a sports activity that requires shoulder, or a pain when lifting your arm it is possible to get rid of it without surgery
  • Elbow pain – medial and lateral epicondylitis is the inflammation of the tendon insertions of the arm muscles and is manifested by pain in the elbow accentuated by movement and especially rotation of the forearm
  • Back pain – If your back hurts, you’re not alone. Almost everyone at one time or another has suffered from back pain at work, during daily activities, or on vacation. Americans spend nearly 50 billion dollars a year treating back pain, making it the second most common neurological condition.

Questions:

How long does a session last?

A session lasts between 10-20 minutes. Between 3-5 sessions are necessary, with a break between them of 5-10 days.

What is the success rate of this treatment?

Worldwide statistics show a success rate of 77-81%

Is this treatment painful?

Depending on the intensity of the pain each patient presents with, the treatment can be slightly uncomfortable for the patient, but the intensity of the treatment is adapted to the degree of tolerance of each patient

Is there pain after the shockwave session?

Immediately after treatment, the pain disappears completely, but a slight discomfort may appear later, which may last from a few hours to a few days. During this period, no ice or anti-inflammatory drugs should be used. It is recommended to rest the treated area for 48 hours.

Are there contraindications?

Yes, there are the following contraindications or precautions:

  • cortisone infiltration must be done at least one month before shockwave therapy
  • concomitant administration of anticoagulant drugs such as heparin or fraxiparine
  • tumor formations in the treated area
  • task
  • diabet

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