RPW Shockwave Therapy

After many successful trials, we have introduced a Chattanooga Radial Shockwave Unit to our Leichhardt clinic.  Australian Physiotherapists have been using Shockwave to treat tendinopathies and calcified tissues since 2010 with well-documented positive results.

There is high level of evidence for Shockwave for

  1. Degnerative Tendinopathy

    • Achilles

    • Patella

    • Hamstring

    • Rotator Cuff

  2. Frozen Shoulder

  3. Plantar Fasciitis

  4. Bone stress/ shin splints

  5. Chronic tension

    • Neck pain

    • Lower back pain

    • Deep Tissue Trigger Point release

    • Myofascial release

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What is Shockwave Therapy?

During Shockwave Therapy, radial pressure waves are applied to the surface of the skin using an applicator and gel.  In response to this stimulation, the body begins to produce an inflammatory reaction in the area being treated.

Inflammation is an essential process to promote healing. When an injury has persisted over time, the damaged area is no longer in an inflammatory state and its ability to heal is greatly limited. By triggering a new inflammatory response in the injured tissue, Shockwave Therapy resets the area so that physiotherapy treatment is faster and more effective. The tissue regains extensibility to respond to exercise and loading.

Generally 3 to 5 sessions are required and should be scheduled to work in conjunction with consistent application of your physiotherapy management plan to achieve a significant, long-term change in tissue regeneration and a reduction in symptoms.  The exact length of time will depend individual factors such as how long you have had pain and which other therapies have been used.  

The current evidence does suggest shockwave may be a reasonable treatment to consider for management of chronic musculoskeletal conditions that fail to respond to conservative care given its favourable safety profile and low risk for side effects. 

Local analgesia and nerve block is not recommended during the course of Shockwave treatments.  Additionally, NSAID use may be discouraged as it disrupts normal inflammatory pathway that may be responsible for treatment response.