Shockwave Therapy

Shockwave therapy is often likened to ultrasound treatment, but with notable differences. While ultrasound produces smooth and consistent waves, shockwaves are faster, more intense, and vary in consistency. Initially developed in 1980 for breaking down kidney stones, shockwave therapy is now recognized for its ability to penetrate deeply and disrupt abnormal tissue, promoting healing for a range of painful conditions.

A few years ago, a close friend and chiropractor introduced me to shockwave therapy. Impressed by the results he achieved, I delved into research and found compelling studies. One such study from The Academy of Medical Sciences of Bosnia and Herzegovina assessed the efficacy and safety of extracorporeal shock wave therapy (ESWT) in treating tendinopathies. Participants—326 in the treatment group and 58 in the control group—completed surveys on pain, function, and quality of life before treatment, as well as immediately post-treatment and four weeks later. The results demonstrated significant pain reduction and functional improvement, exceeding 40%.

Tendinopathy encompasses issues like tennis elbow, partial rotator cuff tears, and pain in the ankle or foot. Tendons, which connect muscles to bones, can cause pain when inflamed or disrupted. A similar issue, plantar fasciitis, can persistently affect the bottom of the foot and hinder walking. A meta-analysis of nine studies with 935 patients found that focused shockwave therapy significantly alleviated pain compared to a placebo.

Additional research has shown shockwave therapy’s effectiveness in treating chronic low back pain and disc herniations.

PEMF: A Promising Alternative

Pulsed ElectroMagnetic Frequency (PEMF) therapy, like shockwave therapy, may offer considerable pain relief for various conditions. A review in the Biomedicine & Pharmacotherapy journal concluded that PEMFs hold great promise as either a standalone or adjunctive treatment for musculoskeletal disorders due to their non-invasive nature, safety, and effectiveness. Conditions treated include delayed union of fractures, osteoarthritis, osteoporosis, osteonecrosis, tendon disorders, fibromyalgia, and chronic pain.

PEMF is believed to have anti-inflammatory properties and improve cellular function by enhancing membrane permeability. One study noted that PEMFs exert a strong anti-inflammatory effect on joint environments by activating specific adenosine receptors, which can reduce the release of inflammatory compounds.

In my experience, few patients are aware of either shockwave or PEMF therapy as primary treatment options. My intention in discussing them is to present new, viable alternatives for pain relief.

Non-Invasive and Effective Solutions

With both patients and healthcare providers increasingly cautious about using opioids for chronic pain and viewing surgery as a last resort, these two therapies deserve consideration. They are non-invasive, safe, and supported by numerous clinical trials. Providers will assess for contraindications before proceeding with either treatment, ensuring patient safety.

Through my extensive experience treating thousands of patients, I have observed how chronic pain can significantly disrupt various aspects of life—physical, mental, and social. We now understand that chronic pain can alter brain structure, complicating treatment efforts.

Timeliness is crucial; addressing painful conditions sooner can lead to better outcomes. While discovering and trying new therapies can be challenging, it is important to remember that healthcare is rapidly advancing. For those who have yet to experience these treatments, new options may offer promising relief.

Best of luck in your journey toward pain management.