Shockwave Treatment

Shockwave is an advanced form of treatment which greatly speeds up the recovery from chronic injuries.



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Shockwave Treatment

Shockwave treatment is a form of ultrasound treatment for old, fibrotic or scarred injuries. In a simple sense it shakes up the tissue in a microscopic way to stimulate your body to grow blood vessels into the area again and increase its elasticity.
It feels just like a firm tapping on the affected area. Depending on how tight the tissue is there may also be a sensation of a deep ache for several seconds which dissipates gradually. Overall a treatment may only last for a few minutes per area. Usually within 3-4 weekly treatments the problem is either resolved or well on its way to being fixed. How long it takes will depend on the state of the tissue we are treating. For example a shoulder which has been restricted for 10 years will take longer than one which has been stuck for several months.



shockwave effect on muscle

Fibrosis

Our bodies have inbuilt capacities to adjust to outside influences. If we do a very heavy job all day - our body will invest energy into making our muscles bigger and more capable to withstand sustained activity. If we sit all day handling accounts, our muscles will gradually shrink and circulation to them will be reduced as it is not needed. Instead, that energy will be redirected to your brain in order to help you complete your accounts more effectively.

Fibrosis is the process of a healthy, flexible muscle with good circulation turning into a more passive, fibrous tissue. The left image below shows a healthy muscle, the right one shows increased fibrosis visible as increased white tissue. Fibrotic muscle will greatly limit your range of movement and will hurt when you try and use it for any length of time due to its poor circulation. Shockwave helps us stimulate the body to gently remove fibrotic tissue.ch as neck and shoulder tightness - which can be a result of the pain, but we cannot ‘fix’ a migraine. The only real relief in these cases is avoiding your triggers or taking migraine medication.



shockwave effect on muscle

What Is Shockwave

The applicator of a shockwave unit is comprised of a small projectile which air pressure ‘throws’ forward against small metal plate. This action generates a wave of ultrasound energy which can penetrate deep into all soft tissues. To put it simply the waves will shake up any dense or fibrotic tissue. This will in turn re-create flexibility and allow more movement. It will also stimulate the body to grow new blood vessels into the area which will both speed up healing and improve your future ‘resistance’ to injury.

The shockwaves are tuned to the tissue that is being treated. A muscle will need a different shockwave from a ligament or a tendon. This is set individually for each patient according to how it feels to them. We tailor it especially for you.



How Does Shockwave Work

The applicator of a shockwave unit is comprised of a small projectile which air pressure ‘throws’ forward against small metal plate. This action generates a wave of ultrasound energy which can penetrate deep into all soft tissues. To put it simply the waves will shake up any dense or fibrotic tissue. This will in turn re-create flexibility and allow more movement. It will also stimulate the body to grow new blood vessels into the area which will both speed up healing and improve your future ‘resistance’ to injury.

The shockwaves are tuned to the tissue that is being treated. A muscle will need a different shockwave from a ligament or a tendon. This is set individually for each patient according to how it feels to them. We tailor it especially for you.

shockwave effect on cells

Shockwave Treatment

Shockwave equipment comes in a wide range of sizes and strengths. It was first developed in the 1980's and has since been improved many times over. Our equipment is made by Storz Medical - an industry leader who has been designing shockwave systems for the last 30 years. Many other brands are made with Storz components due to their quality. This quality guarantees that you will get the best possible results during your treatment.



radial shockwave

Radial Shockwave

Radial shockwave is the most commonly used in New Zealand. It's impulse is wide and spreads a fair bit of energy throughout a large area which makes it perfect for all soft-tissue injuries. The important components of radial shockwave are the power delivered through the transmitter tip, the shape of the shockwave and the nature of the wave pattern. The power delivered to your tissues will depend on the strength of the compressor which the shockwave unit uses to propel the small projectile in the handpeice, at speed, towards the transmitter. If insufficient speed is provided it may not provide enough power to stimulate your tissue sufficiently to actually cause a positive change within it. At lower power levels results will either be underwhelming or you will require many more treatments.

radial shockwave

The shape of the shockwave and its wave pattern will decide on which tissue we will influence the most - muscle, ligament, bone etc. To this end we have transmitters made of a variety of different materials, from steel to cermaic, plastic and titanium. This allows us to target particular tissues while not annoying or affecting surrounding tissues very much and it also allows us to modulate the amount of stimulation your tissue receives. The large variety of transmitters allow us to fine tune the treatment experience which will increase your comfort, rather than making it a painful and uncofortable procedure.

radial shockwave transmitters



focused shockwave

Focused Shockwave

Focused shockwave allows us to take a bundle of energy and focus it into a very small area in order to have a more concentrated effect from the radial shockwave which is more spread out. This modality allows us to aid in the dissolving of muscle and tendon calcifications, stimulate micro-circulation in tendons or stimulate bone healing very efficiently.
By means of different tips (stand-offs) we can target a very specific treatment depth and reach the exact tissue that you need healed. This precision means that we can achieve a great result with few treatments. We also use live ultrasound imaging to know the exact location and depth of your tissue lesion.



How Does Focused Shockwave Work

Calcifications within a muscle or tendon generally do not dissolve on their own - they can be surgically removed. Focused shockwave is a non-invasive way of stimulating your body to dissolve them.
Tendon tears and inflammation can be notoriously slow and painful to get rid of. Focused shockwave allows us to stimulate your collagen fibers in such a way that they strengthen and heal faster. Together with a comprehansive rehabilitation regimen all tendon problems can be fixed and more importantly we can strengthen the tendon so that new injuries don't happen.
Unhealing bone fractures and bone oedema (swelling) can be frustrating causes of pain and they are very slow to heal. With focused shockwave we can easily reach the inner workings of your bone and stimulate the closing of a stubborn fracture or reduce internal bone oedema.
Joint arthritis / inflammation is another issue which focused shockwave can help with. As long as the damage to your joint isn't catastrophic, we can stimulate both your joint capsule (which is usually most responsible for pain), as well as the cartilages to try and heal. If you have not had any imaging performed on the joint in question, we can help you organise this first if we suspect that there is considerable damage.

shockwave standoffs
international society for medical shockwave treatment

Qualifications

As important as our equipment is for the high quality of treatments we provide, the training our staff have received is just as vital. We have been thoroughly trained by the International Society for Medical Shockwave Treatment on the best practices for the use of shockwave. We also keep up with the most recent research which comes out in the form of guidelines for new and emerging ways to heal a variety of tissue lesions.

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