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Extracorporeal Shockwave Therapy Education is the latest web resource for low powered radial or soft shock shockwave education and tutorials. ESWT is based on both text and video files here you will find all of the information you need to provide the latest in Physiotherapy, Physical therapy, Osteopathic, Chiropractic and Medical treatments using radial shockwave therapy. From reviews of ESWT radial machines to real ESWT radial treatments showing real results ranging from bony heel spurs and Achilles tendonitis right through the lower limb and up to shockwave of the hand.

Radial Shockwave is typically used to treat symptoms over a wider area. These devices use a pneumatic action to generate the initial Shockwave. Similar to the effect with the Focused device, the Shockwave interacts with with tissue, creating cavitation bubbles that collapse to create a secondary Shockwave. The Shockwave generated by the Radial device forms a wider pattern than the Focused device making this great for soft tissue related problems.

This is treatment to an anatomical bursa between the 4th and 5th metatarsals (as can be seen below). (Anatomical means normally present, not an adventitious bursa, as can often be seen at the metatarsal heads, which are only present because of a problem.)

Shockwave therapy has become a popular modality in many fields of rehab. Smartwave machine is used to deliver energy to target tissues that normally cannot be reached through manual therapy such as massage. The device helps increase circulation to the target tissue, therefore assisting the healing process. The Smartwave has been proven effective for treating Plantar Fasciitis, Tendonitis and many other soft-tissue injuries.

The Smartwave works by using a hand piece with a projectile inside. The projectile is accelerated and creates a mechanical pressure wave, which is transferred to the soft tissue and radiates the tissue. The energy is absorbed by the tissue and triggers a reaction to create better circulation to the injured area. The Smartwave can be used to help increase a person’s flexibility and mobility to the treated body part.

Shockwave Therapy Results

There are many research studies on shockwave (SWT) and it's use in bursitis. Furia et al. (2009) compared outcomes of two groups of patients with chronic bursitis. The patients undergoing shockwave improved significantly more than those in the control group. Rompe et al. (2009) compared exercise to corticosteroid injection and shockwave. One month follow up showed, corticosteroid success rate 75%; exercise 7%; shockwave 13%. At 4 months, radial SWT led to significantly better results (68%) exercise (41%) and corticosteroid injection (51%). Fifteen months follow up radial SWT (74%) and exercise (80%) were significantly more successful than was corticosteroid injection (48%). In their excellent review article Del Buono et al (2012) said repetitive low-energy radial SWT provides a beneficial effect over months, with a success rate of 68% at 4 months and 74% at 15 months. Rompe et al. (2009) evaluated the effects of SWT on patients with bursitis which had already been treated conservatively but had been unresponsive. The mean results for the shockwave group were statistically improved at 1, 3 and 12 months after treatment compared with the control group. At the 12 months assessment, the shockwave patients had significantly higher excellent and good results compared with the control group patients (79% vs. 36%). No patient reported complications and no patient required additional treatment.

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