The absolute contraindications to treatment are represented by:
• congenital or acquired changes in coagulation
• pace-maker (for some types of appliances)
• skin inflammation or infections in the area to be treated
• growth cartilages near the field of application
Tearing of the rotator cuff and tendinopathies associated with severe glenohumeral arthrosis are relative contraindications.
High-energy shock waves are also used in Neurology: treatment of polyneuropathies, reduction of post-trauma spasm - in Angiology, Dermatology and Surgery: wound healing, skin burns, scar treatment.
In the literature there are no real side effects, except for a temporary skin reddening, in rare cases microhematomas, petechial haemorrhages can occur.
The treatment is short, 15 minutes, and well tolerated: the number of sessions and their frequency vary according to the pathology to be treated; in most cases three or four sessions are sufficient with weekly or fortnightly frequency. Immediately after the treatment the patient can resume normal activities. Immediately after treatment and in the next 4-5 hours there is a decrease in pain; after 24-48 hours a transient flare-up of the pain symptomatology is sometimes possible.
The therapy can be repeated without any negative effect on the organism.
To access shockwave therapy, you must undergo a specialist orthopedic examination to ascertain the indications, program a correct therapeutic protocol necessary to optimize the results and verify that there are no contraindications.
In addition to the clinical examination and the radiographic documentation of the district to be treated, ultrasound or MR are sometimes required.
The effects of the treatment in the indicated pathologies, varying from a significant improvement of the symptomatology to the resolution of the clinical picture, are to be considered positive in 70-80% of the cases according to the different cases.
It is however important to know that shock waves are not able to stop degenerative processes, but slow down their evolution. For this reason, an annual inspection visit is useful.
Shockwave treatment is useful to associate a "personalized" functional rehabilitation program to speed up the resolution of the pathology and consolidate the result obtained.
The effectiveness, non-invasiveness and high tolerability of this new therapeutic opportunity has opened new horizons in the treatment of some of the most frequent musculoskeletal disorders.