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Radial Shockwave Therapy & Physiotherapy- What to expect.

Radial shockwave therapy (RSWT) is a non-invasive treatment that uses high-energy acoustic waves to stimulate healing in various musculoskeletal conditions. It’s particularly effective for conditions involving tendons and ligaments, such as:

  • Plantar fasciitis

  • Tennis elbow

  • Achilles tendinopathy

  • Rotator cuff tendinopathy

  • Jumper’s knee


How It Works

Radial shockwave therapy works by delivering acoustic waves to the affected area,

which triggers several biological responses:

  • Improves Blood Flow: Enhances circulation and oxygenation to aid healing.

  • Reduces Inflammation: Fights inflammation, reducing chronic pain.

  • Boosts Collagen Production: Stimulates collagen for better tissue support.

  • Decreases Calcification: Clears calcium deposits in damaged tendons.

  • Pain Reduction: Decreases levels of Substance P (a pain mediator) leading to significant pain relief.


Sensations During Treatment

During a radial shockwave therapy session, clients might experience:

  • Mild Discomfort: Some discomfort or pain during the treatment, which typically subsides quickly.

  • Tingling or Numbness: A tingling sensation or temporary numbness in the treated area.

  • Warmth: A feeling of warmth as blood flow increases to the area.


Most clients find the treatment tolerable, and any discomfort is usually short-lived. The benefits, such as pain relief and improved mobility, often become noticeable after a few sessions.


Are there any contraindications for RSWT?

It’s important to avoid RSWT in the following situations:

  • Pregnancy: RSWT should not be used if you are pregnant.

  • Blood Clotting Disorders: Conditions like thrombosis or if you are taking oral anticoagulants.

  • Recent Steroid Injections: If you have received a steroid injection in the treatment area within the last six weeks.

  • Pacemakers: If you have a pacemaker or defibrillator in the treatment area.

  • Tumors: Presence of malignant tumors in the treatment area.

  • Infections: Local infections at the treatment site.

  • Lung Tissue: Treatment over air-filled tissues like the lungs.

  • Children: Generally not recommended for individuals under 18, except for specific conditions like Osgood-Schlatter disease.


If you have any of these conditions, it’s crucial to discuss them with your healthcare provider before starting RSWT. They can help determine if this therapy is safe and appropriate for you.



What's the recovery time after a session?

After a radial shockwave therapy (RSWT) session, most people can return to their normal activities, including work, right away. However, it’s recommended to avoid any strenuous or pain-provoking activities for about 48 hours post-treatment.


Immediate Effects

  • Pain Relief: Some individuals may experience immediate pain relief.

  • Discomfort: Temporary discomfort or swelling at the treatment site is possible.


Long-Term Improvement

  • Initial Improvement: Typically seen within 8 to 12 weeks.

  • Maximum Improvement: Often observed around 12 weeks after the final session.


General Advice

  • Rest: Allow the treated area to rest for 24 hours before and after the session.

  • Rehabilitation Exercises: Continue with any prescribed rehabilitation exercises to support recovery.



How many RSWT sessions are usually recommended?

The number of radial shockwave therapy (RSWT) sessions typically recommended can vary based on the specific condition being treated and the individual’s response to therapy. However, a common treatment plan usually involves:

  • Frequency: Approx. 1 session per week.

  • Duration: Approx. 3 to 6 sessions in total.


Factors Influencing the Number of Sessions

  • Severity of Condition: More severe or chronic conditions may require additional sessions.

  • Response to Treatment: If significant improvement is seen early, fewer sessions may be needed.

  • Specific Condition: Different conditions might have different protocols. For example, plantar fasciitis might need more sessions compared to a less severe tendinopathy.


  • Regular assessments by the healthcare provider will monitor progress and adjust the treatment plan as necessary.


It’s always best to consult with a healthcare professional to determine the most appropriate treatment plan for your specific needs.


Can I combine RSWT with physical therapy?

YES! Combining radial shockwave therapy (RSWT) with physical therapy can be very beneficial. This combination can enhance recovery outcomes and improve overall treatment effectiveness.


Benefits of Combining RSWT with Physical Therapy

  1. Enhanced Healing: Physical therapy exercises can complement the tissue regeneration and pain relief provided by RSWT.

  2. Improved Mobility: Physical therapy can help restore range of motion and strength, while RSWT reduces pain and inflammation.

  3. Faster Recovery: The combination can lead to quicker recovery times compared to using either treatment alone.


Typical Approach

  • Initial Assessment: A healthcare provider will assess your condition and create a tailored treatment plan.

  • RST Sessions: Typically, 3 to 6 RSWT sessions are recommended, spaced about a week apart.

  • Physical Therapy: Concurrent physical therapy sessions focusing on exercises, stretches, and other modalities to support recovery.


What to Expect

  • Coordinated Care: Your healthcare provider will coordinate both treatments to ensure they complement each other.

  • Monitoring Progress: Regular assessments to monitor progress and adjust the treatment plan as needed.


Combining these therapies can provide a comprehensive approach to managing and treating musculoskeletal conditions.

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