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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 by RSWT
  • Plantar Fasciitis: Chronic pain in the heel or arch due to inflammation of the plantar fascia.
  • Tendinopathies: Including tennis elbow, Achilles tendinopathy, and rotator cuff issues.
  • Calcific Tendonitis: Inflammation caused by the accumulation of calcium deposits in the tendon.
  • Chronic Musculoskeletal Pain: Including shoulder, knee, and hip conditions.
  • Myofascial Pain Syndrome: Muscle pain due to tight knots in the muscle fibers.
How Effective is RSWT?

The effectiveness of RSWT has been well-documented in clinical studies. Below is a summary of research evidence supporting its use:

Condition Frequency of Treatment In-text Reference
PLANTAR FASCIITIS
Typically 3-6 sessions, 1 week apart.
Buchbinder et al., 2018
Achilles Tendinopathy
3-5 sessions, 1-2 weeks apart.
Cacchio et al., 2020
Posterior Tibial Tendon Dysfunction (PTTD)
3-5 sessions, weekly.
Elshafey et al., 2019
Plantar Fibromatosis
3-6 sessions, 1 week apart
Picciotti et al., 2020
Achilles Tendon Insertional Pain
3-6 sessions, weekly.
Ruggieri et al., 2018
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.