There are basically four different way to produce the ‘shock wave’, which, without getting technical about it are : spark discharge; piezoelectric; electromagnetic and pneumatic (or electrohydrualic). The wave that is generated will vary in its energy content and also will have different penetration characteristics in human tissue. In therapy the most commonly employed generation method is based on the pneumatic system, and the key reason for this is that a radial (dispersive) wave results. The focussed waves are essential for ‘surgical’ interventions, but given their destructive nature, they are less appropriate for therapeutic uses. Focussed waves are sometimes also referred to as ‘hard’ shockwaves, the radial or dispersive wave sometimes called a ‘soft’ shockwave (another twist in the terminology).

Shock Wave Therapy

SWT is extremely effective, shortens the treatment period and brings better results in long time follow-up.  Orthopedic applications of shock waves concentrate on the  treatment of calcification, painful exostoses, various tendonitis and impaired fracture healing. SW therapy brings alternative in many cases when surgical solution seems to be inevitable.

Most common indications include:

  • Painful shoulder, such as frozen shoulder (adhesive capsulitis)
  • Epicondylitis (golfers / tennis elbow)
  • Low back pain
  • Achilles tendon pain, heel spurs, achillodynia
  • Patellar tendonitis, jumpers knee, osgood shclatters
  • Trigger points treatment