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Shockwave Therapy

Reactivate Tissue Repair and Resolve Chronic Pain

Shockwave therapy is a form of energy that has biological effects at the cellular, tissue, and organ levels, bringing reparative effects to the body through pressure waves. It is primarily delivered in two forms: Focused Shockwave Therapy (F-SWT) and Radial Shockwave Therapy (R-SWT).

F-SWT focuses and concentrates the waves at a specific depth (the focal point) within the body, while R-SWT disperses from the surface, with their respective uses depending on the depth of the target tissue.

Effects of Shockwave Therapy

Shockwave therapy has shown potential benefits in increasing collagen synthesis, cell proliferation, wound healing, pain relief, promoting angiogenesis, and reducing soft tissue calcification and inflammation. Research indicates that shockwave therapy has clinical effects on tendinopathies, delayed fracture healing, ischemic bone necrosis, and muscle spasms.

Common conditions treated include:

  • Plantar fasciitis
  • Achilles tendinitis
  • Patellar tendinopathy
  • Tennis elbow (lateral epicondylitis)
  • Golfer’s elbow (medial epicondylitis)
  • Biceps tendinopathy
  • Supraspinatus tendinopathy
衝擊波, shockwave therapy

Recommendations for Shockwave Therapy

The specific energy level thresholds for shockwave therapy vary in the literature, but generally fall into the following ranges: low energy (<0.08-10 mJ/mm2), medium energy (0.08-0.28 mJ/mm2), and high energy (>0.29-0.60 mJ/mm2).

Some evidence suggests that higher energy levels provide more benefits in the treatment of calcific tendinopathy and skeletal disorders, while low and medium energy levels may be more helpful for tendinopathies and spasms. .

The typical interval between treatments is once per week, and the total number of treatments is usually 3-5 sessions.

Precautions for Shockwave Therapy

Potential side effects of shockwave therapy include:

  • Pain at the treatment site
  • Skin redness
  • Bruising, hematoma formation
  • Numbness or tingling from nerve irritation
  • Superficial edema
  • Systemic effects such as headaches or migraines, but less common

Shockwave therapy is generally not recommended or requires special attention in the following cases:

  • Active infections (e.g., osteomyelitis)
  • Malignant tumors (for focused shockwaves)
  • Pregnancy
  • Brain, nerve, lung, pleura, or growth plate in the focal area
  • Severe coagulation disorders
  • Patients with metal near the treatment site, such as pacemakers or metal implants
  • Patients with skin allergies or infections near the treatment site
  • Current use of NSAIDs, anticoagulants, or corticosteroid injections
足底筋膜炎, plantarfasciitis

MANA Core Values

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