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The Benefits of Shockwave Therapy for Muscle Pain: What You Need to Know

"The Benefits of Shockwave Therapy for Muscle Pain: What You Need to Know"


The Benefits of Shockwave Therapy for Muscle Pain: What You Need to Know
The Benefits of Shockwave Therapy for Muscle Pain: What You Need to Know

There are 2 types of shockwave therapy, radial and focused


Radial shockwave therapy is the MOST COMMON for treating muscle pain and dysfunction


FOCUSED shockwave is for more acute cases ( under 12 weeks of pain ) that require more precision.


Radial shockwave is like a softer version and is good for treating larger areas


Focused shockwave, a harder version, penetrates deeper into tissues, this is good for muscles close to the bone, calcifications and non-unions


How many treatments will you need?


A good rule of thumb is around 5 sessions, with treatments being done every 5- 10 days


Research has found a weekly regime can work whereas doing it monthly did not produce great results


The session usually lasts around 15 minutes to 20 minutes depending on the area of the body.


How does a shockwave cause positive changes in your muscles?

  • increased collagen synthesis-

  • Cellular proliferation and wound healing - helps with Il6 and IL8 (tendon remodelling)

  • Pain reduction- modifies substance P release

  • Decrease in soft tissue calcification

  • Decrease in inflammation


How shockwave affects different parts of the body

Pathology

Mechanism of action

Tendons

  • Decreased edema and inflammatory cell infiltration within tendons

  • Tissue regeneration via conversion of mechanical stimulation to biochemical signal

  • Stimulate tenocyte and collagen proliferation (important in healing)

  • Scleraxis upregulation (promotes tendon growth and development)

  • Proliferation of anti‐inflammatory cytokines

  • Increased proliferation and migration of tendon‐derived tenocytes

  • Decreased metalloproteinase expression (enzymes that can degrade collagen)

  • Reduction of inflammatory interleukins

Bones

  • Protein upregulation may enhance angiogenesis and neovascularization of the bone

  • Osteogenesis and bone remodelling by release of growth factors

  • Bone morphogenic protein 2

  • Vascular endothelial growth factor

  • Promotion of periosteal bone formation

  • Decreased osteoclast activity

  • Increased osteoblast activity

Joints (knee)

  • Decreased inflammation

  • Decreased edema

  • Improvements in subchondral bone architecture

  • Increased chondrocyte activity (cartilaginous repair)

Spasticity

  • Decreased spasticity at the level of the muscle and neuromuscular junction

  • Reduced rigidity of connective tissues (muscle level)

  • Stimulate synthesis of nitric oxide

  • Neuromuscular junction formation

  • Neovascularization

Here's a special treat! One of our many videos about stretching from our STAND CORRECTED online pain management programs, we hope it helps. ENJOY!





If you want more information about how we can help . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today!




Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic maybe costly and time consuming. This way if you cant make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure.

Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions

  • migraine

  • cervicogenic headaches

  • cervical facet neck pain

  • tension headaches

  • cervical radiculopathy (pins and needles in the arm originating from the neck)

  • shoulder impingement relief

  • thoracic outlet syndrome

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  • meniscus (knee pain)

  • Plantar fasciitis (Foot Pain)

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  • Welcome To Chiropractic

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Reference

Extracorporeal Shockwave Therapy

Extracorporeal shockwave therapy, most notably used in the treatment of kidney stones, is a unique adjunct that continues to show promise in treatment of refractory plantar fasciitis patients.


PM R. 2022 May; 14(5): 611–619.

Published online 2022 Apr 14. doi: 10.1002/pmrj.12790

PMCID: PMC9321712

PMID: 35187851

Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration

Adam S. Tenforde, MD, 1 Haylee E. Borgstrom, MD, MS, 1 Stephanie DeLuca, MD, 1Molly McCormack, BA, 1 Mani Singh, MD, 2 Jennifer Soo Hoo, MD, 3 and Phillip H. Yun, MD4






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