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1.2
BIOLOGICAL EFFECTS OF SHOCKWAVE TREATMENT
The effects of the shockwaves mainly occur at sites where there is a change in impedance, such as the
bone/soft tissue interface.
Analgesic effect:
Destruction of afferent nerves and nerve receptors.
CNS stimulants, sensed as pain, are also inflammation transmitter substances.
Regression of pain caused by local ischemia.
Gate control theory of pain
1.3
POSSIBLE SIDE EFFECTS OF SHOCKWAVE TREATMENT
Erythema or swelling can temporarily occur in the treated area.
Loss of bodily sensation or itching can temporarily occur in the treated area.
Hematoma(s)
Petechia
Skin damage after previous corticoid therapy.
Shockwave application can cause undesirable heart activity.
1.4
INTENDED USE FOR SHOCKWAVE TREATMENT
ESWT is for the intended use as a treatment for musculoskeletal pain.
1.5
CONTRAINDICATIONS FOR SHOCKWAVE TREATMENT
Application to certain tissues: The eyes and the surrounding area, the myocardium, the spinal
cord, the gonads, the kidneys, and the liver are not to be treated.
Blood disorders, coagulation problems, or the use of anticoagulants
Blood thinning medications (Warfarinization)
Polypus in the area of treatment
Pregnancy
Thrombosis
Tumor diseases
Polyneuropathy
Acute inflammation
Growing cartilage in children
Therapy using corticoids
Inapplicable on areas of the body and organs with possible gas content
Inapplicable on areas in proximity to large nerve bundles, blood vessels, the spinal cord and the
head
