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   The Shock Wave Society of North America is your community of providers, therapists and scientists in the United States; available to help you succeed.

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Discover Shockwave Technology

Shockwave Therapy

–  Mayo Clinic  –
” …this approach fills a need for athletes whose injuries are not responding to first line treatments.” (Click for full article)

Shockwave therapy (also called Pressure Wave, Pulse Wave, or Acoustic Wave) is a non-invasive treatment that involves creating a series of low energy acoustic wave pulsations that are expertly applied to the treatment area through a person’s skin via a gel medium.

Shockwave therapy is an advanced regenerative and rehabilitation method used by skilled practitioners for indications such as shoulder injuries, chronic Achilles tendonitis, plantar fasciitis, elbow tendinopathies and myofascial syndrome. With over 50 internationally recognized applications, shockwave therapy may be found in such specialties as Urology, orthopedic, sports medicine, and pain management.  Emerging research has demonstrated some value in the cardiovascular and neurology fields.

 

Two Mayo sports medicine departments currently offer ESWt for the following areas of tendinopathy:

Rotator cuff

Lateral epicondyle

Medial epicondyle

Greater trochanter (gluteus medius and minimus)

Proximal hamstring origin

Rectus femoris

Distal quadricep

Patellar tendon

Posterior tibial

Peroneal

Achilles

Plantar fascia

For your safety and as a standard of care, ESWT should only be provided following clinical examination of the pathophysiology, radiographic imaging and some additional diagnostic testing may be necessary to corroborate the patient’s care plan. Only a qualified providers (certified by National or International Societies) may use focused shockwave therapy to treat pathologies, which have been determined by diagnostic testing.  For the treatment on bones, a high-energy, focused shockwave with positioning technology has to be used. Close attention must be paid to the depth of penetration of the shockwave source when treating deep tissue structures.

Radial & Focused shockwave should not be administered to patients with Malignant tumor in the treatment area or when a fetus is in the treatment area.

Additionally, Focused shockwave shouldn’t be administered over the lungs, local to an Epiphyseal plate, directly to Brain or vertebra or in cases of known or suspected severe coagulopathy.

“Side effects from ESWT are limited to mild bruising, swelling, pain, numbness or tingling in the treated area, and the recovery is minimal compared with that of surgical intervention.”

https://www.mayoclinic.org/medical-professionals/physical-medicine-rehabilitation/news/sports-medicine-practitioners-embrace-benefits-of-extracorporeal-shock-wave-therapy/mac-20454275

Yes, with specific criteria met for the treatment of Plantar Fasciitis, Tennis Elbow and Diabetic Wounds.  Although Low-Intensity Extracorporeal Shock Wave Therapy (Li-ESWT) is used commonly in other countries as a viable option, it is not yet FDA approved for most purposes in the United States of America. Given the plethora of notable scientific studies demonstrating improvement in soft tissue elasticity and neovadcularization, there is mounting hope that more inclusivity may come soon: ESWT is currently considered off-label.

The short answer is no- you can use ESWT immediately following may surgeries.  Yet because of the different types of surgeries and patient cases the ultimate discretion is between your doctor and you.

For immediate assistance, call us at (833)622-7300

Always clean and disinfect the device, before any therapy procedure is initiated and after a therapy procedure is terminated per manufacturer recommendations.  Device-specific maintenance lists are available by special request, compliant with ISO 17664:2017

Documentation standards for maintenance of medical devices quality management system in accordance with ISO 13485. Only manufacturer approved and FDA  registered, US based professionals/sites may complete maintenance & revisions to this technology.

The application of ESWT for musculoskeletal disorders has been around for over  ten years and is primarily used in the treatment of sports related over-use tendinopathies such as proximal plantar fasciitis of the heel, lateral epicondylitis of the elbow, calcific or non-calcific tendonitis of the shoulder and patellar tendinopathy etc. The success rate ranged from 65% to 91%, and the complications were low and negligible.

There are varied technologies and techniques utilized globally- yet the clinical outcomes maintain indiscriminately. Some examples of techniques are Snaking, Rotation, and Panning.

For more on this, see our blog post here-

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