Shockwave treatment is simply a multidisciplinary instrument taken advantage of in orthopaedics, physical rehabilitation, physical activities healthcare, urology as well as veterinarian medicine. Its primary benefits are actually quick pain reduction as well as mobility rehabilitation. In addition to being truly a non-surgical treatment without any concern for medicines helps make it an excellent treatment to quicken healing as well as treatment a variety of indicators triggering constant or even sev`ere pain.
MECHANISM OF ACTION
Shockwave is an acoustic wave which carries high energy to painful spots and myoskeletal tissues with subacute, subchronic and chronic conditions. The energy promotes regeneration and reparative processes of the bones, tendons and other soft tissues.
Shockwaves are characterized by jump change in pressure, high amplitude and non-periodicity.
The kinetic energy of the projectile, created by compressed air, is transferred to the transmitter at the end of the applicator and further into the tissue.
Acoustic waves with high energy peak used in Shockwave therapy interact with tissue causing overall medical effects of accelerated tissue repair and cell growth, analgesia and mobility restoration. All the processes mentioned in this section are typically employed simultaneously and are used to treat chronic, sub-acute and acute (advanced users only) conditions.
New Blood Vessel Formation
Nutrient blood flow is necessary to start and maintain the repair processes of damaged tissue structure. The application of acoustic waves creates capillary microruptures in tendon and bone. Due to microruptures the expression of growth factors such as eNOS, VEGF, PCNS and BMP is significantly increased.
As a result of these processes arterioles are remodeled, stimulated to grow and new ones are formed. The new blood vessels improve blood supply and oxygenation of the treated area and support faster healing of both the
Reversal of Chronic Inflammation
Chronic inflammation occurs when the inflammatory response is not completely halted. It can damage healthy tissue and results in chronic pain. Mast cells are one of the key components of the inflammatory process. Their activity may be increased by using pervasive acoustic waves.
Mast cell activation is followed by the production of chemokines and cytokines. These pro-inflammatory compounds first enhance the inflammatory process and in the next step help restore normal healing and regenerative processes.
Stimulation of Collagen Production
The production of a sufficient amount of collagen is a necessary precondition for the repair processes of the damaged myoskeletal and ligamentous structures. Shockwave therapy accelerates procollagen synthesis. The therapy forces the newly created collagen fibers into a longitudinal structure which makes the newly formed tendon fibers more dense and stiff and creates a firmer structure.
Dissolution of Calcified Fibroblasts
Calcium build-up is most often a result of micro-tears or other trauma to a tendon. Acoustic waves break up the existing calcifications. Shockwave therapy starts the biochemical decalcification of the calcium build-up of a toothpaste-like consistency and treats the tendon. The granular particles of calcium are then removed by the lymphatic system.
About [Dr. Nahali]
We care for and regarding our patients, providing an exceptional array of services and tailored treatment– in a pleasant, soothing environment. Certain about our programs and impressed with our success, doctors frequently refer patients to Orlando Spinal Aid Center. Our goal is straightforward, yet unique: to make your path to recovery as fulfilling as your recovery itself. We’re an unique kind of outpatient Injury and rehabilitation center."
–– Dr. David Nahali