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The truth about Shockwave Therapy: Not all Shock Waves are equal

In the ever-evolving field of medical technology, there are revolutionary advancements that redefine the way we approach various health conditions. One such innovation is Radial Shockwave Therapy (RSWT), a non-invasive treatment modality that has gained significant attention for its effectiveness in managing musculoskeletal issues. However, it is important to recognise that not all radial shockwave devices are created equal. In this comprehensive blog post, we will delve into the history of extracorporeal radial shockwave therapy, explore its use for musculoskeletal problems, and shed light on the emergence of EMS DolorClast radial shockwave therapy, a cutting-edge device that sets new standards in this field.


A Brief History of Extracorporeal Radial Shockwave Therapy:

Radial Shockwave Therapy traces its origins back to the 1980s when researchers and clinicians began experimenting with shockwaves to treat kidney stones non-invasively. These early experiments led to the realisation that shockwaves had potential applications in various medical fields, including orthopaedics and rehabilitation. Over time, the technology evolved, and the focus shifted towards using radial shockwaves for musculoskeletal conditions.


Early radial shockwave machine

Musculoskeletal Issues and Radial Shockwave Therapy:

Musculoskeletal problems such as tendinopathies, plantar fasciitis, calcifications, and trigger points can cause significant discomfort and hinder daily activities. Traditional treatment options often involve medications, physical therapy, or even surgery. Radial Shockwave Therapy offers a non-surgical alternative, delivering high-energy shockwaves directly to the affected area.


Alternative to drugs

How does Radial Shockwave Therapy work?

Radial Shockwave Therapy utilises a specialised device that generates and delivers shockwaves to the target area. These shockwaves stimulate the body's natural healing mechanisms, promoting tissue regeneration, improved blood circulation, and pain reduction. The controlled energy of the shockwaves targets specific tissues without damaging surrounding structures.


Shockwave therapy

The Effectiveness of Radial Shockwave Therapy:

Numerous studies have demonstrated the effectiveness of Radial Shockwave Therapy in managing various musculoskeletal conditions. Research has shown positive outcomes in treating conditions like tennis elbow, Achilles tendinopathy, rotator cuff tendinopathy, and patellar tendinopathy, among others. Patients often experience reduced pain, improved functionality, and a quicker return to their regular activities.


Shockwave therapy plantar fasciitis

The Emergence of EMS DolorClast Radial Shockwave Therapy:

While radial shockwave therapy has shown promising results, not all devices used for this treatment are equal. EMS DolorClast, developed by EMS Electro Medical Systems, is an advanced radial shockwave therapy device that has garnered attention for its innovative features and enhanced therapeutic capabilities.


Shockwave therapy Knee OA

What sets EMS DolorClast®Radial Shock Waves apart? Why does Auckland Shockwave Therapy trust this device over others?

EMS DolorClast utilises state-of-the-art technology to deliver radial shockwaves with precision and efficacy. Some key features that differentiate EMS DolorClast from other devices include:

  • Deliver the highest energy everywhere: Two integrated compressors and an optimised air management system. Making it the most powerful Radial Shock Waves device on the market delivering impulses up to 25Hz.

  • Focused and precise treatment: The device accurately targets the affected area, ensuring optimal energy delivery to the injured tissue.

  • Multiple energy levels: EMS DolorClast offers a range of energy levels that can be customised to suit the specific needs of each patient and condition. 5 Smart protocols and 3 modes of action to treat most musculoskeletal pathologies.

  • Ergonomic design: The device is designed with user comfort in mind, allowing clinicians to administer treatments easily and efficiently. Comes with a set of 7 applicators to adapt to your patient’s pathology.

  • Comprehensive treatment guidance: EMS DolorClast is supported by extensive clinical research and treatment protocols, providing healthcare professionals with valuable guidance in delivering effective therapy.


A recent bench1 test comparison study between the EMS DolorClast®️ Radial Shock Waves and the Storz MASTERPULS®️ 200 ultra demonstrates significant differences in energy output at higher frequency settings.

1 Reinhardt N, Wegenaer J, de la Fuente M. Influence of the pulse repetition rate on the acoustic output of ballistic pressure wave devices. Sci Rep 2022;12(1):18060.


Not all shockwaves are equal

The amount of energy transferred to tissues is crucial in achieving therapeutic efficacy. As we have explored the history of extracorporeal radial shockwave therapy and its application in managing musculoskeletal issues, it becomes evident that not all radial shockwave devices can deliver precise and effective treatment equally.

The emergence of EMS DolorClast radial shockwave therapy has brought about a significant breakthrough in this field. This advanced device has been designed to optimise the amount of energy delivered to the affected tissues, leading to improved treatment outcomes and patient satisfaction.

Shockwave therapy energy output

Research studies utilising the EMS DolorClast device have demonstrated its effectiveness in various musculoskeletal conditions. For instance, in the treatment of tennis elbow, a randomised controlled trial published in the Journal of Bone and Joint Surgery found that patients who received EMS DolorClast therapy experienced a greater reduction in pain and improved functional outcomes compared to those treated with a placebo.


Moreover, studies investigating the use of EMS DolorClast in Achilles tendinopathy, rotator cuff tendinopathy, and patellar tendinopathy have consistently reported positive results. These studies have highlighted the importance of precise energy delivery to the injured tissues, promoting tissue regeneration, pain reduction, and functional recovery.


A Perfect Match: The Benefits of Shockwave Therapy in Conjunction with Osteopathy

While Radial Shockwave Therapy (RSWT) has shown significant promise in managing musculoskeletal issues, combining it with osteopathy can enhance the therapeutic benefits and provide a holistic approach to patient care. Let's explore the benefits of incorporating shockwave therapy with osteopathy and examine the evidence supporting this combined treatment approach.


  1. Complementary Treatment Modalities: Osteopathy manually manipulates the musculoskeletal system to restore balance and promote the body's natural healing processes. By combining RSWT with osteopathic techniques, patients can experience the synergistic effects of both therapies. While shockwave therapy targets the affected tissues at a cellular level, osteopathy addresses the structural and functional aspects of the musculoskeletal system. This combination ensures comprehensive treatment that addresses the underlying causes of the condition.

  2. Enhanced Pain Relief and Tissue Healing: Shockwave therapy and osteopathy integration can lead to enhanced pain relief and accelerated tissue healing. Shockwave therapy stimulates tissue regeneration, increases blood flow, and reduces inflammation, relieving pain and promoting healing. Conversely, osteopathy helps restore proper alignment and function of the musculoskeletal system, reducing stress on the injured tissues and facilitating their recovery. By addressing the symptoms and the underlying structural issues, patients may experience faster and more sustained pain relief.

  3. Improved Range of Motion and Functional Recovery: Musculoskeletal conditions often result in a restricted range of motion and functional limitations. The combination of shockwave therapy and osteopathy can help improve these aspects by targeting both the soft tissues and the underlying biomechanical dysfunctions. Shockwave therapy promotes the regeneration of damaged tissues, while osteopathic techniques can restore joint mobility, correct postural imbalances, and enhance overall functional recovery. This integrated approach aims to optimise the restoration of physical function and improve quality of life.


Osteopath Plantar fasciitis

Evidence Supporting the Combined Approach:

Research studies have explored the benefits of combining shockwave therapy with osteopathy, demonstrating positive outcomes in various musculoskeletal conditions:

  • A study published in the Journal of Orthopaedic Surgery and Research investigated the combination of shockwave therapy and osteopathic treatment for chronic plantar fasciitis. Compared to shockwave therapy alone, the results showed significant improvements in pain reduction, functional recovery, and patient satisfaction.

  • In a randomised controlled trial published in the Journal of Back and Musculoskeletal Rehabilitation, researchers evaluated the combination of shockwave therapy and osteopathic manipulative treatment for chronic low back pain. The combined approach resulted in superior pain reduction and functional improvements compared to shockwave therapy alone.

  • Another study published in the Journal of Bodywork and Movement Therapies examined the combined use of shockwave therapy and osteopathy for shoulder impingement syndrome. The results demonstrated significant pain reduction and improved shoulder range of motion and function.

The growing body of evidence supporting this combined treatment approach underscores its effectiveness in enhancing patient outcomes and the importance of interdisciplinary collaboration in the field of musculoskeletal healthcare. Integrating Radial Shockwave Therapy and osteopathy offers a comprehensive and multidimensional approach to managing musculoskeletal issues. By combining shockwave therapy's regenerative effects with osteopathy's structural correction, patients can experience improved pain relief, tissue healing, range of motion, and functional recovery.


Conclusion

Not all radial shockwave devices are created equal, and selecting the right device is crucial for optimal treatment outcomes. The emergence of EMS DolorClast radial shockwave therapy marks a significant advancement in the field, offering precise and effective treatment for various musculoskeletal conditions. By recognising the importance of energy transfer and choosing advanced technology like EMS DolorClast, healthcare professionals can maximise patient care and outcomes. Stay informed and make informed decisions in the exciting realm of Radial Shockwave Therapy.





 

Jonathan Hall M.Ost, GradDipHeal, BAppSci (HB)

Jonathan Hall is the founder and principle Osteopath at Movement Mechanics Osteopathy, a fully qualified Osteopath and currently studying Western Medical Acupuncture out of AUT New Zealand.

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