Clinical Applications | Medical Shockwave Institute

Game-Changing Technology for Chronic Pain

Shockwave therapy, a versatile treatment modality, is employed by a diverse range of practitioners such as physiotherapists, urologists, chiropractors, podiatrists, and aestheticians. It is effective for a multitude of conditions that are recognized as standard approved indications.

Musculoskeletal Conditions

Tendinopathy

Achillies Tendon Injuries
Peroneal Tendon Injuries
Plantar Fasciitis
Patellar Tendon Injuries
Biceps tendinitis
Teres minor dysfunction
Infraspinatus dysfunction
Subscapularis dysfunction
Supraspinatus dysfunction
Impingement syndrome
Medial epicondylitis
Lateral epicondylitis
De Quervain’s syndrome
Trigger finger

Muscle and Ligament Pathology

Gastrocnemius injuries
Tibialis Anterior injuries
Hamstrings injury
Quadriceps injury
Piriformis syndrome
Ankle Sprains (Grade I, II, and III)

Bone Pathology

Hallux Rigidus
Bunions
Metatarsalgia
Heel Spurs

Skin Pathologies

Delayed or non-healing wounds
Skin ulcers
Non-circumferential burn wounds
Cellulite

Urologic Pathologies

Pelvic chronic pain syndrome (abacterial prostatitis)
Erectile dysfunction
Peyronie’s disease

Joint Pathology

Adhesive Capsulitis
Osteoarthritis
Post operative knee arthroplasty
Inguinal pain
Avascular necrosis
Hip joint dysfunction
Post operative hip arthroplasty
Sacroiliac joint pain
Non-specific low back pain
Non-specific neck pain
Ankle Hypomobility

Myofascial Restriction

Hip Flexor myofascial restriction
IT Band myofascial restriction
Dupuytren contracture

Bursitis

Pes Anserine Bursitis
Greater trochanteric bursitis
Baker’s Cyst
Subacromial bursitis

Neurological dysfunction

Sciatica
Lumbar disc injury
Cervical radiculopathy
Myogenic headaches
Carpal tunnel syndrome
Morton’s Neuroma

Experimental Indications

Heart Muscle Ischemia

Peripheral nerve lesions

Pathologies of the spinal cord and brain

Skin calcinosis

Periodontal disease

Jawbone pathologies

Complex Regional Pain Syndrome (CRPS)

Osteoporosis

Contraindications

Radial pressure and low energy focused waves

Malignant tumor in the treatment area (not as underlying disease)
Fetus in the treatment area, however, it is advised to not perform shockwave during pregnancy

High energy focused waves

Lung tissue in the treatment area
Malignant tumor in the treatment area (not as underlying disease)
Epiphyseal plate in the treatment area
Severe coagulopathy
Brain or spine in the treatment area
Fetus in the treatment area, however, it is advised to not perform shockwave during pregnancy

Unlock Regenerative Healing whith Shockwave® Technology

Shockwave ® therapy harnesses high-velocity acoustic waves to stimulate the body’s cells without damaging them. This gentle yet powerful force encourages cells to release micro vesicles, which are like cellular messengers containing vital healing substances.

These micro-vesicles trigger a cascade of natural repair processes in surrounding tissues. They stimulate growth of new blood vessels through angiogenesis and vasculogenesis and awaken stem cells, contributing to tissue regeneration. Moreover, Shockwave therapy boosts cell metabolism, supports cell proliferation, and modulates inflammation, enhancing the body’s own healing response.

This process of cellular communication, initiated by Shockwave, taps into the body’s inherent healing mechanisms, offering a therapeutic effect that is both potent and safe, without significant side effects.

Shockwave technology stands out for its ability to promote regeneration at a cellular level, aiding in the repair of tendons, bones, and soft tissues. While individual results may vary, many clients experience immediate improvement, high overall success rates.

For physiotherapists, chiropractors, podiatrists, dermatologists, and aestheticians, Shockwave offers a groundbreaking addition to your therapeutic arsenal. It’s not just a treatment; it’s a transformation for your practice and new horizon of care for your clients.

Types of Shockwave Generators:

Electrohydraulic Shockwave

3. This traditional medical technique generates shockwaves using a spark plug within a water medium, concentrated at a focal point by a parabolic reflector.

Electromagnetic Shockwave

This method creates shockwaves through electrical pulses in a coil, either flat or cylindrical. For flat coils, a membrane compresses water to generate the pulse, which is then honed by an acoustic lens. Cylindrical coils use a reflector to focus the shockwave.

Piezoelectric Shockwave

2. This technique utilizes piezoelectric crystals that, when electrically stimulated, concentrate pressure waves to a precise focal point.

Radial Pressure Wave

Radial pressure waves are produced when a projectile, propelled by compressed air or electromagnetic induction, strikes an applicator. This collision converts most energy into a pressure wave that spreads radially, diminishing in intensity with distance.

Comparison of 3 Acoustic Waves

Source:

MTS Europe GmbH, measurement Orthogold100, focused applicator

Diagnostic Ultrasound: Sine wave, calculated with 1 Mpa peak pressure at 2 MHz

Radical Pressure Wave: R.O. Cleveland, P.V. Chitnis, and S.R. McClure, Acoustic field of a ballistic shock wave therapy device. Ultrasound Med Biol., 33(8): 1327-1335, 2007, Fig. 6a