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Radial Shock Wave Therapy (RSWT)

What is Radial Shock Wave Therapy (RSWT)?

Radial Shock Wave Therapy (RSWT) is a non-invasive treatment that uses high-energy sound waves (shock waves) to promote healing in musculoskeletal injuries, particularly those affecting tendons and soft tissues. It is often used when conservative treatments, such as rest, physical therapy, or medication, have not yielded sufficient results. The therapy works by stimulating blood circulation and encouraging cell regeneration in the targeted area, ultimately accelerating the healing process and reducing pain.
How Does RSWT Work?

RSWT works by delivering focused, high-energy sound waves to the affected area. These waves generate a mechanical effect that causes microtrauma in the tissue, stimulating healing. The shock waves improve blood circulation, trigger cell repair processes, and break down calcifications, making it an effective treatment for chronic conditions that involve tendons, ligaments, and joints.
Conditions Treated with the MLS

The MWLS is highly effective in managing a wide range of podiatric conditions, see the below table for conditions, with frequency and the evidence behind it.

  1. Plantar Fasciitis: Reducing inflammation in the plantar fascia for quicker recovery and improved mobility.
  2. Achilles Tendinopathy: Alleviating pain and promoting tissue repair in the Achilles tendon.
  3. Neuromas (e.g., Morton’s Neuroma): Desensitising nerve pain and reducing swelling in affected areas.
  4. Arthritis: Minimising joint pain and stiffness caused by osteoarthritis or rheumatoid arthritis in the foot and ankle.
  5. Heel Pain: Addressing various causes of heel discomfort, including stress injuries and bursitis.
  6. Soft Tissue Injuries: Accelerating recovery in cases of sprains, strains, or trauma.
  7. Post-Surgical Recovery: Enhancing healing following surgical interventions in the lower extremities.
Condition Recommended Frequency Supporting Evidence
PLANTAR FASCIITIS
2-3 sessions per week for 4-6 weeks
(Dincer, 2022)
ACHILLES TENDINOPATHY NEUROMAS
2-3 sessions per week for 4-6 weeks
(Dincer, 2022)
NEUROMAS
1-2 sessions per week for 4-5 weeks
(Chow, 2009)
ARTHRITIS
1-2 sessions per week, ongoing for maintenance
(Dundar, 2015)
HEEL PAIN
2-3 sessions per week for 3-5 weeks
(Dincer, 2022)
SOFT TISSUE INJURIES
2-3 sessions per week until symptoms subside
(Foley, 2017)
POST-SURGICAL RECOVERY
1-2 sessions per week for 4-8 weeks, depending on need
(Chow, 2009)
Benefits of RSWT
  • Non-invasive: No surgery or injections required.
  • Quick Recovery: Minimal downtime after each session.
  • Effective for Chronic Conditions: Beneficial for long-standing injuries where traditional treatments have failed.
  • Reduced Pain: Immediate and long-lasting pain relief for many patients.
  • Improved Mobility: Can significantly improve joint and tendon mobility by reducing stiffness and promoting healing.
Side Effects and Considerations

RSWT is generally well-tolerated, but some patients may experience mild side effects such as:

    • Temporary redness or swelling at the treatment site.
    • Mild discomfort during or after the session (similar to the feeling of muscle soreness).
    • Bruising in some cases, which typically resolves within a few days.
How Many Sessions Are Needed?

The number of RSWT sessions required varies depending on the severity of the condition and the patient’s response to treatment. Typically, 3 to 6 sessions are recommended, spaced about 1 week apart. Some patients experience significant improvement after just one or two sessions, while others may require more.
Conclusion

Radial Shock Wave Therapy is an effective, non-invasive treatment option for a variety of musculoskeletal conditions, especially chronic tendinopathies and soft tissue injuries. With a proven track record of improving pain and function, RSWT can offer long-term relief and an alternative for patients who have not responded to traditional therapies.

For more information or to book an assessment, please contact us today.