Extracorporeal Shockwave Therapy (ESWT) is a multidisciplinary device, its main assets are fast pain relief and mobility restoration. Together with being a non-surgical therapy with no need for painkillers makes it an ideal therapy to speed up recovery and cure various indications causing acute or chronic pain. ESWT forces your body to create new tissue cells in the damaged area. Expect gradual healing to take place over days, weeks or months.
Acoustic waves with high energy peak used in Shockwave therapy interact with tissue causing overall medical effects of accelerated tissue repair and cell growth, analgesia and mobility restoration. All the processes mentioned in this section are typically employed simultaneously and are used to treat chronic, sub-acute and acute conditions.
- Stimulation of Collagen Production
The production of a sufficient amount of collagen is a necessary precondition for the repair processes of the damaged myoskeletal and ligamentous structures. Shockwave therapy accelerates procollagen synthesis. The therapy forces the newly created collagen fibers into a longitudinal structure which makes the newly formed tendon fibers denser and stiffer and creates a firmer structure.
- Dissolution of Calcified Fibroblasts
Calcium build-up is most often a result of micro-tears or other trauma to a tendon. Acoustic waves break up the existing calcifications. Shockwave therapy starts the biochemical decalcification of the calcium build-up of a toothpaste-like consistency and treats the tendon. The granular particles of calcium are then removed by the lymphatic system.
- Dispersion of Pain Mediator
Substance P is a neurotransmitter that mediates pain information through C-fibers. This neuropeptide is generally associated with intense, persistent and chronic pain. It relays pain messages to the central nervous system. Lowering the concentration of Substance P reduces the stimulation of afferent nociceptive fibers and thus reduces the pain. Decreasing Substance P, histamines and other nociceptive metabolites also helps inhibit development of inflammatory edema. Acoustic waves generated by Shockwave therapy lower the Substance P concentration and trigger pain relief.
- Release of Trigger Points
Trigger points are the principal cause of pain in the back, neck, shoulder and limbs. They are associated with palpable nodules in taut bands of muscle fibers and have extremely contracted sarcomeres. The dysfunctional sarcomeres contract so tightly that they begin to cut off their own blood supply. This causes the waste products to build up. Waste product build-up irritates the sensory nerve endings which then causes even more contraction. This vicious cycle is referred to as “metabolic crisis”. The assumed mechanism of action is that the delivered acoustic energy unblocks the calcium pump and thus reverses the metabolic crisis in the myofilaments and releases the trigger points.
- Aids in Weight Loss
Shockwave therapy not only helps reduce the production and look of cellulite, but breaks down enlarged fat cells, restores connective tissue, improves muscle tone, improves skin elasticity, promote lymphatic drainage (elimination of toxins/waste), improve blood flow/circulation, promotes increased production of collagen, reduces the appearance of stretch marks and scars and also tightens, firms and smooths out loose skin. The therapy will also help to stimulate collagen production, rejuvenate connective tissue, improve elasticity of the skin and give skin an overall firmer, smoother and tighter appearance.