Shockwave Therapy

What is Shockwave Therapy?

Shockwave therapy is a non-invasive alternative to surgery and steroid injections. An applicator is moved over the area of pain, emitting focused or radial shockwaves into the tissues. They are known as Focused Extracorporeal Shockwave Therapy (fESWT) and Extracorporeal Shockwave Therapy (ESWT).

The difference between the two types of Shockwave is that the ESWT/Radial Shockwave produces pressure waves that travel through the tissue from the applicator radially and are absorbed quickly. Whereas, the fESWT is more accurate and focuses the pressure waves to a specific depth in the injured tissue depending on the applicator used.

We use the Swiss DolorClast® Focused Shockwave (fESWT) machine at our Cheam practice and the Extracorporeal Shockwave Therapy (ESWT) at our Surbiton and Worcester Park practices.

How Does It Work?

The applicator sends pressure waves (also known as sound waves) through the skin to the tissues below to speed up the healing process. It does this by:

  • Increasing blood flow to the specific area
  • Increasing the production of stem cells (new cells that will replace damaged cells) 
  • Reduce the production of Substance P (a neuropeptide that causes pain)
  • Breaking down of calcific deposits (often found in tendonitis/tendinopathy)
  • Increasing the output of Lubricin (reduces friction in joints and between muscles and tendons)

Studies have shown it can reduce the time for a bone fracture to heal from 6 weeks to 4 weeks.

Focused Shockwave Therapy - Swiss Dolorclast
Focused Shockwave for Achilles Tendonitis

Will Shockwave Therapy Help My Condition?

  • Plantar fasciitis and Heel Pain
  • Achilles Tendon Problems
  • Tennis and Golfers Elbow
  • Frozen Shoulder
  • Osgood-Schlatter disease
  • Osteoarthritis
  • Rheumatoid Arthritis
  • Dupuytren’s Contracture
  • Jumpers / Runners Knee
  • Patella Tendinopathy
  • Bicep Tendinopathy
  • Supraspinatus Tendinopathy 
  • Shoulder Chronic Pain and Calcifications
  • Trochanteric Bursitis
  • De Quervains Syndrome
  • Carpal Tunnel Syndrome
  • Muscle spasms
  • Shin Splints
  • Retro Patella Pain Syndrome (pain in the front, behind, and around the kneecap)

I sustained a rotational cuff injury 3 months prior to starting my shockwave therapy. This injury was impacting my life and mental health immensely, after 6 shockwave treatments I now have full movement and am pain free.

Michael was always friendly and professional and listened to my issues and explained everything so well before and during the sessions. The treatment was uncomfortable but Michael made sure it was bearable at all times, adjusting the strength to suit me.

Highly recommend him and the therapy!!!!

D. Doherty

20 years ago, Shockwave therapy was used by the medical profession for the treatment of kidney stones. Many studies since have found it to be effective in other conditions where conventional treatment has been found unsuccessful.

My tennis elbow was very painful. Avenue Health gave initial diagnosis and suggested that Shockwave treatment can given.

I had a course of six treatments. At each appointment, Michael assessed and identified specific area points for shockwave intensity and duration and accordingly applied treatments. By the end of six treatments my pain level reduced rapidly and achieved 90+% relief.

I provided this feedback a week after my last appointment to say that I am now 95+% better. I can resume my normal activities.

I recommend Avenue Health and Shockwave treatment unreservedly. Thank you Michael for providing this very effective & efficient treatment.

S. Patel

Side Effects

After treatment, you may experience some side effects, but they should disappear after 5-10 days. These can include:

  • Reddening
  • Swelling
  • Pain
  • Bruising
  • Petchia (red spots)

Where It Can’t Be Used? 

  • Over Lung Tissue
  • During Pregnancy
  • Active Adolescent Growth Plates
  • Haemophiliac Patients or Those on Anticoagulants
  • Acute Inflammation
  • Malignancy
  • Implanted Cardiac Stents and Valves
  • Infections
  • Joint Replacements
Shockwave Therapy on Shoulder pain
Shoulder

I received 6 sessions of Shockwave Treatment for a foot injury I sustained at the gym. The treatment has hugely helped with my recovery and I felt supported and listened to the whole time by Michael.

I wouldn’t hesitate to recommend Avenue Health to anyone!

L-J Carroll

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