shockwave therapy

Treating the source of chronic pain.

If you have a chronic injury which has not responded to traditional treatments, Shockwave Therapy may be the piece of the puzzle you are missing to help you recover.

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At Resolution, we believe that Physiotherapy should produce results, fast, and want our clients to have access to numerous effective treatment methods to help ensure their success.

We are excited to include Shockwave Therapy in the long list of advanced treatment techniques we offer our clients.

It is common for us to hear that clients have heard of Shockwave Therapy and debated trying this effective treatment modality but were hesitant due to the high cost of this type of treatment.

At Resolution Physiotherapy & IMS Clinic in Barrie, we believe that cost should not limit our clients' access to effective treatments and therefore we are offering Shockwave Therapy at no additional charge. 

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WHEN CAN SHOCKWAVE THERAPY HELP?

  • Calcifications

  • Myofascial Pain

  • TMJ/Jaw Pain

  • Neck Pain

  • Shoulder Pain (calcium deposits, tendinosis, impingement, rotator cuff tears, frozen shoulder)

  • Elbow Pain (tennis elbow, golfers elbow, tendinosis)

  • Wrist Pain (non-union scaphoid fractures)

  • Back Pain

  • Scoliosis

  • Hip Pain (greater trochanteric pain, tendinosis)

  • Knee Pain (jumpers knee, ligament healing, tendinosis)

  • Hamstring Tendinopathy

  • Quadriceps Tendinopathy

  • Shin Splints

  • Achilles Tendinopathy

  • Heel Pain and Bone Spurs

  • Plantar Fasciitis

  • Arthritis

  • and more.....

HOW DOES SHOCKWAVE THERAPY WORK?

Radial Shockwave Therapy (RSWT) accelerates the healing process in the body by stimulating metabolism and enhancing blood circulation to regenerate damaged tissue. This is accomplished when Radial Shockwaves, which are like vibratory sound waves, are transmitted into a client's tissue.

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We often describe Shockwave Therapy as "massaging from the inside out" as vibrational Radial Shockwaves penetrate deep into muscle tissue, into areas we cannot reach with traditional manual therapies.  

Vibrational Shockwaves create micro-cavitation bubbles deep in the tissue that expand and burst, and stimulate healing. Shockwaves also help your body grow new blood vessels in areas which may have had compromised blood supply due to prolonged adhesion and myofascial tension, allowing healing products to better access these areas.

Other benefits of Shockwave Therapy include tissue renewal  through the stimulation of collagen regeneration and breaking down of calcification which may be causing pain and delaying healing with chronic injuries.

WHAT ARE THE EFFECTS OF SHOCKWAVE THERAPY?

Scar tissue & calcification reduction

Sound wave vibration, produced by Shockwave Therapy, causes tissue micro-fragmentation, produces tensile stress in the tissue, and creates micro-cavitation bubbles, all of which reduce scar tissue, can break up calcific deposits in chronic tendinopathy and improves recovery.

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Collagen Tissue Stimulation & Formation

Shockwave Therapy accelerates collagen synthesis which helps accelerate tissue healing. Shockwave therapy also helps align collagen fibres to help maximize tendon, muscle, and ligamentous strength. 

Tissue healing acceleration

Shockwave Therapy stimulates production of fibroblasts, stem cells, and growth factors which accelerate destruction of damaged tissue and promote healing in tendons, ligaments, skin, nerves and bones.

Bone regeneration and healing

Shockwave Therapy stimulates production of osteoblasts, bone growth factors, and nitrous oxide which contribute to osteogenesis and bone healing.

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Circulation enhancement and new blood vessel growth 

Shockwave Therapy stimulates angiogenesis, which is the growth of new blood vessels in chronically inflamed tissue, leading to improved circulation and oxygenation to tissue, helping to reduce pain and improve tissue healing.

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Pain reduction through neural effects

Shockwave Therapy stimulates pain-inhibiting chemicals including Substance P which reduce pain. This treatment also decreases the production of calcitonin gene-related peptide (CGRP), leading to reduced joint and arthritic pain. Reduction of de-myelinated nerve fibres, another effect of Shockwave Therapy, helps reduce pain super-sensitivity with chronic disorders.

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Acute Inflammation reduction

Shockwave Therapy alters levels of substance P & CGRP which impacts acute inflammation at a cellular level and improves rate of healing.

Chronic inflammation reduction

Shockwave Therapy stimulates mast cells which lead to the release of numerous pro-inflammatory mediators which help restore the normal healing and regeneration process, helping the process of injury repair to finish properly and inflammation to stop.

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Release of Trigger Points & Myofascial Tension

Shockwave Therapy helps reverse the metabolic crisis in the muscle fibres that contribute to trigger points and myofascial tension. Trigger points are tight bands/nodules that contribute to pain in the back, neck, shoulder and limbs. Tight trigger points lead to a reduced circulation in that area which leads to a build up of waste products and pain. Shockwave can release the tension in the trigger points, resolving the circulatory block and waste product build up and reduce pain.

shockwave barrie, knee pain barrie, tendon pain barrie, chronic pain barrie, shockwave barrie

If you have a chronic injury which has not responded to traditional treatments, Shockwave Therapy may be the piece of the puzzle you are missing to help you recover.

Book with us today and see how effective Shockwave Therapy can be.


REFERENCES:

Wang, C. J., Wang, F. S., & Kuender, D. Y. (2006). Biological mechanism of musculoskeletal shockwaves.

Moya, D., Ramón, S., Guiloff, L., & Gerdesmeyer, L. (2015). Current knowledge on evidence-based shockwave treatments for shoulder pathology. International Journal of Surgery24, 171-178.

Chang, K. V., Chen, S. Y., Chen, W. S., Tu, Y. K., & Chien, K. L. (2012). Comparative effectiveness of focused shock wave therapy of different intensity levels and radial shock wave therapy for treating plantar fasciitis: a systematic review and network meta-analysis. Archives of physical medicine and rehabilitation93(7), 1259-1268.

Cacchio, A., Paoloni, M., Barile, A., Don, R., De Paulis, F., Calvisi, V., ... & Spacca, G. (2006). Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study. Physical therapy86(5), 672-682.

Rompe, J. D., Furia, J., & Maffulli, N. (2008). Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy: a randomized, controlled trial. JBJS90(1), 52-61.

Cacchio, A., Rompe, J. D., Furia, J. P., Susi, P., Santilli, V., & De Paulis, F. (2011). Shockwave therapy for the treatment of chronic proximal hamstring tendinopathy in professional athletes. The American journal of sports medicine39(1), 146-153.

Jeon, J. H., Jung, Y. J., Lee, J. Y., Choi, J. S., Mun, J. H., Park, W. Y., ... & Jang, K. U. (2012). The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Annals of rehabilitation medicine36(5), 665-674.

Kraus, M., Reinhart, E., Krause, H., & Reuther, J. (1999). Low energy extracorporeal shockwave therapy (ESWT) for treatment of myogelosis of the masseter muscle. Mund-, Kiefer-und Gesichtschirurgie: MKG3(1), 20-23.

Lee, S., Lee, D., & Park, J. (2014). Effects of extracorporeal shockwave therapy on patients with chronic low back pain and their dynamic balance ability. Journal of physical therapy science26(1), 7-10.

Weiss, H. R. (2017). Application of extracorporeal shockwaves in the treatment of scoliosis: a case report. Journal of Physical Therapy Science29(5), 946-949.