Shockwave Therapy
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Sohail Shayfer, M.D.
Orthopaedic Surgeon located in Encino, CA
Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is a non-invasive treatment that utilizes acoustic waves to stimulate healing in injured tissues. Initially developed to break down kidney stones, it has since been adapted for use in orthopedics, sports medicine, and rehabilitation to treat conditions such as plantar fasciitis, tendinitis, and chronic pain. The therapy works by delivering high-energy sound waves (not electricity) to the affected area, promoting increased blood flow, reducing inflammation, and stimulating the regeneration of damaged tissues. This treatment is often favored for its ability to provide pain relief and facilitate recovery without the need for surgery or prolonged downtime.
Shockwave Therapy Q & A
What conditions can be treated with shockwave therapy?
Shockwave therapy can be used to treat a variety of musculoskeletal conditions, including but not limited to the following:
- Plantar Fasciitis: Inflammation of the tissue connecting the heel bone to the toes.
- Achilles Tendinitis: Inflammation of the Achilles tendon.
- Patellar Tendinitis: Inflammation of the tendon connecting the kneecap to the shinbone, also known as jumper's knee.
- Tennis Elbow: Inflammation of the tendons in the elbow, also known as lateral epicondylitis.
- Golfer's Elbow: Inflammation of the tendons in the elbow, known as medial epicondylitis.
- Rotator Cuff Tendinitis: Inflammation of the tendons in the shoulder.
- Calcific Tendinitis: Calcium deposits in the tendons, particularly in the shoulder.
- Trigger Points: Tight areas within muscle tissue that cause pain in other parts of the body.
- Shin Splints: Pain along the shin bone, common in runners.
- Hip Bursitis: Inflammation of the bursae in the hip.
- Stress Fractures and bone marrow lesions: Small cracks in a bone caused by repetitive force or overuse.
- Fractures: It can expedite healing of an acute fractures or help in cases of non-union where the bone has not healed.
- Post-surgical: It has proven to help the tissue heal more faster and more reliably after surgery such as rotator cuff repair.
How is shockwave (sound wave) therapy delivered?
Shockwave therapy is delivered through a non-invasive procedure using a specialized device. Here's a step-by-step overview of the process:
- Preparation: The patient is positioned comfortably, and the area to be treated is identified. A conductive gel is applied to the skin to ensure efficient transmission of the sound waves.
- Device Setup: A handheld device connected to the shockwave generator is used. The device has a probe that emits the shockwaves.
- Application: The therapist or physician places the probe against the treatment area. The device generates high-energy acoustic waves that penetrate the skin and underlying tissues.
- Treatment Session: The device delivers a series of shockwaves to the targeted area. The number and intensity of shockwaves can be adjusted based on the condition being treated and the patient's tolerance. Sessions typically last between 10 to 20 minutes.
- Frequency: Shockwave therapy usually requires multiple sessions, often scheduled weekly over a period of 3 to 6 weeks, depending on the condition and its severity.
- Post-Treatment: After the session, patients can typically resume normal activities. Some may experience mild soreness or discomfort, similar to what is felt after a strenuous workout, which usually subsides within a few days.
Shockwave therapy is generally well-tolerated, and its non-invasive nature makes it an attractive option for treating various musculoskeletal conditions without the need for surgery or extended recovery times.
