Radial Shockwave Therapy
Radial Shockwave Therapy (RSWT) is a non-invasive treatment method used primarily to treat musculoskeletal pain and soft tissue conditions. The therapy involves the use of high-energy acoustic waves (shockwaves) that are transmitted through the skin and targeted at the affected area of the body.
How does it work?
Shockwave Generation:
Shockwaves are produced by a mechanical process within the device, using compressed air to accelerate a projectile, which then strikes a fixed applicator, creating the radial wave.
The shockwaves are applied to the body using a hand-held applicator. The energy from the shockwaves penetrates the skin and is absorbed by the tissues, particularly at the site of pain or injury.
Tissue repair:
The shockwaves stimulate mechanotranduction in the body, resulting in increased blood flow, the release of growth factors, and the stimulation of collagen production. This helps to promote healing, reduce inflammation, and break down scar tissue and/or calcifications.
(Mechanotransduction is a mechanism whereby the body converts mechanical signals into biological processes.)
Pain Relief:
Radial shockwave therapy (RSWT) decreases the concentration of Substance P, a neuropeptide that plays a significant role in pain perception at the injury site. By lowering the levels of this neurotransmitter, the treatment helps reduce pain in the affected tissue. Additionally, RSWT triggers other chemical changes that decrease tissue inflammation, leading to further pain relief.
(Substance P is a short chain polypeptide that acts as a neurotransmitter, particularly involved in transmitting pain signals from peripheral receptors to the central nervous system.)
FAQ’s
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Some people experience mild to moderate discomfort or pain, especially in the treated area. The intensity can vary depending on the severity of the condition and the individual’s pain tolerance. However, the discomfort usually diminishes as the treatment progresses and can always be adjusted to your pain levels.
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The cost of shockwave therapy are as follows:
$150 Initial shockwave consult (45mins)
$100 Follow-up session (20-25mins)
$50 Add-on to any other appointment type
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Every person is different. The number of sessions required depends on the condition being treated and the length of time the condition has been going on for.
Typically, 4 to 7 sessions are needed, spaced about 5-7days apart. Some conditions may require more sessions, while others might improve with fewer treatments.
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Each session generally lasts between 15 to 25 minutes, depending on the area being treated and the severity of the condition.
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Radial shockwave therapy is considered safe when performed by a qualified practitioner. Side effects are usually minimal and may include temporary pain, swelling, or redness in the treated area. This is individual to each person and may vary due to type of condition treated.
At Dynamic Therapy, I ensure a thorough intake to be completed before shockwave therapy is performed to ensure your safety.
The following conditions are contraindications of radial shockwave therapy:
Corticosteroid injections (within the last 3 months)
Pregnancy
Cancer
Blood clotting disorders
Infection or severe inflammation
Nerve or vascular disorders
Pacemakers or other electronic implants
Young children 11 and under (case by case basis)
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Referrals are not necessary to book for a shockwave session.
NOTE: An initial appointment (45min) is necessary to ensure shockwave therapy is suitable for you and your condition
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After care is individual for each case.
After your first shockwave session I will take you through the specific do's and dont's for your specific case.
Avoid anti-inflammatory drugs
Generally after shockwave therapy we avoid taking non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin for at least 48 hours post-treatment. Shockwave therapy works by promoting an inflammatory response in the body to encourage healing, and anti-inflammatory medications may counteract this process.
Increase water intake
Drink plenty of water after the session. Staying hydrated helps your body process any fascial restrictions and scar tissue released during the treatment and supports overall recovery.
Avoid strenuous activities
Avoid strenuous activities or exercises involving the treated area for 48 hours after the session. This helps prevent aggravation of the treated tissue and allows them to recover properly.
Minimize the use of ice
Ice, when applied to the treated area, constricts blood vessels and reduces blood flow, which in turn decreases inflammation. While this can relieve pain and swelling, it might also slow down or reduce the effectiveness of the healing process initiated by shockwave therapy.
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Shockwave therapy is often recommended for chronic conditions such as plantar fasciitis, tennis elbow, and calcific shoulder tendinitis. If you have a chronic musculoskeletal condition that hasn’t responded well to other treatments, shockwave therapy might be a suitable option. Booking for a free phone consult can help determine if shockwave is the correct treatment for you.
Further research information
Extracorporeal Shock Wave Therapy for the Treatment of Musculoskeletal Pain
Efficacy and Safety of Extracorporeal Shockwave Therapy in Chronic Low Back Pain
Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome
Effectiveness of Shockwave Therapy in the Treatment of Plantar Fasciitis
Extracorporeal Shockwave Therapy: Evolution, Mechanisms, and Clinical Efficacy
Want to see if shockwave is right for you?
Sometimes we need just a little more personalized info, please reach out to me anytime and I will endeavor to get back to you within 24 hours.