Radial shockwave therapy (RSWT) can be a beneficial treatment for shoulder tendinopathy, which includes conditions like rotator cuff tendinitis, calcific tendinitis, and other forms of shoulder tendon pain. Here’s how RSWT can help:
Mechanism of Radial Shockwave Therapy
Mechanical Stimulus: RSWT involves the application of low-energy shockwaves to the affected area. These shockwaves create a mechanical stimulus that can promote healing.
Increased Blood Flow: The shockwaves enhance blood circulation to the treated area, which can accelerate the healing process by bringing more nutrients and oxygen to the damaged tissues.
Stimulation of Healing Processes: The therapy can stimulate cellular activity, promoting the release of growth factors and enhancing tissue repair mechanisms.
Reduction of Pain: RSWT can desensitise nerve endings, leading to a reduction in pain. This is thought to be due to a combination of analgesic effects and the promotion of healing processes.
Benefits of Radial Shockwave Therapy for Shoulder Tendinopathy
Non-Invasive: RSWT is a non-invasive treatment option, which means it doesn’t involve surgery or injections. This makes it an attractive option for those seeking to avoid more invasive procedures.
Improved Function: Patients often experience improved shoulder function and range of motion after a course of RSWT.
Pain Relief: Many patients report significant pain reduction, which can enhance their quality of life and allow them to engage in daily activities with less discomfort.
Stimulation of Healing: By promoting the body’s natural healing processes, RSWT can lead to long-term improvements in tissue health and function.
Clinical Evidence and Effectiveness
Research on RSWT has shown promising results for shoulder tendinopathy:
Rotator Cuff Tendinitis: Studies have found that RSWT can effectively reduce pain and improve function in patients with rotator cuff tendinitis.
Calcific Tendinitis: RSWT has been particularly effective in treating calcific tendinitis of the shoulder, where it can help break down calcium deposits and promote resorption.
Overall Tendinopathy: General improvements in tendon health, pain reduction, and functional outcomes have been reported in various studies.
Treatment Protocol
A typical RSWT treatment protocol for shoulder tendinopathy might include:
Frequency: Treatments are usually administered once a week.
Duration: Each session may last around 10-20 minutes.
Number of Sessions: A course of 3-6 sessions is common, although this can vary depending on the severity of the condition and the patient's response to treatment.
Considerations and Precautions
Side Effects: Some patients might experience mild side effects such as transient pain, swelling, or bruising at the treatment site. These are typically short-lived.
Contraindications: RSWT is not suitable for everyone. Contraindications include certain vascular disorders, nerve disorders, infections at the treatment site, and pregnancy. It’s important to discuss your medical history with a healthcare provider.
Professional Guidance: RSWT should be administered by a trained professional, such as a physiotherapist or a specialist in sports medicine, to ensure safety and effectiveness.
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