Best Shockwave Therapy In Delhi NCR.

What is Shockwave Therapy?

Extracorporeal Shockwave Therapy (ESWT), otherwise referred to as shockwave therapy, was first introduced into clinical practice in 1982 for the management of urologic conditions. ESWT is an advanced treatment that uses acoustic shockwaves to break up soft tissue calcifications, enhance collagen synthesis, release growth factors, and stimulate your body’s healing process to improve pain and help you stay active. This therapy enhances blood circulation and accelerates the healing of stubborn musculoskeletal conditions in bones, tendons, ligaments, and muscle.

Principles of Shockwave Therapy

Shockwaves are transient pressure disturbances that propagate rapidly in three-dimensional space. They are associated with a sudden rise from ambient pressure to their maximum pressure. Significant tissue effects include cavitation, which are consequent to the negative phase of the wave propagation.

Physiological Effects

Shockwave therapy may be used to:

  • Increase circulation around injured soft tissues
  • Break down calcified deposits (like kidney stones)
  • Stimulate cells that generate new bone tissue and connective tissue
  • Reduce pain by overstimulating nerve endings in the affected area
Types of Shockwave

There are two types of shockwave i.e., high energy and low energy.

High energy SWT

High energy SWT or “true” shockwaves are classified as short duration (approx. 10msec) high energy pulses (5-100MPa) that break the sound barrier, resulting in a shockwave. Our high energy shockwave technology allows the shockwave to be focused directly through the affected tissue, resulting in several effects:

  • Mechanical pressure and tension forces on the tissue promote healing and may result in the dissolution of calcific deposit.
  • The pressure front creates behind it a “cavitation bubble” which helps to break down calcific deposits embedded in damaged tissue.
  • Shockwaves stimulate osteoblasts and fibroblasts.
  • Diminishes pain by two mechanisms: hyperstimulation anesthesia and pain gate control mechanism.

Low energy SWT

This type of shockwave is more accurately described as a pressure wave and differs from “True” shock wave technology in the following ways: it is longer, slower, and less intense than true shockwaves.

Indications of Shockwave Therapy

Extracorporeal Shockwave Therapy (SWT) is a modality used for the treatment of a variety of musculoskeletal conditions, primarily applied to chronic conditions, particularly those affecting medium to large sized tendons and their insertions on bone such as:

  • Plantar fasciitis.
  • Achilles tendonopathy.
  • Retrocalcaneal bursitis.
  • Lateral epicondylosis (tennis elbow).
  • Medial epicondylosis (golfer’s elbow).
  • Calcific tendonitis (supraspinatus tendon, etc.).
  • Patellar tendinosis (jumper’s knee).
  • Morton’s neuroma.
Contraindications to ESWT in Physiotherapy
  • Pregnancy
  • Over major blood vessels and nerves
  • Pacemakers or other implanted devices
  • Open wounds
  • Joint replacements
  • Epiphysis
  • Blood clotting disorders including thrombosis
  • Infection
  • Cancerous tissues
  • A compromised mental status of the patient and/or the inability to cooperate.
  • Chronic stress/ non union fracture

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