Shockwave Therapy for Non-Healing Fractures - Orthopedics

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Shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), is a non-invasive treatment option that has gained popularity for its effectiveness in promoting healing in non-union fractures, chronic tendon injuries, and other musculoskeletal conditions. This therapy utilizes acoustic waves to stimulate healing processes in the body, particularly in areas where blood flow may be compromised or where healing has stalled.


Mechanism of Action
The primary mechanism by which shockwave therapy promotes healing is through the stimulation of cellular activity. The acoustic waves generated during the treatment create microtraumas in the tissue, which in turn triggers a biological response. This response includes:
1. Increased Blood Flow: The shockwaves enhance local blood circulation, which is crucial for delivering nutrients and oxygen to the injured area, thereby promoting healing.

2. Stimulation of Bone Growth: Shockwave therapy can stimulate osteoblasts, the cells responsible for bone formation, which can be particularly beneficial in cases of non-healing fractures.

3. Reduction of Pain: The therapy has analgesic effects, which can help reduce pain associated with chronic conditions and injuries.

4. Collagen Production: It promotes the production of collagen, an essential protein for tissue repair and regeneration.


Indications
Shockwave therapy is often indicated for:
- Non-healing fractures (non-unions)
- Chronic tendonitis (e.g., Achilles tendonitis, tennis elbow)
- Plantar fasciitis
- Calcific shoulder tendonitis
- Other musculoskeletal disorders

Treatment Protocol
Typically, shockwave therapy sessions last about 15 to 30 minutes and may require multiple treatments, often spaced a week apart. The exact number of sessions depends on the severity of the condition and the individual’s response to treatment.


Availability and Cost
In terms of availability, shockwave therapy is more commonly found in larger hospitals and specialized clinics. In Northern Taiwan, hospitals such as Taipei Medical University Hospital, National Taiwan University Hospital, and Chang Gung Memorial Hospital are known to offer this treatment. It is advisable to contact these facilities directly to confirm the availability of shockwave therapy and to inquire about the specific costs involved.

The cost of shockwave therapy can vary widely depending on the facility and the region. Generally, a single session may range from $100 to $300 USD. Since it is often considered an elective treatment, it may not be covered by insurance, so it is essential to check with your insurance provider regarding coverage options.


Conclusion
For your friend who has been experiencing a non-healing fracture for six months, shockwave therapy could be a viable option to consider. It is important for them to discuss this treatment with their healthcare provider to determine if it is appropriate for their specific situation. Additionally, they should inquire about the logistics of treatment, including the number of sessions required, potential side effects, and the expected outcomes. Overall, shockwave therapy has shown promise in enhancing healing and improving function in patients with challenging musculoskeletal injuries.