What is extra-corporeal radial shockwave therapy?

Extra-corporeal radial shockwave therapy (ESWT) is a series of high-energy percussions to the affected area. The shockwave is a physical sound wave “shock”, not an electric one.

 

How does it work?

1. Treatment produces an inflammatory response. The body responds by increasing metabolic activity around the site of pain. This stimulates and accelerates the healing process (promotes the remodeling of dysfunctional collagenous tissues, such as tendinopathies, trigger points, muscle strains, etc.).

2. Shockwaves break down scar tissue and/or calcification

3. Transmission of pain is diminished through neurologic mechanisms (nociception inhibition)

 

What are the benefits of Shockwave Treatment?

This therapy stimulates the body’s natural self-healing process. There is actually an immediate reduction of pain and improved range of motion. ESWT may also eliminate your need for surgery depending on the amount of instability present.

 

How long does the treatment last?

Approximately 4000 shocks are administered per treatment area (the duration of which is approximately 10 minutes). Some patients and/or conditions require more shocks and duration, depending on severity and chronicity (how long the condition or injury has existed).

 

How many treatments will I need?

Normally three to six treatments are necessary at weekly intervals; there is a small possibility that additional treatments may be necessary if your condition is very chronic and/or you have severely restricted joint range of motion (ie. Frozen shoulder). Should you not respond in this time, your case will be reviewed with the doctor or therapist to determine an appropriate referral. Success rates with ESWT are unparalleled (over 80-90% improvement).

 

Does the treatment hurt?

It is a short treatment (usually five to fifteen minutes) that may be uncomfortable. However, most people can tolerate the procedure. However, if you cannot tolerate it, adjustments on the machine can decrease the pressure you feel.

 

Is Shockwave therapy covered by my insurance?

If you have insurance, you will want to ask your provider about the requirements of your coverage. Your initial consultation may be covered; however, you will be invoiced under Chiropractic or Physiotherapy for treatment depending who administers the therapy.

 

What is the success rate for this kind of treatment?

A successful treatment is considered as a patient having at least 75% reduction in pain within 3 months. Worldwide, success rates are around 80 to 90%.