Most patients with chronic pain problems have tried many different treatments without success. 80% of these patients say shock wave therapy helped them resolve their problems.

Most patients experience immediate pain relief. However, patients may still feel some soreness in the treated area 2-4 hours after treatment. They consider this soreness to be tolerable.

Radial shockwave treatments should not take longer than 10 minutes. Typically, most patients require approximately 5-10 treatments to achieve lasting results. However, the recommended number of treatments depends on the patient’s condition, treatment indication, tissue response, and other factors.

Patients are advised to avoid physical activities within 48 hours after each treatment, especially those that require the treatment area to participate.

Shock wave therapy also has some side effects, including local tissue redness and swelling, subcutaneous hemorrhage, ecchymosis, pain, etc., but most of them are temporary and can be relieved or eliminated within 1-2 days after treatment. Therefore, there is no need to be afraid of shock wave therapy. According to many reports at home and abroad, shock wave therapy is a very safe and effective means of treating chronic soft tissue inflammation, delayed fracture healing, pain and other diseases.

Most treatments require 3-5 sessions, with 3-10 days between each session, depending on the patient’s tolerance and tissue response.

It mainly includes tumors, pregnant women, patients with bleeding tendency and coagulation disorders, thrombosis, pediatric epiphyseal areas, acute inflammation, etc. It is also necessary to avoid tissues or organs such as the head, face, lungs, kidneys, and spinal cord.

Initiating and maintaining the repair process of damaged tissue requires nutrient blood flow. The application of sound waves creates micro-ruptures in the capillaries in tendons and bones. The micro-tears lead to a significant increase in growth factors such as eNOS, VEGF, PCNS and BMP. These processes promote arteriolar remodeling, stimulating growth and the generation of new arterioles. The new blood vessels improve blood supply and oxygenation to the treated area, promoting rapid healing of tendons and bones.

Inflammation turns into chronic inflammation when it is not completely stopped. It destroys healthy tissue and produces chronic pain. Mast cells are one of the key cells in the inflammatory process. Their activity is increased by using sound waves. Mast cells produce chemokines and cytokines after activation. These pro-inflammatory compounds first enhance the inflammatory process and then help restore the normal healing and regeneration process.

Sufficient collagen production is a necessary prerequisite for the repair process of damaged bone muscle and ligament structures. Shockwave therapy can promote the synthesis of procollagen. This treatment can promote the longitudinal structure of newly formed collagen fibers, thereby making the newly formed tendon fibers denser, harder, and forming a tighter structure.

Calcium buildup is often the result of micro-tears or other trauma to the tendon. Sound waves break up existing calcifications. Shockwave therapy initiates a biochemical decalcification reaction of the toothpaste-like calcium buildup while treating the tendon. The granular particles of calcium are then removed via the lymphatic system.

Substance P is a neurotransmitter that mediates pain messages via C-fibers. This neuropeptide is often associated with severe, persistent, and chronic pain. It transmits pain messages to the central nervous system. A decrease in the concentration of substance P reduces stimulation of incoming nociceptive fibers, thereby relieving pain. Reducing substance P, histamine, and other nociceptive metabolites also helps inhibit the development of inflammatory edema. The sound waves produced by the shockwave therapy device can reduce substance P concentrations and release trigger points.

Trigger points are a major cause of pain in the back, neck, shoulders and extremities. They are associated with palpable nodules in tight bands of muscle fibers and contain violently contracting myotomes. The non-functioning myotomes contract so violently that they begin to cut off their own blood supply, causing waste products to accumulate. The waste products can stimulate sensory nerve endings, causing even more violent contractions. This vicious cycle is known as a “metabolic crisis.” We hypothesize that the mechanism of action is that the sound waves delivered by the device can unblock calcium pumps, thereby reversing the metabolic crisis of the myotomes and releasing the trigger points.