SHOCKWAVE THERAPY - HEREFORD

UNLEASH THE POWER OF SHOCKWAVE THERAPY IN HEREFORD

Are you tired of living with chronic pain? Seeking a non-invasive, effective treatment for your physical ailments? Look no further than shockwave therapy in Hereford, also known as extracorporeal shock wave therapy (ESWT). With its ability to promote healing and alleviate pain, this cutting-edge treatment is revolutionizing the field of physical therapy.

Discover the benefits of shockwave therapy and unleash the healing power of sound waves. Say goodbye to pain and hello to a revitalized body today.

The shockwave therapy device used here is from Storz, one of the pioneers in the production of shockwave machines. Click on the following link for more detailed information, www.eswt.info

UNDERSTANDING SHOCKWAVE THERAPY IN HEREFORD

The origins of shockwave therapy can be traced back to the 1980s when it was initially used to disintegrate kidney stones.

However, its effectiveness in promoting tissue healing led to its application in the realm of physical therapy. Today, healthcare practitioners utilize shockwave therapy to address a multitude of pain-related issues, ranging from chronic conditions to acute injuries. By harnessing the power of sound waves, this treatment not only alleviates pain but also stimulates the body’s natural healing mechanisms.

Patients seeking relief from chronic pain often find themselves overwhelmed by the myriad of treatment options available. Shockwave therapy stands out as a safe, effective, and straightforward approach. As awareness grows about the benefits of this therapy, more individuals are considering it as a viable option for pain management and recovery.

This non-invasive approach has gained popularity in recent years, and is a clinically proven to be a highly effective treatment for soft tissue injuries, providing patients with an alternative to traditional treatments like medications and surgeries. The application is an evidence-based, effective treatment for plantar fasciitis and most tendon conditions including Achilles, hamstring, patellar, gluteal and tennis elbow tendinopathies.

Unlike some other treatments that may require many sessions or have prolonged recovery periods, shockwave therapy is relatively quick and convenient. A typical session lasts about 15 to 30 minutes, and many patients experience immediate relief after just a few treatments. As a non-invasive procedure, it minimizes the risks associated with surgery and long-term medication use, making it a preferred choice for many seeking alternative pain management solutions.

HOW SHOCKWAVE THERAPY WORKS

Shock wave therapy is characterized by the delivery of acoustic waves which can penetrate deep into the tissues, offering targeted relief and rejuvenation in various musculoskeletal conditions. During a session, a handheld device generates these waves, which are then directed into the tissue.

The energy from the sound waves stimulate a biological response that promotes healing. A safe alternative to surgery, steroid and other treatment injections, shockwave therapy is clinically proven to improve the healing process by provoking the acute phase of the body’s natural healing process.

The scientific foundation of shockwave therapy lies in its mechanism of action at the cellular level. The acoustic waves from shock wave therapy:

Create a series of pressure changes that can lead to the formation of microtraumas in the tissue. These microtraumas initiate a biological response characterized by:
- Increased cell membrane permeability
- Increased blood flow that promotes the delivery of oxygen and nutrients to the injured area, further accelerating healing.
- The release of growth factors and cytokines, which are essential for tissue repair and regeneration as well as increasing the activation of stem cells which are vital for tissue repair and regeneration.
Create tiny cavitation bubbles in the tissue which then burst. When the bubbles collapse they create a resultant force that has a mechanical impact on the treated tissue. This force helps to break down calcific deposits embedded in damaged tissue and also stimulates blood flow, stem cell activity and pain reducing enzymes in the treatment area as well as promoting the formation of new blood vessels.
Stimulate the activity of osteoblasts. These are cells that are responsible for bone healing and new bone production.
Stimulate fibroblasts that are cells responsible for healing of connective tissue such as tendons.
Diminish pain by either:
- Hyperstimulation anaesthesia – local nerve endings are overwhelmed with so many stimuli that their activity diminishes resulting in short-term reduction in pain.
- Gate-control mechanism – whereby local nerves are stimulated to recalibrate perception of pain and result in longer-term reduction in pain.

BENEFITS OF SHOCKWAVE THERAPY IN HEREFORD

Patients often notice a reduction in pain and an increase in mobility shortly after treatment, making it an appealing option for those struggling with chronic conditions. It also stimulates long-term tissue normalisation and regeneration. This accelerates tissue repair and reduces inflammation, resulting in a higher rate of healing in difficult to treat, often chronic and very painful injuries, such as tendonitis, plantar fasciitis, and muscle strains.

In addition to pain relief, shockwave therapy can improve mobility and function. By facilitating tissue repair and reducing inflammation, patients often find they can move more freely without discomfort. This improvement in mobility can lead to a more active lifestyle, which is crucial for overall health and well-being. Furthermore, the therapy's ability to stimulate the body's natural healing processes means that patients may experience fewer complications or setbacks compared to other treatment options.

Shock wave therapy helps to break-down scar tissue, which is why it can be so effective in chronic conditions. Unlike normal elasticated tissue, scar tissue is non-elastic and prevents normal movement and function as well as weakness, often causing further damage and pain. By breaking down the scar tissue, shockwave therapy helps to stimulate cell regeneration and promotes normal healing and rapid reduction of pain and normal function.

It has been proven to be safe and has less side effects than other treatments such as steroid injections or surgery.

CONDITIONS THAT CAN BE TREATED WITH SHOCKWAVE THERAPY

It has cleared by National Institute for Health and Care Excellence (NICE) for clinical use in the UK as there are no major safety concerns.

Most clinical studies recommend 3-4 sessions, which is usually between one and two a week. In certain cases, additional sessions might be required, based on the clinical judgment.

The ability to improve blood flow and stimulate healing makes it effective in addressing a wide variety of pain-related issues The evolving list of diagnoses for which ESWT shows potential includes:

It has cleared by National Institute for Health and Care Excellence (NICE) for clinical use in the UK as there are no major safety concerns.

Most clinical studies recommend 3-4 sessions, which is usually between one and two a week. In certain cases, additional sessions might be required, based on the clinical judgment.

The ability to improve blood flow and stimulate healing makes it effective in addressing a wide variety of pain-related issues The evolving list of diagnoses for which ESWT shows potential includes:

Medial tibial stress syndrome
Knee osteoarthritis
Plantar fasciitis
Tendonitis
Treatment of tendinopathy
Achilles tendinopathy
Shoulder tendinopathy
Jumper’s knee (Patellar Tendonitis)
Hamstring muscle/tendon injuries
Myofascial trigger points
Bursitis
Stiff big toe (hallux rigidus)
Tennis elbow - Lateral epicondylitis

Scar tissue
Calcific tendinitis of the rotator cuff
Frozen shoulder (adhesive capsulitis)
Broken bones that have failed to heal (nonunions)
Shoulder pain
Heel spurs
Shin splints
Greater trochanteric pain syndrome
Stress fractures
Enhancing bone healing
Muscle and connective tissue injuries
And more

Shockwave therapy can significantly alleviate pain and discomfort, allowing individuals to return to their normal activities with greater ease. Patients often find relief after only a few sessions, making it a favored option for those struggling with this stubborn condition.

WHAT TO EXPECT DURING A SHOCKWAVE THERAPY SESSION

When you arrive for your shockwave therapy in Hereford, it will begin with a consultation to discuss your symptoms and treatment goals. After reviewing your medical history and performing a physical examination, I will determine the appropriate treatment plan. This may include identifying the specific area to be treated and discussing the expected duration and frequency of sessions.

During the actual treatment, you will be positioned comfortably and gel will be applied to the targeted area to enhance the transmission of sound waves. The shockwave device will then be placed against your skin, and you will feel a series of pulsating sensations as the sound waves penetrate your tissues. Many patients describe the sensation as similar to a gentle tapping or mild pressure, and while there may be some discomfort, it is generally well-tolerated.

Each session typically lasts between 15 to 30 minutes, depending on the area being treated and the severity of the condition. After the session, you may experience some mild soreness, similar to what one might feel after a workout. Most patients can return to their regular daily activities immediately following treatment, although it is advisable to avoid any strenuous activities for a short period. You will be given guidance on post-treatment care to maximize the benefits of the therapy.

TIPS FOR MAXIMIZING THE EFFECTIVENESS OF SHOCKWAVE THERAPY

To ensure you get the most out of your shockwave therapy sessions, there are several strategies you can employ. First, it is crucial to follow the recommendations regarding the frequency and duration of treatments. Consistency is key in achieving optimal results, and adhering to the prescribed treatment plan can help facilitate your recovery. Additionally, communicate openly about your progress and any changes in your symptoms.

Incorporating complementary therapies can also enhance the effectiveness of shockwave therapy. Physical therapy, for instance, may be recommended alongside shockwave treatments. Engaging in targeted exercises and stretches can improve flexibility and strength, aiding in the healing process. Your provider may suggest specific exercises tailored to your condition, which can be instrumental in maximizing the benefits of the therapy.

Lastly, maintaining a healthy lifestyle can contribute to the success of shockwave therapy. Staying hydrated, eating a balanced diet, and managing stress levels can all play a role in your overall recovery. Adequate rest and sleep are also essential for the body's healing processes. By combining shockwave therapy with healthy habits, you can support your body’s natural ability to heal and ultimately achieve better long-term outcomes.

HOW SUCCESSFUL IS SHOCKWAVE THERAPY?

There are many options of shockwave equipment, some of them poorly developed and ineffective, so not all treatments will have the same benefits. The Shock wave therapy machine used here is by Storz Medical, which is well known for their medical equipment and are world leaders in the field of shockwave therapy.

Research is steadily growing for this cutting-edge technology, and the latest reports are confirming shockwave therapy is an effective treatment of soft tissue injuries, pain and certain bony conditions like heel spurs.

After only 3 or 4 treatments with shockwave therapy, over 80% of patients report a reduction of pain and start to regain normal function.

Double-blind, randomized, controlled studies, indicate up to 91% improvement with 84% success rate for numerous conditions.

Shockwave therapy reviews, research, clinical studies, statistics, and indications shared below provide insight into the wide range of medical conditions that are treated with Shockwave Canada devices.

Shockwave statisitics:

84% improvement for plantar fasciitis

91% improvement for calcific tendonitis of the shoulder

77% improvement for tennis elbow (lateral epicondylitis)

76% improvement for Achilles tendinopathy

95% relief for Myofascial Trigger Point

76% improvement for patellar tendonitis (jumper’s knee)

85% improvement for hamstring injuries

Shockwave therapy has been studied extensively in clinical settings, and the results support its use as a safe and effective treatment modality. While individual responses may vary, the overall body of evidence indicates that this therapy can produce positive outcomes for many patients. As more research emerges, our understanding of the science behind shockwave therapy will continue to evolve, further solidifying its place in modern healthcare.

Research has shown that it is effective as a combined treatment approach with stretching/strengthening of the tissue, with a 60 to 80 % success rate for patients who undertake the treatment.

It has been demonstrated that shockwave therapy can lead to significant improvements in pain and function for various conditions. Studies have shown that patients with chronic tendonitis experience substantial reductions in pain and enhanced mobility following treatment.

SHOCKWAVE THERAPY RESEARCH

Effectiveness and Safety of Shockwave Therapy in Tendinopathies, Vasileios Dedes et al, Mater Sociomed 2018 Jun;30(2):131–146.

Radial shock wave therapy for lateral epicondylitis: A prospective randomised controlled single-blind study. Spacca G, et al. Europa Medicophysica. 2005;41:17.

Ultrasonographic Evaluation of Low Energy Extracorporeal Pulse- Activated Therapy (EPAT) for Chronic Plantar Fasciitis, Robert Gordon, MD; Charles Wong, BHSc; Eric J. Crawford, BHSc Toronto, Canada

The Role of Extracorporeal Shockwave Treatment in Musculoskeletal Disorders, Daniel Moya, MD, Silvia Ram ́on, MD, Ph.D., Wolfgang Schaden, MD, Ching-Jen Wang, MD, Leonardo Guiloff, MD, and Jai-Hong Cheng, MD

The American Journal of Sports Medicine – Shockwave Therapy for Patients with Lateral Epicondylitis of the Elbow, Ching-Jen Wang, M.S. & Han-Shiang Chen, M.D.

The American Journal of Sports Medicine – Extracorporeal Shockwave for Chronic Patellar Tendinopathy, Ching-Jen Wang M.D., Jih-Yang Ko M.D., Yi-Sheng Chan M.D., Lin-Hsiu Weng M.D. and Shan-Lin Hsu M.D.

The American Journal of Sports Medicine – Eccentric Loading, Shockwave Treatment, or a Wait-and-See Policy for Tendinopathy of the Main Body of Tendo Achilles, Jan D. Rompe, M.D., Bernhard Nafe, M.D., John P. Furia, M.D. Ph.D., and Nicola Maffulli, M.D., Ph.D., F.R.C.S.(Orth),

The American Journal of Orthopedics – Safety and Efficacy of ESWT for Chronic Lateral Epicondylitis, John P. Furia, M.D.

Techniques in Foot and Ankle Surgery – Shockwave Therapy for Treatment of Foot and Ankle Conditions, Alastair Younger, MB, ChB, FRCSC,

Shockwave Therapy for the Treatment of Chronic Proximal Hamstring Tendinopathy in Professional Athletes, Angelo Cacchio, Jan D. Rompe, John P. Furia, Piero Susi, Valter Santilli and Fosco De Paulis, Download

Shockwave Therapy Compared with Intramedullary Screw Fixation for Nonunion of Proximal Fifth Metatarsal Metaphyseal-Diaphyseal Fractures, John P. Furia, MD, Paul J. Juliano, MD, Allison M. Wade, MD, Wolfgang Schaden, MD, and Rainer Mittermayr, MD, Download

Repetitive Low-Energy Shockwave Application Without Local Anesthesia is More Efficient Than Repetitive Low-Energy Shockwave Application with Local Anesthesia in the Treatment of Chronic Plantar Fasciitis, Rompe JD, Meurer A, Nafe B, Hofmann A, Gerdesmeyer L. View Online

Radial Shockwave Therapy in Calcific Tendinitis of the Rotator Cuff, Dr. P. Magosch, ATOS Clinic Heidelberg (Germany), Download

Radial Extracorporeal Shockwave Therapy Is Safe and Effective in the Treatment of Chronic Recalcitrant Plantar Fasciitis, Ludger Gerdesmeyer, MD, PhD, Carol Frey, MD, Johannes Vester, PhD, Markus Maier, PhD, Lowell Weil Jr, DPM, Lowell Weil Sr, DPM, Martin Russlies, PhD, John Stienstra, DPM, Barry Scurran, DP, Keith Fedder, MD, Peter Diehl, MD, Heinz Lohrer, MD, Mark Henne, MD, and Hans Gollwitzer, MD, Download

Physical Therapy – Effectiveness of Radial Shockwave Therapy for Calcific Tendinitis of the Shoulder: Single-Blind, Randomized Clinical Study, Cacchio, Marco Paoloni, Antonio Barile, Romildo Don, Fosco de Paulis, Vittorio Calvisi, Alberto Ranavolo, Massimo Frascarelli, Valter Santilli, Giorgio Spacca, Download

Low-Energy Extracorporeal Shockwave Therapy as a Treatment for Medial Tibial Stress Syndrome, Jan D. Rompe, Angelo Cacchio, John P. Furia and Nicola Maffulli, Download

Extracorporeal Shockwave Therapy Compared with Surgery for Hypertrophic Long-Bone Nonunions, Angelo Cacchio, Lucio Giordano, Olivo Colafarina, Jan D. Rompe, Emanuela Tavernese, Francesco Ioppolo, Stefano Flamini, Giorgio Spacca and Valter Santilli, Download

Efficacy of Extracorporeal Shockwave Therapy in Frozen Shoulder,: Badak Vahdatpour, Parisa Taheri, Abolghasem Zare Zade and Saeed Moradian, Download

Efficacy of Extracorporeal Shockwave Therapy for Knee Osteoarthritis: a Randomized Controlled Trial, Zhe Zhao, MD, Rufang Jing, MD, Zhan Shi, Ph.D., Bin Zhao, MD, Quan Ai, MM, and Gengyan Xing, MD, Download

Current Concepts of Shockwave Therapy in Stress Fractures, Carlos Leal, Cristina D’Agostino, Santiago Gomez Garcia, Arnold Fernandez, Download

Clinically Relevant Effectiveness of Focused Extracorporeal Shockwave Therapy in the Treatment of Chronic Plantar Fasciitis. A Randomized, Controlled Multicenter Study, Hans Gollwitzer, MD, Amol Saxena, DPM, Lawrence A. DiDomenico, DPM, Louis Galli, DPM, Richard T. Bouche, DPM, David S. Caminear, DPM, Brian Fullem, DPM, Johannes C. Vester, ́Carsten Horn, MD, Ingo J. Banke, MD, Rainer Burgkart, MD, and Ludger Gerdesmeyer, MD, Download

Antibacterial Effects of Extracorporeal Shockwaves*, Gerdesmeyer L, von Eiff C, Horn C, Henne M, Roessner M, Diehl P, Gollwitzer H. Klinik und Poliklinik fur Orthopadie und Sportorthopadie der Technischen Universitat Munchen, Munchen, Germany, Download

POTENTIAL SIDE EFFECTS AND RISKS OF SHOCKWAVE THERAPY

While shockwave therapy is generally considered safe and non-invasive, some patients may experience mild side effects following treatment. Common reactions include temporary soreness, redness, or swelling in the treated area.

These effects usually subside within a few days and can often be managed with ice or over-the-counter pain relief if necessary.

It is important to communicate with your healthcare provider if you experience any prolonged discomfort or unusual symptoms.

In rare cases, more serious side effects may occur, such as bruising or nerve damage. These complications are not common but can happen, particularly if the therapy is not administered correctly. A thorough assessment and proper technique can help mitigate the risks associated with treatment.

It is also crucial for individuals with certain medical conditions to consult with myself before undergoing shockwave therapy. Conditions like pregnancy, bleeding disorders, or the presence of infections in the treatment area may contraindicate the use of this therapy. Discussing your medical history openly will help ensure that shockwave therapy is a suitable option for you.

The list of adverse effects associated with ESWT is fairly short. They may include transient discomfort, skin erythema and localized swelling. More-severe but exceptionally rare effects include Achilles tendon rupture, humeral head osteonecrosis (after focused ESWT) and calcaneal stress-type fracture (after focused ESWT).

Contraindications or situations in which ESWT may be inappropriate include:

Treatment over air-filled tissue (lung, gut)
Pregnancy
Presence of local tumor or infection
Less than six weeks since local corticosteroid injection
Age less than 18 (except for patients diagnosed with Osgood-Schlatter disease)
Treatment of pre-ruptured tendons
Blood-clotting disorders, including local thrombosis

CONCLUSION: IS SHOCKWAVE THERAPY RIGHT FOR YOU?

The remarkable benefits of ultrasound therapy are transforming the landscape of healthcare, offering innovative solutions for pain management, rehabilitation, and aesthetic enhancements. This non-invasive treatment modality harnesses the power of sound waves to promote healing, reduce discomfort, and improve overall well-being. As research continues to highlight its efficacy, more medical professionals are incorporating ultrasound therapy into their practice, providing patients with access to cutting-edge care.

From athletes recovering from sports injuries to individuals seeking relief from chronic pain, ultrasound therapy has proven to be a versatile and effective tool. Its ability to stimulate tissue repair, enhance blood circulation, and promote collagen production makes it an invaluable option across various disciplines, including sports medicine, orthopedics, and aesthetics. Patients can experience significant improvements in their quality of life, unlocking the hidden power of this innovative therapy.

As we continue to explore the potential of ultrasound therapy, it is essential to prioritize safety and ensure that practitioners are well-trained in its application. By fostering a collaborative approach between healthcare providers and patients, we can harness the full benefits of ultrasound therapy, paving the way for optimal health and wellness in our communities.