THERAPIES AVAILABLE

Shockwave herapy

What are shock waves?
Shock waves are audible high-energy sound waves. They occur in the atmosphere, for example during lightning strokes, or when aeroplanes break through the sound barrier.

In the medical world, shock waves have been used since around 1980 to disintegrate kidney stones, for instance. In modern pain therapy, shock wave energy is conducted from the place of its generation – the shock wave generator – to the painful body regions, where it unfolds its healing capacities.

What are the effects of shock waves?

Shock waves accelerate the healing process by mobilising the body's self-healing powers. They stimulate metabolic activity and improve blood circulation. Damaged tissue gradually regenerates and eventually heals.

Which disorders can be treated?

  • Shoulder pain, e.g. shoulder calcifications
  • Tennis or golfer's elbow
  • Patellar tendinitis (»Jumper's knee«)
  • Shin pain/Tibial stress syndrome
  • Achilles tendon pain
  • Heel pain
  • Chronic neck, shoulder and back pain
  • Muscle tension caused by painful muscular nodules (trigger points)
  • Hip joint pressure pain (greater trochanter pain)

If performed by qualified therapists, extracorporeal shock wave therapy has virtually no risks or side effects.

FAQ

WHAT IS EXTRACORPOREAL RADIAL SHOCK WAVE THERAPY?

Shock Wave Therapy is an exciting new non-invasive procedure carried out in Bray AcuPhysio sport injury clinic

The sound waves promoted during the treatment stimulate healing for many physical disorders including:

  • Plantar Fasciitis

  • Tennis Elbow

  • Golfers Elbow

  • Achilles Tendonitis

ESWT has been reviewed by National Institute for clinical excellence (NICE) and it has been approved by many months of research by the Wimbledon Clinic Apparatus Committee.No anaesthetic, medication or surgery is required. Once you have had an assessment from one of our musculoskeletal therapist, treatment can start straight away.

Extracorporeal Radial Shockwave Therapy is a series of high-energy drummings to the affected area. The shockwave is a supersonic sound wave "shock", not an electric one. The feeling is like having a small bass speaker close to the skin.

HOW DOES IT WORK?

  1.  A Shock Wave is produced in the hand piece which is coupled to the skin by a transmission gel.

  2. The Shock Wave is delivered to the tissue via a compressed air impulse exerted by the hand piece .

  3. The Shock Wave radiates out, extending to the entire area where pain occurs.

  4. Per session: approximately 2000 focused impulses at 2.5 bars and 4000 diverging impulses for trigger point treatment.

  5. Shock Wave Treatment produces an 'repair hormone' increase which is essential to quick healing.

  6. The body responds by increasing metabolic activity around the site of pain. This stimulates and accelerates the healing process.

  7. As a almost bonus effect the shock wave breaks down scar tissue and calcifications.

  8. Transmission of pain is blocked.

WHAT’S THE ADVANTAGE?



  • No anesthesia

  • Non invasive

  • No medication

  • No surgery

  • Fast treatment – 30 minutes per session, 3-4 sessions required

  • Fewer complications

  • Virtually painless after treatment

  • Quick recovery and quick results

  • No surgery or other therapy is required and treatment can usually start straight away


SHOCK WAVE THERAPY USED WORLDWIDE TO TREAT:

  1. Plantar Fasciitis – Painful, mostly chronic inflammation of the plantar fascia.

  2. Tennis Elbow - Painful inflammation of the tendon attachment on the medial elbow.

  3. Shoulder Tendinopathy, especially Calcific Tendinitis - Painful limitation of shoulder movement due to calcification.

  4. Golfer’s Elbow - Painful inflammation of the tendon attachment on the lateral elbow.

  5. Trochanteric Bursitis - Painful periostitis of the outer femur.

  6. Jumper’s Knee (Patellar Tendinopathy) - Inflammation of the point of attachment of the patellar ligament.

  7. Shin Splints - Inflammation of the tibial edge due to excessive strain

  8. Achilles Tendinopathy - Painful irritation of the Achilles tendon.

  9. Severs disease - Heel pain in children

Chronic Enthesopathies: 
Painful irritation of tendon attachments due to overexertion or improper strain, or due to degenerative processes.

Acupuncture Points
Pain therapy via treatment of acupuncture points.

Painful Trigger Points
Acute and chronic pain in the back, shoulder, neck, etc, due to permanently shortened and thickened muscles.

WHAT ARE THE BENEFITS OF SHOCK WAVE TREATMENT?

  • This therapy works without the use of X-rays or drugs; it stimulates the body's natural self-healing process.

  • There is actually an immediate reduction of pain and improved ease of movement.

  • Secondary side-effects are minor (redness and small bruising in 10% of people)

  • Shock Wave Treatment may also eliminate your need for surgery.


CAN I PLAY SPORT AFTER TREATMENT?

It must be noted that competitive performance is not advised immediately following treatment with extracorporeal shockwaves. During a period several hours following treatment, pain has been shown to be lower, but the treatment could increase the risk of injury in the event of competitive practice. – Although extracorporeal shockwave therapy hastens repair healing still takes time.


2000 shocks are administered on avarage per session, which last approximately 5-10 minutes on a single area.

For larger areas like in the treatment of ITB (runners knee) more shocks will have to be used to stimulate the entire tissue.

This means treatment time might be longer - 10-15 minutes.


HOW MANY TREATMENTS WILL I NEED?

Normally three treatments are necessary at weekly intervals; there is a small possibility that 2 additional treatments may be necessary if your condition involes a large area.



It is a 5-minute treatment that may be uncomfortable and most people are able to tolerate. However, if you cannot tolerate it, adjustments on the machine can decrease the pressure you feel.

Most people feel better after treatment but there may be some discomfort, normally described like a "low grade achy feeling”. This may be experienced 24 hours after the treatment. In some cases it can last up to 48 hours and in very rare cases, the ache lasted up to 5 days. However this is normally low level discomfort and is easily manageable.

Studies have shown about 10% of people experience some redness and minor bruising which normally is reported to go quickly 3-8 days.


WILL IT HURT AFTER THE TREATMENT?

People often feel better after the treatment.

This is because the sound waves literally wash the pain causing hormones away. For more information on this you can be read about this effect in the medical effects section.

This should last about 24hrs post treatment some people feel like they have had a strong massage. The minor discomfort is natural healing response and is a good sign.



WHAT SHOULD I DO IF I AM IN PAIN AFTER THE TREATMENT?

The shockwave will trigger an inflammatory response, which is the body's natural process of healing. For this reason, do not use anti-inflammatory medications. Do not use ice. The pain should subside within 24 hours. Use paracetomol if necessary, provided you have no trouble with this medication.


WHAT IF IT FEELS GOOD AFTER THE TREATMENT?

Even if it feels good, we recommend decreased activity for 48 hours following the treatment. 



WHAT IS THE SUCCESS RATE OF THIS KIND OF TREATMENT?

 A successful treatment is considered as a patient having at least 75% reduction in pain within 3 months. Worldwide, success rates are around 80 to 90%.



WHAT IF IT DOESN'T WORK FOR ME?

Although the short-term effects alone are exceptional, the fullest long-term benefits may take up to 3-4 months. If after this time there has not been any marked improvement, you should see your doctor for further treatment options.



ARE THERE CONTRAINDICATIONS AND/OR PRECAUTIONS?

Contraindications

  • Coagulation disorders, thrombosis, heart or circulatory patients

  • Use of anticoagulants, especially Marcumar, Heparin, Warfarin & Coumadin

  • Tumour diseases, carcinoma, cancer patients

  • Pregnancy

  • Polyneuropathy in case of diabetes mellitus

  • Acute inflammations in the target area

  • Cortisone therapy up to 6 weeks before first treatment

Side effects

  •  

  • Swelling, reddening, haematomas

  • Petechiae

  • Pain

  • Skin lesions after previous cortisone therapy

WHY AM I ASKED TO SIGN A CONSENT FORM?

Pain can increase temporarily. Bruising and or swelling are also possible in 10% of people under going the therapy. We want you to be informed of all aspects.