PiezoWave² · ESWT
Focused extracorporeal shock waves
High-energy acoustic impulses generated outside the body and precisely concentrated on a defined area and depth of tissue.
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The device used in the clinic
How they work
A biological and regenerative stimulus
The effect of focused shock waves is mainly biological and regenerative, rather than simply mechanical. The stimulus may support neovascularisation, local circulation, growth-factor release, fibroblast activity and tissue-repair processes.
It may also support lubricin production, the migration of mesenchymal stem cells and modulation of pro-inflammatory processes, encouraging the body’s self-repair mechanisms.
- ✓Epicondylitis and other tendinopathies
- ✓Plantar fasciitis
- ✓Shoulder conditions
- ✓Persistent musculoskeletal pain
- ✓Ulcers, pressure sores and difficult wounds, when indicated
Main goals
Support circulation, repair and function
The treatment aims to support local vascularisation and circulation, tissue repair and regeneration, pain and inflammatory-process modulation, and functional recovery.
Important clarification
They do not shatter calcifications or heel spurs
In tendon calcifications, shock waves stimulate vascularisation and natural resorption. In heel spurs, they address inflammation and distress in the surrounding tissues, while the bony prominence may remain.
The physiotherapist adjusts energy, frequency, depth and duration to the tissue, clinical stage and tolerance. Higher power does not automatically mean greater effectiveness.
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