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Shockwave therapy is a non-invasive therapy whose essence is the production of low-energy acoustic waves and their direct application to the site of injury through the patient's skin.

Shockwave therapy is the best option that a physiotherapist can choose in the fight against long-lasting, persistent and painful tendinopathy. There are some painful conditions and inflammations that simply do not respond positively to other types of physical therapy, while on the other hand shockwave therapy manages not only to improve the patient's condition, but to completely cure him.

Shockwave therapy is the 1st place therapy for people who have chronic (lasting more than 6 weeks) tendinopathy (usually called tendinitis) that does not respond to other treatments. fasciitis, jumping knee, calcifying shoulder tenditis, etc. All of this can be the product of sports activities, excessive tendon use, or repeated injuries.

Salus RSWT

How does shockwave therapy work?

The very concept as well as the development of this therapy started from the idea that shockwave therapy can break down kidney and bile stones, which has been proven to be successful, so this therapy in the 80s was used only for that. Subsequent clinical research has focused on investigating the effect of shockwave therapy on other tissues, where its positive effect in the treatment of chronic conditions and pain has been proven. With this therapy, you will not need painkillers because shockwave therapy acts as a driver of the natural mechanisms of regeneration in our body, which essentially solves the cause of the problem, and with that the pain disappears. Most patients reported less pain and increased mobility after the first treatment.

Shockwave therapy is a type of therapy that is rapidly gaining popularity in the Balkans due to its positive effect on the body, as well as the results it gives. Compared to the medical shockwaves used to break stones, physical therapy uses much less strength shock, because it is this dose of energy that has a positive effect on many musculoskeletal diseases, especially soft tissues such as ligaments and tendons. In our clinic, first of all, we do FREE consultations where we determine the exact cause of your problem and whether you are a candidate for shockwave therapy or not, we educate you in detail about your problem, give advice and suggestions on how to connect with therapy (modifications of activities , special individual exercises, posture correction, stretching and strengthening of shortened and weak muscles, etc.).

Shockwave therapy is usually done every 5-7 days, approximately 3-8 treatments, depending on the results and diseases. The treatment can be unpleasant and a bit painful, but mostly it is less and acceptable in relation to the pain caused by the disease itself.

Facts of shockwave therapy:

  • Releases created myofibrosites, restores muscle contractility through action on trigger points
  • It causes the formation of new capillary networks which leads to increased and accelerated tissue regeneration
  • It breaks the vicious circle of chronic pain and inflammation by increasing the concentration of so-called STEM cells. They are necessary for a healthy and beneficial inflammation that will start the natural processes of regeneration.
  • It stimulates the increased production of collagen, which is necessary for the proper regeneration of soft tissues
  • Decomposition of calcium salts (calcifications) deposited on tendons and ligaments
  • It acts to reduce the P substance, which is responsible for stimulating the cells that transmit the pain signal, and thus reduces the pain.
  • Using the rule "pressure directs and stimulates bone growth", shockwave acts on accelerated bone healing after fracture

Shockwave therapy has been shown to be effective in the treatment of the following diseases:

  • Foot - heel spur, plantar fasciitis, Achilles tendonitis
  • Elbow - tennis and golf elbow
  • Shoulder - tendinitis of the long head of the biceps, supraspinatus, complete rotator cuff, bursitis, tendinitis calcification of all shoulder tendons
  • Knee - patellar tendinitis
  • Hip- bursitis
  • Upper thigh - muscle pain, shortened fascia
  • Spine - painful tension along the spinal column, myofascial

The advantages of SHOCKWAVE therapy are:

  • This therapy has an excellent price-effectiveness ratio in obtaining the desired results
  • Non-invasive permanent solution for chronic painful conditions of the shoulder, back, heel, knee or elbow
  • No anesthesia or medication
  • Very rare, harmless and easily tolerated side effects
  • Used in orthopedics, rehabilitation, sports medicine as well as in aesthetics
  • Recent research shows that it can also have an effect on acute pain conditions

The most common indications:

  • injuries
  • osteoarthritis
  • arthritis
  • sciatica
  • urinary incontinence
  • chronic prostatitis
  • islands
  • breaks
  • pain in the cervical spine (cervical pain)
  • pain in the lumbar (lumbar) spine
  • Peripheral nerve disorders

After the therapy, you may experience a small amount of pain, sensitivity of the treated part with the presence of swelling. All of this is due to a healthy inflammatory reaction triggered by shockwave treatment. It is an indicator that our body has started the process of self-healing, so we must not take anti-inflammatory drugs, as well as painkillers, because they can slow down recovery.

Are there any side effects after SHOCKWAVE therapy?
Shockwave therapy, if used in the condition for which it is intended, will not and must not leave any negative consequences and side effects. However, it should not be used if there are severe circulatory disorders, if an infection, bone tumor or metabolic bone disease is present.
It is also not applied to open wounds, tumors and during pregnancy. People who are taking blood thinners or have severe vascular disease are not suitable for shockwave therapy.