Shockwaves are high-energy pressure waves that are generated with a special device and delivered in a focused form to the area of the body to be treated.

Shockwaves release mechanical stimuli, locally cause changes in cell metabolism, and lead to improved vascular supply and blood circulation in the damaged areas. Calcifications can thus be dissolved, and repair processes in degeneratively altered tissues such as tendons or ligaments can be initiated. Bone healing can also be stimulated by shockwaves.

In focused shockwave therapy, special sound waves are emitted by an electromagnetic source, which spread precisely through the tissue and can be directed to a point at a predefined depth. Only there is the energy focused, creating the desired effect.

Focused shockwave therapy is more effective than radial therapy because it has a greater penetration depth into the tissue and can be delivered more precisely – focused – to the affected area. Treatment with this modern device is also significantly less painful compared to radial therapy.

How is Shockwave Therapy performed?

• After diagnosis and localization of the complaints, the patient is comfortably positioned sitting or lying down.
• The therapy lasts approximately 10-15 minutes, depending on the localization and clinical picture.
• The intensity of the treatment is generally predetermined but can also be adjusted to increase the effectiveness of the treatment outcome.
• The final treatment success is only to be expected approximately 4-6 weeks after the start of treatment. Shockwave treatment stimulates the tissue’s self-healing, which explains this delayed effect.
• Slight pulling pains may occur during treatment. Bruises may also form.

Attention: Please inform us if you are taking blood-thinning medication!

For which conditions is shockwave therapy useful?

Mainly conditions of tendons, muscles, fascia, and bones can be treated.

Calcific Shoulder – Calcific Tendinitis

Cause:
In addition to recurrent stress on the shoulder, a certain narrowing of the joint (impingement syndrome) can lead to irritation of the tendon tissue. Recurrent inflammation results in calcifications of the tendon attachments and bursitis, i.e., “calcific bursitis” (Bursitis calcarea).

Symptoms:
acute pain when abducting the arm, as well as when lifting forward, radiating pain into the upper arm

Therapy:

• 5 sessions of focused shockwave therapy
• Physiotherapy
• ACP Stem Cell Therapy
• Arthroscopy only for severely persistent symptoms

Tennis Elbow – Golfer’s Elbow – Epicondylitis

Cause:
Chronic inflammation at the muscle/bone attachment due to overuse or muscle shortening

Symptoms:
Pain on the outside (tennis elbow) or inside (golfer’s elbow) of the elbow

Therapy:

• 3-5 sessions of focused shockwave treatment
• Physical therapy
• ACP – Stem Cell Therapy
• Surgery only in severe cases

Plantar Fasciitis & Heel Spur

Pain in the heel area of the sole of the foot.

Cause:
Flattening/collapsing of the foot arch (pes planus formation), overuse, or shortening of the calf muscles leads to increased tension on the plantar fascia. This subsequently results in inflammation in this area (plantar fasciitis). If this condition persists, a bony heel spur can develop.

Symptoms:
Typically, severe pulling pain in the sole of the foot in the morning, pain in the heel during weight-bearing

Therapy:

• 3-5 sessions of focused shockwave treatment
• Stretching exercises
• Physical therapy
• ACP Stem Cell Treatment

Achilles Tendon Pain – Achillodynia – Achilles Tendon Insertion Tendinitis

Achillodynia refers to pain in the area of the Achilles tendon. This can be localized either at the insertion to the heel bone (Achilles tendon insertion tendinitis) or in the middle of the Achilles tendon. The pain is often accompanied by a significant thickening of the Achilles tendon.

Cause:
Overuse, previous injury, foot malposition, e.g., pes valgus

Symptoms:
Morning pain in the Achilles tendon, “start-up pain”, pain during weight-bearing

Clarification:
X-ray and magnetic resonance imaging to clarify calcifications and lesions of the tendon!

Therapy:

• 5 sessions of focused shockwave therapy
• Physiotherapy with eccentric training
• Stretching exercises
• Adjunctive ACP Stem Cell Treatment

Shin Splints – Periostitis/Inflammation of the Periosteum

Symptoms:
Pain in the area of the anterior shin bone and at the muscle attachment

Cause:
Overuse due to very long walks or running sports. Repeated activation of the musculature adjacent to the shin bone irritates and inflames the periosteum. This causes the pain. Incorrect running style, incorrect training, wrong running shoes.

Therapy:

• Rest for running and jumping sports
• Anti-inflammatory medication and local measures
• 5 sessions of focused shockwave therapy

Patellar Tendinopathy – “Jumper’s Knee”

Symptoms:
Pain directly at the inferior tip of the kneecap

Cause:
Overuse – Overtraining, injury

Clarification:
Clinical examination and magnetic resonance imaging

Overuse of the bone-to-tendon junction (patellar ligament) triggers an inflammatory reaction. In some cases, this can lead to a thickening of the tendon, or in severe cases, to tendon damage.

Therapy:

• Rest for running and jumping sports!
• Anti-inflammatory medication and local measures
• 5 sessions of focused shockwave treatment

Trochanteric Tendinopathy – Hip Fascia Syndrome

Symptoms:
Pain on the side of the hip that occurs when lying down or after exertion.

Cause:
Irritation/friction of the greater trochanter of the femur leads to inflammation of the fascia on the outer thigh.

Therapy:

• Rest for running and jumping sports
• Anti-inflammatory medication and local measures
• 5 sessions of focused shockwave treatment

Pseudarthrosis Treatment – Bone Malunion

Cause:
If a bone fracture does not heal properly, a false joint forms, also known as pseudarthrosis. Pseudarthroses are often found, for example, after a clavicle fracture.

Therapy:

• Focused shockwave treatment: First session under sedation with the maximum possible dose
• Another 5 sessions at 5-7 day intervals

Shockwave Therapy for Scar Treatment

• Hypertrophic or hardened scars, retracted scars, poorly healing scars
• Wound Healing Disorders – Treatment of Chronic Wounds

Chronic or poorly healing wounds show a very good healing tendency with shockwave treatment! In addition to local therapeutic measures, shockwave treatment promotes healing success.

Postoperative Treatment after Surgeries

• ACL Reconstruction
• Rotator Cuff Repair
• Achilles Tendon Rupture

Shockwave therapy has proven to be an effective means of improving the healing of tendons or ligaments. After suture removal, i.e., approximately 14 days after surgery, a shockwave session is performed 5 times at weekly intervals. This leads to increased blood flow to the tissue, which can optimize healing.

Shockwave Therapy after Muscle Injuries

The application of shockwaves additionally stimulates tissue healing.

Additionally, ACP therapy is recommended

Shockwave Therapy after Bone Fractures

Promotion of Fracture Healing

To promote the healing of bone fractures, shockwave treatment can be performed adjunctively. 4-5 sessions of shockwave treatment are required for this.

What does shockwave therapy cost?

• Shockwave per treatment/body region €150

 

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