Shockwave Therapy for Musculoskeletal Conditions - Orthopedics

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Musculoskeletal Shockwave Therapy Device


Hello Doctor: Thank you for taking the time to respond! I would like to ask: 1.
What are the indications approved by the Department of Health for the "musculoskeletal shockwave therapy device"? 2.
The information I found on the website indicates that it is used for treating conditions such as frozen shoulder, chronic fasciitis, and severe fractures.
Can it also be applied to general conditions like shoulder sprains? (Or is it necessary?) 3.
What relevant examinations need to be conducted before administering this treatment? (Such as X-rays...) Thank you again for your response!

Lao Meng, 30~39 year old female. Ask Date: 2005/11/02

Dr. Shi Qiming reply Orthopedics


Hello: Shockwave therapy is currently reported in various studies for conditions such as shoulder tendonitis, elbow tendonitis, tennis elbow, ankle and plantar fasciitis, as well as non-union fractures.
Pre-treatment evaluations include X-rays (for diagnosing non-union) and MRI diagnostics.
Thank you!

Reply Date: 2005/11/02

More Info


Shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), is a non-invasive treatment that utilizes acoustic waves to promote healing in musculoskeletal conditions. It has gained popularity for its effectiveness in treating various orthopedic issues. Let’s delve into your questions regarding this therapy.

1. Indications Approved by Health Authorities: The indications for shockwave therapy approved by health authorities, such as the FDA in the United States, typically include conditions like plantar fasciitis, calcific shoulder tendinopathy (frozen shoulder), tennis elbow, and non-union fractures. It is also used for chronic tendon injuries, such as Achilles tendinopathy and patellar tendinopathy. The therapy works by stimulating blood flow, promoting tissue regeneration, and reducing pain through the release of growth factors and the activation of healing processes.

2. Applicability to Other Conditions: While shockwave therapy is primarily indicated for chronic conditions, it can also be beneficial for acute injuries, such as shoulder contusions or strains. However, the necessity of shockwave therapy for such conditions depends on the severity of the injury and the individual’s response to conservative treatments like rest, ice, compression, and elevation (RICE). For mild shoulder injuries, traditional methods may suffice, but if the pain persists or if there is a significant impact on function, shockwave therapy could be considered as an adjunct treatment. It is essential to consult with a healthcare provider to determine the appropriateness of this therapy based on your specific condition.

3. Pre-Treatment Assessments: Before undergoing shockwave therapy, a thorough evaluation is necessary. This typically includes a detailed medical history and a physical examination. Imaging studies, such as X-rays or MRI, may be required to assess the extent of the injury and to rule out any underlying conditions that could affect treatment outcomes. For instance, X-rays can help identify fractures or calcifications, while an MRI can provide a more detailed view of soft tissue injuries. These assessments ensure that shockwave therapy is appropriate and safe for your condition.

In summary, shockwave therapy is a promising treatment option for various musculoskeletal conditions, particularly chronic injuries. Its effectiveness in treating acute injuries, such as shoulder contusions, may vary based on individual circumstances. A thorough evaluation, including imaging studies, is crucial before initiating treatment to ensure the best possible outcomes. If you are considering this therapy, it is advisable to discuss it with your healthcare provider, who can guide you based on your specific medical history and condition.

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