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Union Hospital

Physiotherapy Department

Shock Wave Therapy


Shock Wave Therapy

Extracorporeal Shock Wave Therapy (ESWT) produces high-energy


shock waves and delivers them to the tissue via the surface of the skin.
As a result, the therapy activates self-healing processes when pain
occurs: promote blood circulation and the formation of new blood
vessels result in improved metabolism. This in turn activates cell
generation and helps dissolve calcium deposits.

What is ShockWave Therapy?

Shockwave therapy is a fairly new treatment modality administered by


professionals like medical doctors and physiotherapists. It is a series
of high energetic shockwaves applied to the area that needs treatment.
A shockwave is a purely mechanical wave, not an electric one.

Effective Since 20/05/2008 Approved by Mrs Anna Young Page 1 of 8


(PHY Dept Manager)
On what parts of the body can Extracorporeal
Shock Wave Therapy (ESWT) be used?

Chronic tendon inflammation in the shoulder, elbow, hip, knee and


Achilles are indicated conditions for ESWT. The treatment can also be
applied to heel spurs and other painful conditions in the sole.

What are the advantages with Shockwave Therapy?

Shock Wave Therapy is applied without medication. The


treatment stimulates and effectively supports the body’s self
healing mechanisms with minimal reported side effects.

Effective Since 20/05/2008 Approved by Mrs Anna Young Page 2 of 8


(PHY Dept Manager)
What is the success rate for Radial Shockwave Therapy?

Documented international results show an overall result rate of


77% of chronic conditions that have been resistant to other
treatment.

Is the shockwave treatment itself painful?

The treatment is slightly painful, but most people can withstand


these few intense minutes without medication.

Effective Since 20/05/2008 Approved by Mrs Anna Young Page 3 of 8


(PHY Dept Manager)
Contraindications or precautions that I should be
aware of ?


Thrombosis

Blood-clotting disorders or ingestion of medicinal products that
affect blood clotting

Acute inflammation in the treatment area

Tumors in the treatment area

Pregnancy

Gas-filled tissue (lung tissue) in the immediate treatment area

Major vessels and nerve tracts in the treatment area

Effective Since 20/05/2008 Approved by Mrs Anna Young Page 4 of 8


(PHY Dept Manager)
What are the side effects of shockwave Therapy?

Irritation, petechiae, haematoma, swelling, pain are observed with


the shockwave therapy. The side effects disappear relatively
quickly (1-2 weeks). Skin lesions have also been observed in
patients receiving prior long-term cortisone treatment.

Will I be in pain after the treatment?

You will normally experience a reduced level of pain or no pain at


all immediately after the treatment, but a dull and diffuse pain may
occur a few hours later. The dull pain can last for a day or so and
in rare case a little bit longer.

Effective Since 20/05/2008 Approved by Mrs Anna Young Page 5 of 8


(PHY Dept Manager)
The Application

The physiotherapist locates the pain by palpation

The physiotherapist marks the area intended for Extracorporeal


Shock Wave Therapy (ESWT)

Coupling gel is applied to optimize the contact between shock


wave applicator and treatment zone.

The handpiece delivers shock waves to the pain area for a few
minutes depending on the dosage.

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* Reference: Swiss DolarClast® Instruction Manual

Effective Since 20/05/2008 Approved by Mrs Anna Young Page 6 of 8


(PHY Dept Manager)
All information in this pamphlet is for reference only.
Should you have any enquiries, please consult your physiotherapist.
© 2008 Union Hospital Physiotherapy Department, All rights reserved.

Effective Since 20/05/2008 Approved by Mrs Anna Young Page 7 of 8


(PHY Dept Manager)

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