Home / Info
High-Energy Extracorporeal ShockWave Therapy ESWT
Don't Suffer Anymore!
The One Technology that has Stood The Test of Time and Consistently Gets Amazing Results!
High-Energy Shockwave is a treatment option in orthopedic, podiatric and cardiovascular medicine. The effect of shockwaves was first documented during World War II when the lungs of castaways were noted to be damaged without any superficial evidence of trauma. It was discovered the shockwaves created by depth charges had an invisible energy. This created a great deal of interest and research into the biological effects of shockwaves on living tissue.
The first medical treatment developed from this research was lithotripsy. This allowed focused shockwaves to essentially blasts kidney stones without surgical intervention. Today, over 98% of all kidney stones are treated with this technology. The use of shockwaves to treat tendon related issues began in the early 1990s.
A clinical shockwave is a controlled explosion that creates a sonic pulse, much like a jet breaking the sound barrier.
The primary effect of a shockwave is a direct mechanical force. The exact mechanism by which this shockwave acts to treat tendon pathology is not known. The leading explanation is based on the inflammatory healing response. It is felt the shockwaves cause microtrauma to the diseased tendon tissue. This results in inflammation, which allows the body to send healing cells and increase the blood flow to the injured site.
Shockwaves are used to treat many orthopedic conditions, including plantar fasciitis (with or without heel spurs), Achilles tendinitis, patellar tendinitis (jumper’s knee, etc.), lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow) and shoulder tendinitis. Multiple studies have been conducted to assess the efficacy of shockwave. Many have shown positive response versus placebo treatment, while early published studies back when insurances were covering this procedure at $6,000.00 per case indicated having little benefit over placebo. This changed the whole structure for insurance companies paying out $6,000.00 per procedure, by labeling ESWT (Experimental). Effectively, no longer having to cover this Highly Effective Procedure.
This led to mass shutdown of Shockwave companies, and virtually cancelled any new research being done for the truth to be known about this Highly Effective Procedure. Basically, it is like saying that Lithotripsy is not effective, which is not the case at all, the same goes for High-Energy Shockwave ESWT. High-Energy Shockwave ESWT is a Highly Effective Modality , the same as Lithotripsy with no reports of any significant side effects.
Contraindications to shockwave include blood thinning and pregnancy.
There are two main types of shockwave machines, low and high energy. High-Energy treatments are sometimes administered in the operating room with regional or general anesthesia. High-Energy treatments can also be administered in a Physician's Exam Room with a simple Block. Some Patient request NO anesthetic, stating that they have a High Tolerance for Pain. Some patients report immediate pain relief, but the healing response usually requires 6-8 weeks. Results are encouraging and research continues.
Electrohydraulic Spark Gap Technology
Main supply: 115V
Energy Range at -6dB: 110mJ; 24Kv
Diameter of therapy zone at 5MPa: 35mm Pressure: Adjustable from 9 to 46.7 MPa
Energy level: Adjustable from 1 to 7 Frequency 3 Pulse rates: 96, 120 and 160
Multiple Orthopedic Applications
• Shoulder Tendinosis
with or without calcification
• Shoulder Bursitis
• Lateral & Medial Epicondylitis
• Patellar Tendinitis
• Trochanteric Bursitis
• Hip Flexor Injury
• Achilles Tendinitis
• Plantar Fasciitis
with or without Heel Spur
• Non-Union Fractures
• Trigger points (muscle knots)
• Avascular Necrosis
• Tibial Stress Syndrome
(Medial or Lateral)
Rotator cuff Injury
ACL / PCL / MCL
(Issues or Injury)
(Sprains / Tears)
How does it work?
The equipment generates pulses of high pressure sound waves that travel through the skin (extracorporeal shock wave therapy) to initiate tissue repair.
Using an electro-hydraulic, or “spark gap” method of creating the shock wave, an electrode (spark plug) ignites an electrical charge within a water-contained, stainless steel, semi-ellipsoid chamber and contact membrane, evaporating a small portion of the water and creating a shock wave reflecting outward off the ellipsoid. The shock wave is generated within the reflector chamber and transmitted through the skin surface of the patient to the treatment site. Coupling solution is used on both the contact membrane and the patient's skin during treatments to enhance conductivity.
What does it work on?
High Energy Extracorporeal Shock Wave Therapy is useful for a number of painful musculoskeletal conditions to help anyone “get back in the game.”
These conditions include:
Back of knee pain
Tendinitis of wrist
Lower back pain
Rotator cuff injury
Bottom of foot pain
Upper back pain
Pain in arch of foot
IT band syndrome
Rotator cuff tendinitis
SI joint pain
Middle back pain
Pain on inside of knee
Rotator cuff pain
Shoulder blade pain
Low energy or pressure waves are like physical therapy and like physical therapy there are numerous treatments scheduled in a series. If you have been through PT and you still have the PAIN, then Low Energy will not help your Chronic Condition, it can be helpful in early stage for inflammatory conditions, that's about it.
Living with any tendinopathies that are in a Chronic State are not necessary to live with, and Invasive Surgery is NOT Your ONLY Option.
High Energy Extracorporeal Shock Wave Therapy (ESWT) Repairs damaged fascia and tendons in one 25 minute procedure, without Invasive Surgery.
Originally ALL ESWT was High Energy ESWT. Over time, manufacturers have started importing and selling cheap machines that are pressure waves or very low energy waves and marketing it as ESWT.
Don't be FOOLED by These Hand Held Devices, common sense alone tells you that
High Energy is Better than Low.
We know you are frustrated with your pain and ready to get relief. High-Energy ShockWave Therapy (ESWT), should have been your first choice. I would like to talk to you to see if Your Issue is something that ShockWave can fix. Let me know which area is causing you pain. I will be happy to discuss in a free consultation, your options.
ShockWave just may be the right treatment for you.