Category: Theory

  • Gel or Oil

    An overview of the practical use of gel or oil as a contact medium for shockwave therapy.

  • Cavitation

    Two studies (Kiessling et al., 2015 and Schlaudraff et al., 2014) have shown pictures of cavitation bubbles from radial shockwave heads from a 6mm head (Kiessling et al., 2015) and a 36mm head (Schlaudraff et al., 2014). Both took the images in a similar but not identical way: Kiessling et al. (2015) “High-speed imaging of cavitation bubbles.…

  • Referencing the Site

    Referencing the Site

    How to reference the web site: Fill in the pieces in red with the information relevant to your search LEAVE the sections in black as they are. Harvard Style: Wimpenny P. (put in this year as the date). THE NAME OF THE PAGE YOU ACCESSED(in italic or bold text) e.g. theory of shockwave (any further sub section is put in…

  • References


    Ackaert KS, Schröder FH (1989) Effects of extracorporeal shock wave lithotripsy (ESWL) on renal tissue. Urological Research, 17: 3-7 Adatto M, Adatto-Neilson R, Servant JJ, Vester J, Novak P, Krotz A. (2010) Controlled, randomized study evaluating the effects of treating cellulite with AWT/EPAT. J Cosmet Laser Ther;12:176–182 Al-Abbad H, and Simon JV (2013) The effectiveness…

  • Contraindications


    There are several absolute contraindications to shockwave therapy and several relative ones. Below are lists of the contraindications and their reasons why: For a PDF to use as a template before treatment see below: Absolute: Relative:

  • Gel, Oil or Petroleum Jelly?

    Gel, Oil or Petroleum Jelly?

    What contact medium to use? That is the question Shockwave oil (normally castor oil or equivalent) Ultrasound/Shockwave gel (basically thick water) Petroleum Jelly The answer at first glance would seem to be simple. There is evidence that air bubbles in gel (either naturally occurring or caused by the gel cavitating under the head) affects the…

  • Dosage of Radial Shockwave

    Dosage of Radial Shockwave

    There are three main ways of using radial shockwave: Treatments overview:  RSWT Head Power Frequency Shocks How Often No. of Sessions  Destruction  15mm  105mj+2.5 bar+  4-15hz 1000-4000 every 5 days 1-3 maybe6+ more likely  Healing  15-35mm  60-90mj1-2 bar  10-16hz 1000 x 1 spot4000 larger area every 7-10 days 4-6  Pain Relief  6-35mm  60-90mj1-2 bar  15-30hz…

  • Treatment Effects of Radial Shockwave

    Treatment Effects of Radial Shockwave

    Radial shockwave has direct and indirect effects on various structures (cells and hence tissues) throughout the body. Some of these effects are positive and some negative. There are many claims for the micro or cellular effects of shockwave. These micro structural or cellular effects often culminate together to have macro effects on actual parts of the body. These are generally…

  • Biological Effects of Radial Shockwave

    Biological Effects of Radial Shockwave

    The exact mechanism of how radial extracorporeal shockwave therapy affects human tissue is poorly understood. However, Haupt (1997) postulated 4 reaction phases. The effects of radial shockwave can be categorised into two major areas: Both the direct and indirect effects produce a biological response in treated tissues (Ogden, To-th-Kischkat & Schultheiss, 2001, Schmitz et al., 2013, Ueberle, 2007). Cavitation (indirect…

  • Shockwave Theory

    Shockwave Theory

    Extracorporeal shockwaves (ESW) are pressure waves generated acoustically. Shockwaves are different from other acoustic waves because they are at a lower frequency. There are many examples of these sonic pulse waves in real life. A good example is the sound of thunder following the flash of lightning. A more day to day version of a…