The medical effects of shock wave therapy are often overwhelming to some but for those people hungry to understand the inner workings of shock wave therapy we have broken down the results into their different parts below.

New Blood Vessels Production

New Blood Vessels Production
Nutritious blood flow is necessary to start and maintain repair damaged tissue. The application of high energy pulsed acoustic waves (shockwave therapy) creates micro-ruptures in the small blood vessels within the tendons and bones being treated. Secondary to this there is significant increase in the chemical substances that tell the body to grow. These growth indicators are known as NOS, VEGF, PCNA and BMP. These two processes stimulate the growth and remodeling of new small blood vessels known as arterioles. The new blood vessels will improve the blood supply and the oxygenation resulting in the faster healing of both tendon and bone.

Reversal of Chronic Inflammation

Reversal of Chronic Inflammation
Chronic inflammation occurs when the inflammation response is not completely halted. It can damage healthy areas in the body and can result in on-going pain. The activity of mast cells, which are involved in inflammatory process, may be increased by pervasive acoustic waves. Mast cell activation may be followed by the synthesis of chemokines and cytokines (the key chemicals that start inflammation). The releasing of pro-inflammatory compounds, when needed, may help to restore the normal healing and regenerative processes. This might seem counter intuitive but by restarting the process the repair can finish and then stop as it should have done naturally.

Stimulation of Collagen

Stimulation of Collagen
The production of sufficient amounts of collagen is a necessary precondition of the tissue repair process. Shockwave therapy (ESWT) hastens collagen production. These newly formed tendon fibers are of a higher quality meaning they are better equipped to support you.

Dispersion of Pain Mediator “Substance P“

Dispersion of Pain Mediator “Substance P“
Substance 'P' is neurotransmitter that slows pain information to the brain. This neurological chemical is generally associated with intense, persistent and chronic pain. It is used to relay pain messages to the central nervous system. Lowering the concentration of Substance P reduces the stimulation of nerves that convey pain to brain and thus reduces the pain. Decreasing Sub-stance P, histamines and other nociceptive metabolites also help to inhibit development of inflammatory swelling.

Dissolving of Calcified Fibroblasts

Dissolving of Calcified Fibroblasts
Calcium build-up is most often the result of micro-tears or other trauma to a tendon. Acoustic waves break up existing calcification. Acoustic/shock wave therapy starts the biochemical decalcification of the toothpaste-like consistency calcium build-up and treats the tendon. The sand like particles of calcium are removed naturally by the bodies lymphatic system.

Release of Trigger Points

Trigger points are the principal cause of pain in the back, neck, shoulder and limbs. They are associated with noticeable knots in taut bands of muscle fibers and have extremely contracted muscle fibers. The dysfunctional sarcomeres contract so tightly that they begin to cut off their own blood supply. This causes the build-up of waste products which in turn irritates the sensory nerve endings which then causes yet more contraction. This vicious cycle is referred to as a “metabolic crisis”. Although the precise medical effects of acoustic wave therapy are still unclear, it can be assumed that the delivered acoustic energy unblocks the “calcium pump”. Thus, it reverses the metabolic crisis in the muscle filaments and releases these trigger points.

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