Shock waves

Shock waves are an innovative and non-invasive solution that use low-energy sound impulses and are applied in the treatment of muscle-tendon pathologies. This type of therapy, known as extracorporeal shock wave therapy, is widely used in Physiotherapy, Orthopedics, and Sports Medicine.

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The sound impulses generated by the machine spread radially along the skin tissue, expanding on the surface without penetrating too deep, and are useful for treating muscles and tendons over a relatively large area. This therapy generates microscopic interstitial and extracellular biological effects that promote tissue regeneration. The effect of the impulses decreases in depth, reducing the risk of damaging the surrounding tissues.

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Shock waves stimulate the patient's tissues and trigger bioactive healing processes, useful for eliminating pain, inflammation, and problems at the tendon and muscle level, thanks to a rapid initial phase known as positive pressure and a shorter but wider secondary phase called negative pressure.

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The application of shock waves leads to a significant increase in the expression of growth indicators (in the image: eNOS, VEGF, PCNA, BMP). The newly formed blood vessels increase the blood supply and oxygenation leads to an acceleration of tissue repair and the regeneration of injured or injured skin.

Acoustic waves also activate mast cells, which support the reversal of chronic inflammation. Other significant effects include the stimulation of collagen production, the breakdown of calcified fibroblasts, and the dispersion of pain-mediating substances.

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Shockwaves are particularly suitable for:

• elbow epicondylitis,

• chronic tendinitis,

• Achilles tendinopathy,

• plantar fasciitis,

• chronic lymphedema (for the stimulation of healing of skin ulcers),

• trochanteric tendinopathy,

• shoulder tendonitis,

• knee tendinopathies,

• myofascial pain,

• muscle contractures.

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It is important to remember that the processes stimulated by shock wave therapy, which promote natural healing, require multiple sessions. Although the application of shock waves is generally well-tolerated, some patients may experience slight discomfort and redness in the treated area.