Our Clinics: Chester Green (DE1 3RB)    Chellaston (DE73 6TB)     Call Us On: 01332 343335, Chellaston clinic (01332 955165)     Or Email: ask@derbyfamilychiropractic.co.uk

What Is Schockwave Therapy?

A shockwave is essentially a pressure disturbance or a large amplitude pressure disturbance that propagates. Shockwaves were initially employed as a non invasive treatment for kidney stones (from the early 1970's, with treatment proper starting in the 1980's), and it has become a first line intervention for such conditions.

Effectiveness?

  • Most clinical research has used between 3 - 5 sessions at low energy levels (typical therapy application), and it is suggested up to 7 sessions may be needed in the more recalcitrant lesions
  • However there have been no RCT trials yet to determine the most optimum number of therapy sessions (or intervals)
  • Typically 3 - 5 sessions appear to be effective for the majority of patients, spaced such as to let the tissue 'reaction' at least partly subside from the first session before the next treatment is delivered. Optimal treatmentspacing has yet to be identified in the published reaserch evidence.

What Shockwave Therapy Can Help You With

The areas with the strongest research and anecdotal evidence includes:

Palantar fasciitis, Achilles tendinopathy, Patellar tendonipathy, Tennis and Golfers elbow (medical and lateral epicondylalgia), Biceps tendinopathy and Supraspinatus tendinopathy.

 

What Does It Actually Do?

It takes a Tissue from a more chronic to a more acute state, and in doing so, provides a stimulus (trigger) to a 'stalled' repair sequence. This is actually consistent with other apporaches employed in therapy - such as some manual therapies (e.g. eccentric loading) and some eletrotherapy interventions (e.g. provocative ultrasound or laser treatments). The following are the most strongly established treatment effects at therapy ShockWave levels.

  • Mechanical stimulation
  • Increased local blood flow
  • Increase in cellular activity - release of substance P, prostaglandin E2, NO, TGF ß, VEGF and almost certainly other inflammatory cytokines
  • Transient analgesic effect on afferent nerves
  • Break down calcific deposits (primarily, but not exclusively in tendon)

What Our Customer's Think

We have had some great results since 2007 and to show our dedication we also hold the prestigious Patient Partnership Quality Mark (PPQM) from the Royal College of Chiropractic but don't believe us, read some of our testimonials!