Shockwave therapy for the treatment of musculoskeletal injuries originates from a treatment called Lithotripsy. Lithotripsy uses sound waves to break up stones in the kidneys and gall bladder. As many kidney stones have calcium in them, it was thought that lithotripsy could be used to break up the calcium we see in a dysfunctional tendon. The exact way shockwave works is still a matter of debate. It is believed that the shockwaves stimulate the release of growth factors and increases blood supply to the area to facilitate healing. It is also believed that this form of treatment can alter nerve function in the area to decrease the neuro inflammatory processes. Conditions which may respond to Shockwave Therapy include tendinopathies, plantar fasciitis, tennis elbow, muscle strains and calcific tendonitis.
The name “Shockwave” doesn’t really promote a sense of calm, however this form of treatment is a non-invasive procedure utilising high energy sound waves similar to those used in a common ultrasound. The whole process is relatively pain free and is usually easily tolerated by patients. At Lakeside Sports Medicine Centre we choose to use a ‘DolorCast’ radial shockwave. This style of shockwave has the most published scientific evidence regarding its utility and effect.
The effect of shockwave can be felt almost immediately by those undergoing treatment but the response is initially short lived. After the first treatment, most patients have a decrease in their pain that lasts up to 2-3 days. By the time they return to us for the second application their symptoms have generally regressed to the original, pre-treatment level. This session provides an extended period of relief up to 7 days and the third treatment generally has an even longer lasting effect. Some of the scientific studies published have shown that people get additional benefit up to 9 weeks after treatment.
It is important to note that shockwave is not a cure. This procedure is utilised to help settle pain and promote healing, especially in stubborn conditions which have been unresponsive to other forms of treatment. By calming the patient’s presenting condition, our practitioners are then able to continue with normal treatment without aggravating the experienced symptoms. Shockwave is most effective when used in conjunction with a rehabilitation program. For treating musculoskeletal problems, at Lakeside Sports Medicine Centre we suggest combining it with an appropriate strength program to target the underlying cause of the condition, nitrate patches and a modified exercise load.
