Promotes Rapid Healing of Chronic Soft-Tissue Injuries
Chinook Rehab Centre is now providing the cutting-edge therapy of Shockwave Therapy to our clients, performed by our Physiotherapist. This non-surgical treatment targets localized musculoskeletal pain via high-intensity sound waves which penetrate the skin. This targeted therapy helps regenerate damaged tissue using an acoustic wave that releases energy at the point of contact. It’s most commonly used for breaking down calcifications, scar tissue and treating chronic tendon and muscle pain.
Helps with the following injuries:
- Plantar Fasciitis, Heel Pain or Heel Spur
- Jumpers Knee (patellar tendonitis)
- Shin splints (media tibial stress syndromes)
- Muscle sprains, Cramps and Spasms
- Rotator Cuff Tendonitis and Calcification
- Hip Bursitis and Pain
- Back Pain
- Tennis or golfer’s elbow (lateral and medial epicondylitis)
- Achilles Tendonitis (achillodynia)
- Frozen Shoulder (adhesive capsulitis)
- Scar Tissue Treatment
- Trigger Points in Muscles
- Morton’s Meuroma
Common Questions with Shockwave Therapy:
Is it painful?
When receiving treatment, you will feel a repetitive and fast hammer feeling on your tendon. This can be either minimally painful or not painful at all. The hammer action of the applicator creates a soundwave which travels through the tendon. It’s the soundwave that is treating the tendon not the hammer so there is minimal pain, just a strange sensation.
How does it work?
This therapy causes high energy stimulations to be applied. During a session 2000-3000 pulses are delivered to the affected area. The soundwaves stimulate the reduction of naturally occurring chemicals which are causing pain and inflammation, while at the same time increasing naturally occurring chemicals which promote healing.
How long does it take?
Treatment may take 20 minutes.
Are there side effects?
As it works on changing the interaction of naturally occurring chemicals there are no expected side effects with Shockwave Therapy. This makes it an excellent adjunct to tendon rehabilitation.
What can I expect in a session?
Ultrasound gel is applied to the skin overlaying the injured tendon, then settings are entered into the machine. The practitioner uses a foot pedal to start the hammering device within the handset they hold. It is then brought into contact with the skin and moved around in small circles for 3-5 minutes.
How many treatments do I need to improve my condition?
Typically, between 1 and 6 treatments, depending on the amount of degeneration and pain in the tendon. The treatment is complemented with an appropriate strengthening exercise plan for lower limb injuries. In the upper limb, the evidence for injured tendon treatment is not as clear. These tendons may not respond to strengthening as well as the lower limb but can benefit from the pain-reducing properties. Shockwave can be used more often, even up to 10 times in the upper limb.
Does Shockwave therapy really work?
There is robust evidence behind the effectiveness of reducing pain in tendons using large studies. It is recommended within the public health system of the United Kingdom and is used widely in Australia and America.
Treatment For Tendon Injuries
A tendon joins a muscle to a bone. When it is strained for more than about 4 weeks, changes start to happen within the tendon that makes it less likely to heal. If there is, a few months of the tendon being strained it is most likely it will not heal to its pre-injury capabilities without treatment. To understand how this happens, think of a tendon as a matrix of connective tissue which is built and maintained by tendon cells (tenocytes).
After a few weeks of a strain, the tendon cells start to release a chemical which unfortunately degrades the matrix of the tendon. Also, at this time, there are fewer tendon cells produced. This leaves the tendon under attack from the cells which are supposed to build and maintain it.
Using Shockwave Therapy on a tendon stops the tendon cells releasing chemicals which degrade the tendon and increases the production of tendon cells. This allows for repair and maintenance of the matrix. Research has asserted that the use of Shockwave Therapy increases the likelihood of complete repair or much-improved repair of an achilles tendon from 56% to 82% when comparing treatment consisting of physiotherapy alone to physiotherapy and shock wave therapy.