Does Shockwave Therapy Work?! | Expert Physio Reviews the Evidence
ฝัง
- เผยแพร่เมื่อ 26 มิ.ย. 2022
- In this tutorial, we review the latest evidence on the use shockwave therapy in physiotherapy.
References:
*D’Agostino et al., 2015:doi.org/10.1016/j.ijsu.2015.1...
* Mani-Babu et al., 2015: doi.org/10.1177/0363546514531911
*Vallance and Malliaras, 2019: doi.org/10.32098/mltj.02.2019.16
*Zheng et al., 2020: doi.org/10.1097/MD.0000000000...
*Lower Limb Spasticity (Cabanas-Valdes et al 2019) www.tandfonline.com/doi/abs/1...
*Upper Limb Spasticity (Cabanas-Valdes et al 2020) journals.sagepub.com/doi/abs/...
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![Shock Wave Therapy For Erectile Dysfunction - Fact or Fiction? | [UWave]](/img/n.gif)
I bought a $1,500 machine on Amazon. Works great. Trips to the chiropractor were costing me $375 per visit.
$375??! Where do you live?
So anyone can purchase one of these machines? I agree, trips to my chiropractor using this device is very expensive per visit, and health insurance doesn't cover it. I had a sample treatment and noticed no difference in my shoulder pain. They said I would have to have their 8 week program, which would've cost me over 1300 dollars. That'd a lot of money to me, plus there is no guarantee this will get rid of my shoulder pain.
What is the brand name of yours?
So did I for $500 and yes it does work
Glad you found a machine that works! I have had probs finding one .....Can I ask you which one you went with? THX
You're great Khaled, thank you very much!
SW was used on one of my clients with GTPS it has a good pain reduction effect. Keep up the good work
Thank you so much Ahmed!
I have GTPS- gluteal tendinitis. I’m happy to see it either for this condition as I’m researching it as an option. How many sessions did it take and is it expensive?
I HAD a 12 year chronic hamstring tendinopathy and tear with deep gluteal syndrome due to accident. Torn piriformis had to be retracted. Had surgery which was successful but lingering ache in glutes and hamstring region. Had PRP, Tenex and then stem cells which made a big difference. Immediately after the stem cell injections had 3 Focused shockwave treatments 7 days apart. After 6 months still had some pain. In the course of 8 months had 33 focused shockwave treatments by a PA. It was successful. Had several doctors telling me shockwave doesn’t work; that is not true. My injuries were multiple and required much investigation by the PA to pinpoint injuries. I had tried 2 sessions of Radial shockwave treatment that did do anything. The Focused method allowed me to help guide the PA in locations that had pain. Each session was $150. Still better than possible surgery. It took determination to stick with it. I can tell you it is safe. Do not do any physical activity for a MINIMUM OF 48-60 hours. Do not use COLD packs afterward and only mild heat (bath) after 6 hours. Always had my session’s in mornings. Hope this helps.
I’ve used shockwave therapy in both my rejuvenation practice and my horses for almost a year now with wonderful results. I highly recommend trying it.
Did your horse tell you it worked ?
@@tommac21😅
Yes even sick plants shows they got benfit with treatment, any wise person can understands the animals difficulty before and after treatment.
@@tommac21 of course....and I'm not kidding. A true horseman listens, and knows what the horse is saying.
its been working wonders for me on my maniscus tare
Very pleased to hear it! 🙏🏼
I’d like to know about treatment applications for each of chronic regional pain syndrome and scoliosis
Hi there - Is there any place on the body that the ESWT machine should not be used?
Incredible video brother.
Thank you so much! Very kind of you!
Thank you, great information! Could you cover red/ultraviolet light therapy as well.
Thank you!
The studies you mentioned, was Radial Pressure type used or Focused? TIA
Hello doctor,can this procedure be done for pundendal neuralgia??
I’ve been suffering for nearly 10 months with a pinched nerve somewhere in my neck, infrasapantis, or shoulder blade area and tried EVERYTHING but shockwave therapy until yesterday. 24 hours later and no pain.
That’s amazing! Very glad to hear it!
How long did the pain relief last ? Has the treatments now ceased and pain is gone permanently… interested to know if this really works 🎉
which machine do u recommend for PT clinic?
And which of the shockwave should i get for the pain if it does???Thank u🙏🙏
On the left side of my righy lege. the goraly joint is operatede and a skwer is applied. after the operation. after opening the skewer. the ligament near the goraly goint is tight when i walk. how does the shoke wave work.
Hi Khaled, any information on CPPS when treated by shockwave therapy? how long does the pain relief last? and if the pain comes back again does it come back more severe? any input with be of great help, thank you
I was diagnosed with chronic pain in both my heels after an injury (falling from height).
The pain was so bad, it felt like my feet were on fire, worn-out and throbbing.
By chance i found out the podiatrist has a pulse wave machine.
I go there every 6 weeks and get this pulse therapy on the inside of my heels.
I dont get the servere burning feeling anymore. After the treatment my heels feel great..but shortly after an itchyness comes back and some discomfort.
I’m pleased to hear you are feeling better and wish you all the best!
Is this procedure effective for ankle injury? Ive twist my ankle 2X in 1 week but this happened 5 years ago and the pain until now is keep on coming I wonder if this treatment is effective since I already tried ultrasound and nothing happens.
Can they do this for my wrist ?
I've been struggling with a achilles for about 6 months, not responding to physio or strength training. I built up scar tissue on the tendon restricting its movement. One session of shockwave 5 days ago and its 80% better. Would recommend
Very pleased to hear how much it has helped you!
Mid-Point or insertional ? I have a problem with insertional which is further down a bit towards the heel and I heard that shockwave may help.
@@osint6372 Insertional is much worse and harder to get rid of. Shockwave is worth a try. I've tried it for 4 injuries and been successful 2 times.
I have a tendon next to the Gorali joint on the left side of my right leg. After opening the skrew after surjary. The tendon is tight and stiff. When i walk it feels tight and the Goraly joint hurts How is the shokewabe
Upper back injury is it ok to do
After a TKR, I had 2 MUAs and an arthroscopy to address arthrofibrosis. The knee was scarred up again. I have limited ROM and stiffness of the patella tendon. I am a very active person. Do you think shock therapy can help break down arthrofibrosis? How many sessions?
At this stage we don’t have evidence to suggest that shockwave is designed to break down arthrofibrosis… if you want to give it a try, sure, it’s not right for me to stop you! But hope that answers your question
Did my undergrad study on radial shockwave and calf muscle strain injuries with some very good results.
I’m really hoping that the evidence for shockwave keeps going up and up because I’d love to see it being used in practice!
Yes !!! After a whole year, two cortisol shots good for two months, stretches etc, on my first SW treatment I’m 80% better!!!!
Very pleased to hear that you are doing well 🙏🏼
I’ve got sacrum ligament sores, I think I’ve sprain them. Do you think this could help?
Awesome 👏
Thank you so much!
I have had 2 sessions and am entering my 3rd week of a 45 minute session. There are 2 wands for the shockwave treatment: normal/broad and acute. The acute wand is the worst pain I've ever encountered at a Doctor's office. The acute wand seems especially helpful/painful where the fascia and tendons are around the bone. It feels like a hornet is continuously stabbing your calcaneus (if you have plantar fasciitis). My doctor is very qualified (Stanford Medical School) in Lake Oswego, OR. Nonetheless, I'm hopeful as I'm now starting to run 2-3 miles every other day. I'm told that 5-6 weeks of treatment, 1 session per week, and a 6 week follow-up clears up symptoms in over 80% of patients in their office. These are often chronic conditions (over 6 months).
Wish you all the best with it!
How are you doing now?
@@satishd2528 I'm 6 weeks out from having all 6 treatments. The issue is I'm having now is that I still can't do activities without pain. I can walk generally speaking, but I'm discovering that calf raises after doing lots of stretches I believe will bring my pain down from what was a 4 out of 10 prior to treatment to getting down from a 2 to a 0/10 after strength training. I'm now running every other day and doing plantar strength training (heel raises and towel toe grabs) on the alternate days.
@@buddyrye9190 , thanks for the response. I have had 5 sessions so far with a gap of 5 days each. It's been two weeks since my last session and seeing some improvement but pain is still there after playing but better than before. I play tennis for about an hour. From what I have read it takes upto 8 to 12 weeks to see full results after finishing the therapy. Wishing you good luck.
Which part of the body that you did ? I m planning to do on my hamstring
Ongoing issue with my ankle. My situation was worse months ago.
Had multiple shockwave therapy sessions 6 to 9 from my physical therapist who also had me do exercises. Speaking from exercise, it significantly brought down pain and stiffness in my ankle. Also laser therapy was used. Of course shockwave and laser are most effective with physical therapy or activity.
Shockwave therapy does provide immediate pain relief while it helps to heal your condition.
What kind of injury did you have, if you don't mind me asking ?
@@chetanrs . . .ankle. Why do you ask?.
torn ligaments/tendon. Shockwave can be used on any type of injuries as long as its not a complete tear.
Shockwave helped me in combination with low level laser therapy and tens unit. along with exercises. They are all most effective in combination with another.
@@mohamedn87I was wondering if you have Achilles tendonitis, I have this condition myself along with a couple of ligament tears. so wanted your opinion on shockwave therapy -- was it painful or anything ?, has you injury completely healed, and, has not come back.
@@chetanrs . . . I don't have nor ever had achilies tendonitis . It was unhealed ankle injury. All of my ligaments in the ankle healed back to normal except for the atfl which I fortunately ended up completely tearing weeks after I stopped doing physical therapy. That's not to say that shockwaves isn't effective. They are effective especially in combination with other treatments such as physical therapy, low level laser therapy, prp injection n other treatments of the like. The shockwaves were done via physical therapy.
No it wasn't painful. No my injury didn't completely heal mostly of my own doing. Forgot to mention I had peronal tendonitis as a result of the ankle issue of which has fully resolved. My peronal tendon has healed back to normal.
@@chetanrs . . .their might be a little discomfort through shockwave but nothing more. Shockwave helps your body heal up the injury. It's effect lasts up to 48 hours. It also provides a pain relief effect while it works to help your body heal up.
That's not to say you can engage in tons of high impact activity after the shockwave cause that will undermine the treatment as well as taking pain relief/anti inflammatory medications.
I have a heel spurs and will do shock wave, can I run or walk after the session or how many days I can start running?
This totally depends on many things including severity of your symptoms, how irritable things get after you run… this is definitely something to speak to your individual therapist about!!
I had 2 major abdominal surgeries and been looking for alternatives and see some clinics offering shockwave for abdominal adhesions. Do you think this could treat abdominal adhesions?
If the mesh is fractured like mine. It will migrate like mine. It's not good. I personally would not try to break it up anymore.
Is this effective for MPS?
useful information.
Thank you so much!
Would this help with hoffas fat pad inflammation and scar tissue from surgery. Its been 3 yrs since got portion of my hoffa fat pad trimmed and its still inflammed.
Calcaneal spur it works super , Achilles Tendinopathy also work very well
Excellent!
worth watching 👌🏻💯❤️
Thank you so much 🙏🏼
@@ClinicalPhysio please make videos on LASER MODALITY in Physiotherapy and effectiveness and research and all that.
Great,continue
Thank you so much Adel!
When ESWT used on lower back, is there any issue it will penetrate and injure ureter or bladder?
I went through a year of painful Achilles bone spur to the point that my one leg was an inch and a half shorter when measured. I opted for therapy and SW treatment twice after a procedure to get my leg back to normal length and have been pain free for past six years!!! Very effective and not painful
That’s wonderful to hear! Very pleased you are doing well!
Was it done on the Achilles bursa itself and its surrounding areas?
Yes it was. I helped pinpoint the exact spot and after a few clicks would have therapist move around until I could feel her hit the spot again
Have kind of the same thing (3 doctors dont see anything, one said "Tiny" bone spur). Been over a year of stiffness and soreness and I'm only 21. Looking int SW. Your comment gives me some more confidence
I highly recommend it! My insurance didn’t cover my first treatment on spur #1 and only half my for spur #2, but was the best money I ever spent!!!!
Is Shockwave the same as softwave/ Stemwave? Thanks
Can you consider doing a does dry needling work video?
Hi Chester! I have done one on acupuncture which I would suggest probably follows most of same principles to dry needling!
Spinal cord injury patients an option for this ? Can a person have metal in them due to SCI surgeries and still be compatible with this therapy?
It’s life changing Period
Very pleased to hear it has helped you!
Help please I purchase this treatment and the person treating me uses a plastic bag around the the device it’s that cheating like a way or a preventive way to keep it away from peoples germs
Sterile barrier.
Hi, there is a type of therapy for musculoskeletal issue called super inductive therapy. Do you have any idea about the effectiveness of this type of therapy for treating patient? I couldn't find much information online. Thank you.
Hi! I’m afraid I have never come across this before and no idea on effectiveness
I have been dealing with what I think is cluneal nerve entrapment under my buttocks and also some pudendla neuralgia. Will this work??
I've been shocked now 3 times, my therapist always gives me a massage after with pressure and it's effective. So far I've had it on my toes, hips, up the spinal erectors on my left side and a little bit under the left rib. Before the therapy I'd been working on developing a better forefoot strike with my walk and I found after a therapy session it opened up a bunch of muscles that were tight and stuck on the foot. It increased my ROM and strength of the arches and toes, walking felt completely different on the shocked foot.
Great to hear you are doing well! Well done!
Hi,does it good for chronic muscles spasm?
Myofascial pain syndrome?
Hi! The majority of the research is focussed on Tendinopathy… so whilst it could help with these in theory, with no research on them the answer is a MAYBE for now
DR, THANK YOU VERY MUCH FOR GIVING KIND INFORMATIONS ABOUT SW. I GOT CONFIDENCE WITH PEOPLES COMMENTS. I GOT FIRST SESSION OF SW THERAPY FROM ISLAMABAD. I HAVE NERVE/ TISSUE PINCHED ON MY LEFT LEG THAI ON THE TOP WITH ENGREY FROM 13 YEARS OLD, BUT NOW MY LEG HAVING NIMBNESS WHEN I M LAYING ON THE BED. STAY BLESSED ❤❤❤
Wishing you all the best 🙏🏼
Thank ypu sir
Does it help in Trigger finger?
I haven’t heard it being used for this, normally steroid injection for trigger finger… but would be interesting to see if it helps!
It would have been good if you had included the funding sources of the research but it was an excellent coverage
Unfortunately I am not privy to the funding sources!!!!!!
Hello.
Wondering if there's any evidence for herniated disc causing leg issues?
I haven’t come across evidence for this I’m afraid with shockwave
Yep! I just started this therapy and it’s already helped me so much definitively worth a try
Currently undergoing shockwave for severe disabling plantar fasciitis which is two months old. So far I'm only seeing progressive worsening of the symptoms and extreme flaring up after each session. I don't know if I'll be able to fully complete this treatment that doctors set me up.
Wishing you all the best with it 🙏🏼
Take hyaluronic acid and collagen for plantar fasciitis. My wife, my best friend, and my massage therapist started taking these and in all three cases it was gone within 1 week. I do hear the shockwave is great for other issues though…
I tried sleeping with the foot splint for plantar fascitis, 2 nights was fully gone, assume you've tried this already, but just incase, it's definitely worth a shot!
Update: My bilateral heel pain was not plantar fasciitis, I was misdiagnosed.
@@MrFalcon58199 So...what was it?
There are enough medical studies and publications on linked on plethora of conditions where eswt works
Please do share any examples you have! I’m looking for high quality reviews or large randomised controlled trials
I've had romboid pain for 20 years now after 100 professionals no near to fixing it until I had 1 treatment of shockwave.
Very pleased to hear that!
Thanks. Can you also do for accupunture please?
Great idea!
@@ClinicalPhysio thanks again
@@vasileiospetropoulos2046 👍🏼
Hi there, any issues with persons who developed knee septic arthritis (following arthoscopic surgery) , still undergoing antibiotic treatment
I would definitely be speaking to your Ortho consultant about this!
I have AVN of femoral head. 2nd stage b .I have little groin pain. Avn can be cured by shock wave therpy?
Hii
Hi, may I know wt happen if someone had too much/too high intensity shockwave therapy on a delayed union fracture bone?
I’m afraid I cannot give you exact detailed evidence on this question
@@ClinicalPhysio no worries, thanks you for your reply sir🙏🏻
My Doctor is doing 4 rounds of schockwave therapy on my hip followed by one round of PRP injections on my hip. First two rounds of STW have made me very sore with lots of pressure/tightness/contracting feeling. Dr. said the STW should make the PRP more effective, but I'm concerned the STW so far is making it worse. Should I be?
I had PRP injections and they gave me inflammation. Maybe the problem is not the STW treatment but the injections
@alb5tana You had both STW and PRP? How long has the inflammation lasted after the PRP? I haven't had any PRP injections yet. SWT is starting to help some.
Guys I was diagnosed with an autoimmune disease 2 years ago that gave me nerve damage and paralyzed my legs. Do you think shockwave therapy would be beneficial for me??
Omg I'm so sorry to hear!? That is so tragic! I think you should be investigating things like neuralink which Elon Musk's company is working on. They're working on the technology to help people who are in wheelchairs to walk again, blind people to see etc. They are basically creating a digital link between the damaged nerves in the brain.. something like that.. They are starting human trials already I think and it looks promising❤
Looking to get this done for my facet joint inflammation. My steroid injections were cancelled as I didn’t have any pain on the day of the procedure. Annoyingly 2 days later the soreness came back and the main symptom for me has been irritation of the sciatic nerve, tingling being in both heels/soles of my feet. Hoping a few sessions will make a difference. I had it done on my right SI joint area and one session took the pain away, it hasn’t come back.
Wishing you all the very best Claire! Good luck!
Ive done a few sessions and significantly reduced the pain in my back.
So pleased to hear it!
I fall in january and injured my SI JOINT very badly. After three mounth of pain I started shockwave therapy. After four secions the pain and inflammation is gone
Very pleased to hear this!
Ultrasound therapy is better or shockwave therapy ?
Shockwave
Is it good to use on all the trapezius muscles?
Hi Anna - generally speaking we don’t have any absolutely clear evidence that this is the case, so may be worth a consideration if you feel appropriate
Can it actually regenerate nerves?
Less likely I would think
Would this be a good option for Tendinosis/Tendinopathy
Hi! Yes the video highlights a few tendon issues that this seems to be effective for
I had tennis elbow and I went for it. I resigned after 3rd session. It hurt much more then before procedures and my elbow had all colours of intensive bruises possible. I healed my issue with etofenamatum.
Can this help me with chronic pelvic pain?
I hope so! Perhaps be sure to review your symptoms with a local physio so you can discuss it with them
my chiropractor use in myself in for my shoulder I the work loved
I’m glad it has helped you!
I think the issue here is people think it's a panacea for any number of conditions, but in reality is has some very specific use cases where it excels like calcific tendonitisb etc.. I would not write it off just yet.
I agree! I’m hoping it does really well!
@@ClinicalPhysio I'm really interested in focused for spinal disc issues, but I have other various parts of me that are starting to show their age too and I've been kicking around getting a radial machine for home. Would love a focused but $$ and the licensing/training needed less you do yourself or someone a serious mischief lol. There's a study or two out there but not much yet for disc issues. Outside of the treatment of calcification type problems I think the efficacy seems iffy at best for a lot of the claims you'll see out there, mostly from Chiros. You're basically dumping a non-trivial amount of kinetic energy into soft tissues and hoping something good comes from it.. so I would expect anything that responds to serious DT message, heat/cold etc. may respond well too. I don't find it surprising that it decreases pain either - that 'snap' is going to numb the area after bit, and the impart of energy etc. probably does help get things moving more easily. It's like a warming up cheat... if you don't mind the pain lol.
I would say it is one of the best way to get rid of the pain it is more effective no doubt. .
Glad to hear it has helped you!
Nice
Thank you!
did it work for plantar fibroma
Could do! Evidence mainly focuses on plantar fasciitis
Focused shockwave is the best big healing difference .. radial is like thermal ultrasound with pain ..
👏🏼👏🏼👏🏼
Is shockwave therapy effective for Osteitis pubis?
No evidence I am aware of on this condition I am afraid
@@ClinicalPhysio Thanks for your response! Wondering your thoughts on this paper titled: "Non-surgical treatment of pubic overload and groin pain in amateur football players: a prospective double-blinded randomised controlled study." It discusses shockwave therapy as a conservative treatment for osteitis pubis.
shockwave changed my life!
Pleased to hear it has helped you!
What issue did you have ?
@@chetanrs shoulder bursitis and tendonosis
Is it effective for AVN?
Afraid not, avascular necrosis will not be affected by shockwave
@@ClinicalPhysio there seems to be a lot of people who have had success with it.
@@hrc6408 for AVN or different conditions?
@@ClinicalPhysio for AVN. Many TH-cam’s and also chiroprators in US are also using it to treat. Certainly worth a try for anyone with this condition.
@@hrc6408 interesting! Will look into it
Is laser treatment more effective? Thanks
As far as I know, No it isn’t 🙏🏼
@@ClinicalPhysio really? Does it heal tears like meniscus, rotator cuff, and acl tears?
@@allissab4915The evidence to suggest these conditions will benefit from shockwave has not something that has been developed yet 🙏🏼
@@ClinicalPhysio I see. Do u have video about evidence on neuromuscular electrical stimulation? Thank u
@@allissab4915 we have a full webinar on Functional Electrical Stimulation rather than a TH-cam video! This is available on our Premium Membership at Member.clinicalphysio.com
The cost is outrageous imho
🙏🏼
There are 3 different types of shockwave therapy though. They are very different and have their strengths and weaknesses. Can't treat all shockwaves like they are all the same.
Hi! This review is specifically discussing ESWT - it’s the form of shockwave most commonly used in physio and research
@@ClinicalPhysio Yes but within ESWT there is focused and radial shockwave. They are very much not the same thing. Huge problem with a lot of the research is not differentiating between the two and it makes drawing conclusions very difficult.
Bij mij heeft het wel geholpen na 5 behandelingen
Glad to hear that it helped you!
Assalamu alaikum sir, I am badly suffering from sciatica, can shockwave therapy help me
Summary: Limited evidence. Not sure if it works.
Summary : emerging evidence, hope for the future
@@ClinicalPhysio 😃A positive approach!
Honestly… I thought this was an ED video lol