![]() ![]() This process is referred to as mechanotransduction. Effectiveness of focused ESWTĮxtracorporeal shockwaves can be seen as a mechanical stressor that is able to induce biochemical changes in living tissue and which can ultimately influence gene expression in cells at the molecular level, consequently, when used selectively, they can produce a specific tissue reaction. On the basis of the patient’s general condition, the experienced, trained medical user in charge must decide whether the planned use is possible or not. It also should not be used in conditions or at locations where gas or air is present in the body. It is currently not used in areas where an infection is present. ESWT is also not used in pregnant patients and at locations where there is an open growth plate. In addition, shockwave technology is a valuable diagnostic tool for the precise localization myofascial trigger points.ĮSWT is typically not used in the presence of bone tumors, certain metabolic bone conditions, and certain nerve or circulation disorders. The use of ESWT to safely and successfully treat these conditions is supported by a wealth of clinical experience and scientific evidence. Common conditions such as Tennis Elbow, Golfers Elbow, calcaneal heel spurs, calcifications of the shoulder joint and ischemic muscle bands (trigger points) are a major cause of chronic pain. Conditions treatable with ESWTĬhronic pain is recognized as a worldwide epidemic. In the process of treating hundreds of thousands of patients, specialized machines were developed specifically with the idea of using the generated shockwaves in other parts of the body, e.g. The technique of using shockwaves to break up kidney stones has been around for nearly a quarter of a century. The science behind ESWT is analogous to that of lithotripsy, a technology that makes use of acoustic shockwaves to break up kidney stones without surgery. The primary means by which extracorporeal shock waves affect living tissue is based on the transformation of mechanical stimuli into biochemical or biomolecular signals. They cause an improved local blood circulation and metabolism. The shock waves used in ESWT focus or develop in the target tissue at the point where the pain is originating from. Acoustic shock waves are characterized by a pressure surge with an extremely short rise time, which is then followed by an exponential drop in pressure and a brief phase of negative pressure. Shockwave Therapy Basic principle of extracorporeal shockwave therapyĮxtracorporeal Shock Wave Therapy (ESWT) is a non-invasive procedure for the treatment of acute and chronic pain of the musculoskeletal system. ![]()
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