Extracorporeal Shockwave Therapy (ESWT)
What is Shockwave Therapy?
Shock Waves are movements of extremely high pressure. Some examples of natural Shock Waves are an earthquake, an explosion or a plane breaking the sound barrier.
Extracorporeal Shockwave (ESWT) is when Shock Waves are applied through medicine or treatment
It is clinically proven that when pressure waves are applied to injured tissues it stimulates metabolic reactions leading to:
- A reduction of pain felt by nerve fibres
- An increase in blood circulation to the surrounding tissues
- Start of the healing process triggered by stem cells activation
Here’s The Science…
Red chilli peppers contain capsaicin. We all know the feeling when we eat one! First your mouth is on fire and then it feels numb. This is because the capsaicin overwhelms the C nerve fibres that are responsible for transmitting pain and then it disables them for an extended period of time.
Research has indicated that Shockwave Therapy works the same way.1
When activated, the C nerve fibers release a specific substance, Substance P, in the tissue as well as in the spinal cord. This substance is responsible for causing slight discomfort during and after shock wave treatment. However, with prolonged activation, the C nerve fibers become incapable for some time of releasing substance P and causing pain.2
Less substance P in the tissue leads to reduced pain and… less Substance P also causes so-called neurogenic inflammation to decline.3
A decline in neurogenic inflammation may also encourage healing – together with the release of growth factors and the activation of stem cells in the treated tissue.4
1 Maier et al., Clin Orthop Relat Res 2003; (406):237–245.
2 In addition, shock waves activate the so-called A? nerve fibers (sensory afferent nerve fibers from the periphery) via receptors in the tissue.
According to Melzack and Wall’s gate control theory (Science 1965; 150:971–979) these activated A? fibers then suppress the conduction of pain in the second-order neuron of the sensory pathway in the dorsal horn of the spinal cord.
3 The release of substance P, CGRP (calcitonin gene-related peptide) and other inflammation mediators from afferent nerve fibers is generally referred to as “neurogenic inflammation” (Richardson and Vasko, J Pharmacol Exp Ther 2002; 302:839–845). It is also linked to the pathogenesis of tendinopathies such as tennis elbow and plantar fasciitis (Roetert et al., Clin Sports Med 1995; 14:47–57; LeMelle et al., Clin Podiatr Med Surg 1990; 7:385–389).Shock wave treatment causes a drop in substance P and CGRP in the tissue (Maier et al., 2003; Takahashi et al., Auton Neurosci 2003; 107:81–84).
4 Shock waves in the treated tissue lead to a stronger expression of growth factors such as BMP (bone morphogenetic protein), eNOS (endothelial nitric oxide synthase), VEGF (vascular endothelial growth factor) and PCNA (proliferating cell nuclear antigen) as well as to an activation of stem cells
(Wang CJ, ISMST Newsletter 2006, Vol. 1, Issue 1; Hofmann et al., J Trauma 2008; 65:1402–1410).
What Can It Treat?
- Lateral Epicondylitis/Tennis Elbow
- Medial Epicondylitis/Golfers Elbow
- Subacromial Pain Syndrome/Rotator Cuff Tendinopathy/Shoulder Impingement Syndrome
- Calcifying Tendinitis of the Shoulder
- Greater Trochanteric Pain Syndrome/Trochanteric Bursitis
- Medial Tibial Stress Syndrome/Shin Splints
- Osgood Schlatters Disease
- Patellar Tip Syndrome/Patellar Tendinopathy/Jumpers Knee
- Midbody and Insertional Achilles Tendinopathy
- Lower and Upper Back Pain
- Fast and Simple Pain Relief
- Non invasive Alternative to Surgery
- High Energy Impulses Activate Stem Cells and encourage the Healing Process
- Recognised and Recommended by NICE Guidelines (National Institute For Health and Care Excellence)
Prices For Shockwave Therapy:
Recommended treatments vary depending on the condition. As a guide, Shockwave Treatments are spaced weekly with between 3-6 treatments. NICE guidelines recommend 4-6 treatments depending on the severity of the condition.
£60 per session
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