Shockwave Therapy

What is it?

Extracorporeal Radial Shockwave Therapy is a non-invasive treatment whereby acoustic pressure waves are delivered to the injured tissue to assist healing and decrease pain.

It has been proven to help patients with chronic tendinopathies that have been unsuccessful with other conservative treatments. Shockwave technology was first used to breakup kidney stones and gallstones, and continues to be the treatment of choice for these conditions. However, rather than the high-pressure shockwave used in medical conditions, a lower pressure shockwave is utilized in physiotherapy treatments.

How does it work?

Shockwave stimulates an acute inflammatory response and triggers the body’s natural healing response.

• Shockwave stimulates the action of fibroblasts, which are cells responsible for connective tissue healing such as tendons.
• Shockwave stimulates collagen production. Collagen is necessary for the repair of muscles, tendons and ligaments.
• Shockwave diminishes pain.
• Shockwave stimulates the growth of new blood vessels in the injured area. This brings improved blood supply and oxygen to the area and helps it to heal.
• Shockwave releases trigger points and subsequently, decreases pain.

What happens at a Shockwave treatment?  Your physiotherapist will do a thorough assessment of your problem. If they feel it is appropriate for you, they may prescribe Shockwave therapy. It is always combined with manual therapy or other physiotherapy techniques, advice and exercises specific for your situation.

What does it feel like?  Does it hurt?  You may feel mild discomfort from the treatment. However, the intensity can be adjusted to your tolerance, and treatment usually lasts only 3-5 minutes.

What should I do after treatment?  You should continue your regular daily activity, and the exercises and gentle stretches prescribed by your physiotherapist. Heat is helpful. It is recommended to avoid high impact or strenuous activities for 48 hours after shockwave treatment. Do not ice, as it will decrease the inflammatory response.

How many sessions will I need?   The number of treatments required is variable, depending on your injury and your tissue’s response to treatment. Typically, it should take between 3-5 sessions, although you may feel relief after the very first treatment. It will take another 6-8 weeks of healing after the treatments have been completed.

How much will it cost?  The shockwave treatment will be an additional $10.00 over the regular physiotherapy visit cost. If you have extended health benefits it will be covered under your physiotherapy coverage.

Is there any preparation I should do prior to treatment?  Yes, you should stop taking anti-inflammatory medication 1 week prior to beginning treatment and stay off anti-inflammatories for 6 weeks once treatment has begun.