ESWT (Shockwave) Therapy



EXTRACORPOREAL SHOCKWAVE THERAPY (ESWT)
  • Get pain relief and improved function
  • Turn back time in your tendons, ligaments and joints
  • Increase range of motion

WHAT IS EXTRACORPOREAL SHOCKWAVE THERAPY?
Sound can pulverize a kidney stone, shatter glass, view into the body and even help a bat navigate a dark cave. Now the power of sound has reached new heights with extracorporeal shockwave therapy (ESWT) and is available in Austin.

Maybe you’ve used your joints, tendons and ligaments too hard mountain biking in the Hill Country, running a half marathon downtown or just living the Austin tech lifestyle. The result could be an acute or chronic, overuse injury. Shockwave therapy is a safe and effective solution, to get rid of the pain, and repair the damaged tissue.
With shockwave therapy, high energy acoustic (sound) waves are sent into the tissue. Normal tissues will ripple, like the waves, made in water, when you throw a stone into a pond. Scar tissue and calcified fibroblasts are brittle and break in the wake of the pulsations and high energy micro bubbles, that are released in the tissue. This allows for angiogenesis, or blood to come back into the area, and tissue regeneration to take place.  To even begin to break up scar tissue, before, I would have to bruise people with deep massage.  The Piezowave 2 is a better, more comfortable option, that goes deep into the cells, of tissue, without getting bruised.
I’ve been a chiropractor for over 20 years, in Austin and Colorado, and while giving chiropractic spinal adjustments,  people local right back up again.  With extracorporeal shockwave therapy,  joints stay more mobile and lubricated.

SHOCKWAVE HAS BEEN SHOWN TO:
  • Reduce pain [23]
  • Aid in healing [26]
  • Re-establish blood flow [27]
  • Decrease muscle stiffness [24]
  • Increase tissue metabolism [25]
  • Stimulate collagen production
  • Diagnose and treat myofascial trigger points [29]
  • Help dissolve calcific fibroblasts & scar tissue [28]
  • Reduction of Substance P (a pain generating neurotransmitter) [23]
  • NOTE: Articles cited are just a few of many available on ESWT

CONDITIONS SUCCESSFULLY HELPED WITH ESWT?
Achilles Tendinopathy
Hip Pain (Bursitis)
Plantar Fasciitis
Bunions
ITB Syndrome
Post Surgical Scar Tissue
Calcific Tendinitis Shoulder
Jumper’s Knee
Sacroiliac Joint Pain
Carpal Tunnel Syndrome
Lumbar Facet Syndrome
Tennis Elbow
Frozen Shoulder
Morton’s Neuroma
Texting Thumbs
Golfer’s Elbow
Neck Pain
TMJ Dysfunction

MY PERSONAL STORY 
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Old injuries, like mine, are now within reach and our people are being given their, feet [1, 2, 3, 4, 5, 6], elbows [7, 8, 9, 10], shoulders [11, 12], bones [13, 14, 15], knees [16,17], achilles tendons [18, 19], hips [20, 21, 22] and other parts of their bodies back again.


WHAT MAKES THE MACHINE, WE USE, BETTER?
When analyzing which machine to help people with, we did a lot of research. We had reps come and use machines on us to experience, first hand, how they worked. There are four different ways to generate shockwaves, for therapeutic use:
  • Electrohydraulic
  • Electromagnetic
  • Radial Pressure
  • Piezoelectric
Electrohydraulic, electromagnetic, and piezoelectric are legitimate extra-corporeal shockwave therapies (ESWT). The pulse created by these technologies breaks the speed of sound and creates a shockwave. Without going too far in-depth, each of these three send a wave that goes to a controlled depth, with a controlled intensity. The treatment area is only at the depth that is desired.

Radial shockwave therapy is not specific and, from our experience, left us bruised and sore. The waves go deep, but spread as they entered the body. When working on areas such as the junction of the ribs and the sternum, for example, this machine is not specific enough and waves go to unwanted areas. Also, the shockwaves generated are around 10 meters per second, compared to the others, which break the sound barrier at 1500 meters per second. Radial shockwave is, thus, considered a pressure therapy and not a true shockwave therapy.

The machine we will use on you, the Piezowave 2, has a greater ability to focus the sound waves, to your injured tissue, as opposed to the other technologies. This gives great benefit and yet requires us to have a knowledge of your injury and a deep understanding of the anatomy.
Your feedback when receiving the treatment is helpful and more accurate when receiving the care. When you feel a sensation or pain with the treatment, we will know that you are being treated in the right location and the discomfort you feel will not need anesthesia.

Piezoelectric is the best form of ESWT and the Piezowave 2:
  • was made by the same company that makes the machines, used to break up kidney stones
  • has multiple heads, that allow us, to go to the depth we need for your body part
  • Piezoelectric means greater precision in your body
  • allows us to increase or decrease the intensity depending your individual needs

 CONTRAINDICATIONS TO EXTRACORPOREAL SHOCKWAVE THERAPY: 
  • While on antiplatelet pharmaceuticals
  • Over cancer
  • Pregnancy
  • Advanced stage Diabetes
  • Cortisone injections within 4 weeks of ESWT
  • Over an open growth plate until bone reaches full maturity
  • On top of open wounds or skin infection
Feel free to browse our site or give us a call to get started today (512) 586-1713
  1. Buch M, Knorr U, Fleming L, Theodore G, Amendola A, Bachmann C, Zingas C, Siebert WE: Extracorporeal shockwave therapy in symptomatic heel spurs. An overview. Orthopade. 2002, 31 (7): 637-44. 10.1007/s00132-002-0323-z.PubMedView ArticleGoogle Scholar.
  2. Perez M, Weiner R, Gilley JC: Extracorporeal shock wave therapy for plantar fasciitis. Clin Podi Med Surg. 2003, 20 (2): 323-34. 10.1016/S0891-8422(03)00002-8.View ArticleGoogle Scholar
  3. Roehrig GJ, Baumhauer J, DiGiovanni BF, Flemister AS: The role of extracorporeal shock wave on plantar fasciitis. Foot Ankle Clin. 2005, 10 (4): 699-712. 10.1016/j.fcl.2005.06.002.PubMedView ArticleGoogle Scholar
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  7. Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N: Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain. J Rheum. 2006, 33 (7): 1351-63.PubMedGoogle Scholar
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  11. Mouzopoulos G, Stamatakos M, Mouzopoulos D, Tzurbakis M: Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review. Skeletal Radiol. 2007, 36 (9): 803-11. 10.1007/s00256-007-0297-3.PubMedView ArticleGoogle Scholar
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  13. Cacchio A, Giordano L, Colafarina O, Rompe JD, Tavernese E, Ioppolo F, Flamini S, Spacca G, Santilli V: Extracorporeal shock-wave therapy compared with surgery for hypertrophic long-bone nonunions. J Bone Joint Surg -Am. 2009, 91 (11): 2589-97. 10.2106/JBJS.H.00841. [Erratum appears in J Bone Joint Surg Am. 2010 May;92(5):1241]PubMedView ArticleGoogle Scholar
  14. Elster EA, Stojadinovic A, Forsberg J, Shawen S, Andersen RC, Schaden W: Extracorporeal shock wave therapy for nonunion of the tibia. J Orthop Trauma. 2010, 24 (3): 133-41. 10.1097/BOT.0b013e3181b26470.PubMedView ArticleGoogle Scholar
  15. Xu ZH, Jiang Q, Chen DY, Xiong J, Shi DQ, Yuan T, Zhu XL: Extracorporeal shock wave treatment in nonunions of long bone fractures. Int Orthop. 2009, 33 (3): 789-93. 10.1007/s00264-008-0553-8.PubMed CentralPubMedView ArticleGoogle
  16. Scholar van Leeuwen MT, Zwerver J, van den Akker-Scheek I: Extracorporeal shockwave therapy for patellar tendinopathy: a review of the literature. Br J Sports Med. 2009, 43 (3): 163-8.PubMedView ArticleGoogle Scholar
  17. Vulpiani MC, Vetrano M, Savoia V, Di Pangrazio E, Trischitta D, Ferretti A: Jumper’s knee treatment with extracorporeal shock wave therapy: a long-term follow-up observational study. J Sports Med Physical Fitness. 2007, 47 (3): 323-8.Google Scholar
  18. Rasmussen S, Christensen M, Mathiesen I, Simonson O: Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy. Acta Orthop. 2008, 79 (2): 249-56. 10.1080/17453670710015058.PubMedView ArticleGoogle Scholar
  19. Furia JP: High-energy extracorporeal shock wave therapy as a treatment for chronic noninsertional Achilles tendinopathy. Am J Sports Med. 2008, 36 (3): 502-8.PubMedView ArticleGoogle Scholar
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  21. Scholar Kong FR, Liang YJ, Oin SG, Li JJ, Li XL: Clinical application of extracorporeal shock wave to repair and reconstruct osseous tissue framework in the treatment of avascular necrosis of the femoral head (ANFH). Zhongguo Gushang. 2010, 23 (1): 12-5.PubMedGoogle Scholar
  22. Wang CJ, Wang FS, Huang CC, Yang KD, Weng LH, Huang HY: Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg – Am. 2005, 87 (11): 2380-7. 10.2106/JBJS.E.00174.PubMedView ArticleGoogle Scholar
  23. Christoph Schmitz1,2 and Rocco DePace Pain relief by extracorporeal shockwave therapy: an update on the current understanding2Urol Res. 2009 Aug; 37(4): 231–234.
  24. Lee JY, Kim SN, Lee IS, Jung H, Lee KS, Koh SE. Effects of extracorporeal shock wave therapy on spasticity in patients after brain injury: a meta-analysis. Journal of Physical Therapy Science 2014; 26(10): 1641-1647. [PMC free article] [PubMed]
  25. Morrissey D, Jones E, Riley GP, Langberg H, Screen HR: In vivo biological response to extracorporeal shockwave therapy in human tendinopathy. Eur Cell Mater. 2015 May 15;29:268-80; discussion 280
  26. Mittermayr R1, Antonic V, Hartinger J, Kaufmann H, Redl H, Téot L, Stojadinovic A, Schaden W.Extracorporeal shock wave therapy (ESWT) for wound healing: technology, mechanisms, and clinical efficacy.Wound Repair Regen. 2012 Jul-Aug;20(4):456-65. doi: 10.1111/j.1524-475X.2012.00796.x. Epub 2012 May 29.
  27. Bosch G1, Lin YL, van Schie HT, van De Lest CH, Barneveld A, van Weeren PR.Effect of extracorporeal shock wave therapy on the biochemical composition and metabolic activity of tenocytes in normal tendinous structures in ponies. Equine Veterinary Journal 39(3):226-31 · June 2007 with 17 Reads DOI: 10.2746/042516407X180408 · Source: PubMed
  28. Gerdesmyer L, Wagenpfeil S, Haake M, et al. Extracorporeal shock wave therapy for the treatment of chronic calcifying tendonitis of the rotator cuff: a randomized controlled trial. JAMA. 2003; 290:2573-80
  29. Hye Min Ji, Ho Jeong Kim, Soo Jeong Han. Extracorporeal Shock Wave Therapy in Myofascial Pain Syndrome of Upper Trapezius. Article (PDF Available) in Annals of Rehabilitation Medicine 36(5):675-80 · October 2012 with 110 Reads DOI: 10.5535/arm.2012.36.5.675 · Source: PubMed