Why should I opt for Shockwave therapy?
Are all shockwave therapy machines the same?
Simply put, no. The quality of the device used to generate the shockwaves can affect the results greatly. To ensure that you receive the best care, take note of the make and model of the device used and conduct online research. If the device can be purchased from online platforms, be extra cautious.
Successful clinical shockwave therapy relies on
- The expertise of the specialist
- High quality shockwave device
- Timely follow up sessions and feedback from patients
What is Radial Shockwave?
Radial Shockwave Therapy (RSWT) is the most common form of shockwave therapy available. It is an efficient method for achieving pain relief in a short period of time.
Radial shockwave is ballistically generated. meaning that it is formed from a projectile mechanically hitting a transmitter. The transmitter produces pressure waves that impact on the surface of the skin and travel downwards into the deeper tissues, offering deep tissue effects that cannot be achieved with manual massage or tools.
Broad pulsation targets large affected areas
Often used in combination with Focused Shockwave for best clinical results. Read more on radial shockwave
Did you know?
shockwaves are not technically shockwaves, they are actually pressure waves. As it served a similar purpose, the early pioneers decided to categorise the technology under the term ‘shockwave’ to avoid public confusion.
What is Focused Shockwave?
Focused shockwave is used to precisely target and penetrate deeper areas of the body. Focused Shockwave Therapy (FSWT) has a very high penetrative power and can deliver a precise beam of shockwave energy into a small area and specific part of the target tissue region. For example, focused shockwave is capable of reaching into the insertion point of a tendon or directly into the hip joint which no radial shockwave device can achieve.
Pin-point pulsation targets small affected areas
Often used in combination with Radial Shockwave for best clinical results. Read more on focused shockwave
Learn more on defocused shockwave, a specific type of shockwave for increasing the recovery rate of diabetic wounds.
Did you know?
Focused shockwave is also used in other medical fields for purposes such as breaking up kidney stones, addressing muscle spasticity, lateral epicondylitis, chronic pelvic pain syndrome, facial/body aesthetics, and more.
History of Shockwave
The original application of shockwave was to address kidney stones. This type of high-energy shockwave is known as ESWL or extracorporeal shockwave lithotripsy, and was done in an operating theatre setting. Researchers then found that a lower intensity shockwave was able to address various musculoskeletal conditions and to manage pain. The power used for generating this shockwave is much lower than the range used for fragmenting kidney stones.
The low intensity shockwaves used in therapy and pain management, also known as ESWT, are safe and are designed to induce healing. They have been extensively studied, and are an accepted modality in many orthopaedic practices, podiatry centres, and hospitals in Singapore and around the world.
- Heel Spur
- Plantar Nerve Neuritis
- Gout related flare ups on the foot
- Tight Calves
- Achilles Tendonitis
- Shin Splint
- Runners Knee pain
- Hip pain
- Back pain
- Tennis Elbow
- Frozen shoulder
Patients can feel a significant difference after a session of shockwave. Walking or driving after a session is typically not a problem, but patients are advised to reduce their level of physical activity for one to two weeks.
To prevent certain conditions from worsening, proper footwear with orthotic arch support may be recommended by the podiatrist. If necessary, sports tape may also be applied to secure and support the affected area.
In general, an average of 3 to 5 shockwave sessions are needed. These sessions are performed at weekly intervals. However, the number of sessions needed is dependent on factors such as the severity of the symptoms, patient medical profile, and patient compliance.
The main complications are pain and hypersensitivity at the targeted site. This should steadily resolve within a couple of days. Pain and disability may persist if the patient aggravates the pre-existing condition with too much physical activity right after the shockwave therapy.
Shockwave therapy is a non-invasive approach that can help the patient achieve improvement without surgery. The response to shockwave therapy can vary based on the individual. When conservative interventions are exhausted, surgery may be what is needed.
Complications are infrequent with proper application of shockwave therapy by experienced healthcare providers.
Patients who are pregnant, taking anticoagulants or have blood clotting disorders should not undergo shockwave therapy. If you have had a corticosteroid (cortisone) injection at the site of pain in the past six weeks, please inform your podiatrist. ESWT is not advised in patients with cancer.
This list is not exhaustive. If you have any questions or concerns, please check with your physician before undergoing shockwave therapy.
This depends on the insurance policy. You may discuss this with our podiatrist or enquire first with your insurance provider.