Radial Shockwave Therapy at MSK Quebec

Radial Shockwave Therapy is an advanced, non-invasive treatment technique available at MSK Québec. Our experienced team of therapists is trained to use this method effectively to treat various musculoskeletal conditions.

How It Works

Radial shockwaves are high-energy acoustic waves that radiate outward from the source, penetrating body tissues at varying depths. Unlike focused shockwaves, radial waves disperse their energy over a broader area, making them particularly effective for treating larger or multiple areas.

Mechanism of Action

Radial shockwaves promote healing and pain relief through several mechanisms:

• Stimulation of blood circulation: Radial shockwaves increase microcirculation and local metabolism, enhancing nutrient delivery and eliminating waste.
• Cellular activation: Shockwaves modify cell activity, enhancing the body's natural healing processes.
• Degradation of calcium deposits: Shockwaves fragment calcium deposits in calcific tendinopathy, aiding their resorption by the body.
• Reduction of muscle spasms: Shockwaves help alleviate muscle tension and reduce spasms.
  Stimulation of collagen production: This process strengthens tendons and ligaments.

Therapeutic Indications

At MSK Québec, our therapists use radial shockwave therapy to treat various conditions, including:

• Tendinopathy (e.g., epicondylitis, rotator cuff tendinopathy, patellar tendinopathy)
• Plantar Fasciitis
• Bursitis
• Enthesopathy
• Carpal tunnel syndrome
• Myofascial trigger points
• Chronic neck and back pain

Benefits and Effectiveness

• Non-invasive: No surgery is required, which reduces associated risks and recovery time.
• Proven effectiveness: Numerous studies have confirmed the efficacy of radial shockwaves in treating various musculoskeletal conditions.
• Few side effects: Side effects are typically minor and temporary, including redness, slight pain, or bruising.

Contraindications

Although radial shockwave therapy is highly effective, it is not suitable for everyone. The main contraindications include:

• Pregnancy
• Bleeding disorders
• Thrombosis or infections in the treatment area
• Tumors or metastases in the treatment area
• Bone growth zones in children and adolescents

What to Expect

Typically, three treatments are performed, each one week apart, though more sessions may be necessary. Radial shockwave therapy is accompanied by an exercise program and assessment by a physiotherapist to measure mechanical stress.

Therapeutic Effects

This therapy often leads to pain reduction and improved function within 6 to 12 weeks.

Conclusion

Radial shockwave therapy, provided by our therapists at MSK Québec in the Quebec region, is an effective and non-invasive treatment for various musculoskeletal conditions. It offers a viable alternative to more invasive procedures and can significantly enhance the quality of life for patients experiencing chronic pain and recurrent injuries.
To learn more about our services and schedule an appointment with our therapists, please contact us at MSK Québec.

References:
Korakakis V, Whiteley R, Tzavara A, et al. The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction. Br J Sports Med 2018;52:387–407.
Reilly JM et al., Narrative Review on the Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions , Phys Med and Rehab Journal, epub Nov 12, 2018.
Schmitz C et al., Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database, British Medical Bulletin, 2015, 116:115–138
Zhang et al, Extracorporeal shockwave therapy in osteonecrosis of femoral head: a systematic review of now-available clinical evidences, Medicine (Baltimore); 2017 Jan; 96 (4).
Rompe JD, Maffulli N. Repetitive shock wave therapy for lateral elbow tendinopathy (tennis elbow): A systematic and qualitative analysis. Br Med Bull 2007;83:355-378.