PhysioActive is one of the few private physiotherapy practices in Singapore who offer this new, advanced technology known as Extracorporeal Radial Shock Wave Therapy (RSWT).
This technology reduces or eliminates many (chronic) painful conditions such as shoulder- knee- or heel pain. Radial Shockwave Therapy is fast, safe, non-invasive and very effective treatment method. Clinical studies have proven a success rate of more than 70%, even in cases that have failed to respond to conventional approaches.
The beneficial effects of shock wave therapy are often experienced after only 1 or 2 sessions. The therapy eliminates pain and restores full mobility, thus improving the quality of life.
What sets this treatment apart from traditional treatments is that it treats the musculoskeletal pathology instead of just offering symptomatic relief. If performed by qualified therapists extracorporeal shock wave therapy has virtually no risks or side effects.
Conditions treated with RSWT
- Shoulder pain, e.g. shoulder calcifications, tendonitis, frozen shoulder
- Tennis or golfer’s elbow
- Patellar tendonitis (“jumper’s knee”)
- Iliotibial band syndrome
- Shin pain / tibial stress syndrome
- Achilles tendon pain
- Heel pain, plantar fasciitis
- Chronic neck-, shoulder- and back pain
- Muscle tension caused by painful muscular nodules (trigger points)
- Knee osteoarthritis
How do shockwaves help with the healing process?Shockwaves activate the body’s self-healing powers by reinjuring the area on a cellular level. The controlled reinjuring of tissue allows the body to regenerate new healthy tissue, which leads to faster healing and return to activity. They stimulate the metabolism and enhance the blood circulation. Damaged tissue gradually regenerates and eventually heals. RSWT breaks up the scarring or calcification deposits that have penetrated tendons and ligaments.
How is the therapy performed?The therapist localizes the pain region by palpation or shockwave localization and discusses the findings with you. A skin gel is then applied to the treatment area to allow the shockwaves to be introduced into the body almost painlessly and without any loss of energy. After these preparations, shockwaves are released as the shockwave applicator is moved over the pain region in a circular motion.
Duration and frequency of the therapyThe application takes between 5 and 10 minutes and is integrated into the regular physiotherapy session. In general, averages of 3 to 6 therapy sessions are necessary at weekly intervals.
Do I need a referral?Although many of our patients are referred by their family physician or orthopedic specialist, a referral is not necessary.
How much does it cost?Please see our pricelist.
Does my health insurance cover the costs?If you have a referral from the doctor the insurance company will cover for the costs. In case of no referral you have to check with your insurance company whether they will pay for the treatment.
How does RSWT work?
Shockwave energy is conducted from the place of its generation – the shockwave generator – to the painful body regions, where it unfolds its healing capacities. A projectile within the applicator is accelerated by compressed air. The kinetic energy stored in the motion and weight of the projectile is converted into acoustic energy in the form of long-wave shock pulses when the projectile strikes a shock transmitter. These acoustic pulses are transmitted to the target tissue by means of a protective cap and gel. Penetration depths are between 1 and 3 cm.
- Shockwaves destroy cell membranes. Consequently, the noci-ceptors are not longer able to produce generator potential and can thus no longer send out any pain signals.
- Shockwaves stimulate nociceptors which, in turn, release a high amount of neural pulses. As described by the Gate Control Theory, transmission of these pulses to the central nervous system is inhibited.
- Owing to the mode of action of shockwaves, the chemical environment of the cells is changed by free radicals which produce pain inhibiting substances.
- Based on the hypothesis towards associative pain memory (Wess), afferent pain signals are transmitted through the central nervous system by multiple synaptic junctions which eventually cause efferent fibers to control muscle tone. The reflex mechanism works just like a regulatory circuit.
During shockwave therapy, strong pain signals are conducted electrically, stimulating chemical processes at the synaptic contact sites. The complex spatial and time related stimulus pattern is stored at the synapses as a memory engram in the form in the form of long term modifications. The pathological association between pain and muscle tone and/or vascular tone is broken as a result of shockwave therapy and the strong stimuli it produces, thus enabling natural movement patterns to be remembered and recalled. In this manner, a non-pathological condition of the muscle tone can be restored.
Is the treatment evidence based?If you’d like to read more about Shockwave, you can download information from the following page: Storz Medical (Producer’s website).