{"id":1813,"date":"2019-05-03T10:00:04","date_gmt":"2019-05-03T08:00:04","guid":{"rendered":"https:\/\/www.cematec.org\/shock-waves\/"},"modified":"2022-06-16T21:58:47","modified_gmt":"2022-06-16T19:58:47","slug":"shock-waves","status":"publish","type":"page","link":"https:\/\/www.cematec.org\/en\/treatments\/physical-treatments\/shock-waves\/","title":{"rendered":"Shock waves"},"content":{"rendered":"

shock<\/span> waves<\/span> ( ESWT<\/span> )<\/strong> are ultrasounds<\/span> of high<\/span> power<\/span> being<\/span> used<\/span> for<\/span> years<\/span> in<\/span> lithotripsy<\/span> to<\/span> break the calculations<\/span> of kidney<\/span> . Its effects<\/span> are transmitted<\/span> by<\/span> the water<\/span> in the head<\/span> and through<\/span> the gel to the patient<\/span> ‘s skin<\/span> .<\/p>\n

The focused<\/span> shock<\/span> waves<\/span><\/strong> can<\/span> be<\/span> electromechanical<\/span> , electrohydraulic<\/span> or piezoelectric<\/span> , of high<\/span> or low<\/span> energy<\/span> . Its<\/span> effects<\/span> produce<\/span> be<\/span> mechanical<\/span> or biological<\/span> according<\/span> to use<\/span> some<\/span> u others<\/span> and depending<\/span> on the pathology<\/span> to treat<\/span> .<\/p>\n

\"\"<\/p>\n

The focused<\/span> shock<\/span> waves<\/span><\/strong> must<\/span> be<\/span> guided<\/span> by ultrasound<\/span> or also<\/span> by<\/span> radio-scopy<\/span> to<\/span> determine<\/span> the focus<\/span> and the depth<\/span> of the pathology<\/span> to treat<\/span> . This<\/span> differentiates<\/span> them<\/span> from Radio<\/span> waves<\/span> ,<\/span> which<\/span> are<\/span> usually<\/span> pneumatic<\/span> , direct<\/span> to a<\/span> larger<\/span> area<\/span> and<\/span> diffuse<\/span> ; your<\/span> job<\/span> and effectiveness<\/span> are different<\/span> .<\/p>\n

Focused<\/span> shock<\/span> waves<\/span><\/strong> should be<\/span> performed<\/span> by<\/span> specialized<\/span> traumatologists<\/span> or after<\/span> diagnosis<\/span> by<\/span> specialized<\/span> personnel. Radial<\/span> shock<\/span> waves<\/span><\/strong> can be<\/span> performed<\/span> by physiotherapists<\/span> in specific<\/span> pathologies<\/span><\/p>\n

The general<\/span> effects<\/span> of the<\/span> waves<\/span> of shock<\/span> sound painkillers<\/span> to low<\/span> energy<\/span> , regenerative<\/span> to medium<\/span> energy<\/span> and cavitation<\/span> or spray<\/span> to high<\/span> energy<\/span> and use<\/span> a<\/span> u others<\/span> depending<\/span> on the indication<\/span><\/p>\n

The shock<\/span> waves<\/span><\/strong> are known<\/span> for<\/span> many<\/span> years<\/span> for<\/span> their<\/span> ability<\/span> to<\/span> break down<\/span> calculations<\/span> of kidney<\/span> and in traumatology<\/span> are varied<\/span> indications<\/span> as<\/span> a<\/span> method<\/span> of treatment<\/span> .<\/p>\n

WHAT<\/span> ARE SHOCK WAVES<\/span> FOR<\/span> ?<\/span><\/strong><\/p>\n

Shock<\/span> waves<\/span> ( ESWT<\/span> )<\/strong> are used<\/span> as<\/span> a treatment<\/span> for multiple<\/span> pathologies<\/span> without the need<\/span> for surgery<\/span> .<\/span><\/p>\n

Traditionally<\/span> it has used<\/span> the surgery<\/span> for<\/span> the treatment<\/span> of tendinitis<\/span> (<\/span>elbow<\/span> of tennis player<\/span> , golfer<\/span> ), calcaneal<\/span> spur<\/span> and may<\/span> still<\/span> be<\/span> indicated<\/span> when<\/span> the<\/span> waves<\/span> fail<\/span> , but<\/span> there is<\/span> the possibility<\/span> of use<\/span> this<\/span> new<\/span> technology<\/span> without surgery<\/span> to<\/span> treat<\/span> :<\/p>\n

    \n
  • Epicondylitis<\/span> ( tennis<\/span> elbow<\/span> ), epitrochleitis<\/span> ( golfer<\/span> ‘s elbow<\/span> )<\/strong><\/li>\n
  • Achilles tendinopathy<\/span> ,<\/span> plantar<\/span> fasciitis or calcaneal<\/span> spur<\/span><\/strong> .<\/li>\n
  • Shoulder<\/span> calcifying<\/span> tendinitis<\/span> , supraspinatus<\/span> tendinosis<\/span><\/strong><\/li>\n
  • patellar<\/span> tendonitis<\/span><\/strong><\/li>\n
  • Osteonecrosis<\/span> (avascular necrosis of the hip<\/span> , knee<\/span> , or foot<\/span> )<\/strong><\/li>\n
  • Fracture<\/span> consolidation<\/span> delays<\/span> ( pseudarthrosis<\/span> )<\/strong><\/li>\n<\/ul>\n

    \"\"<\/p>\n

    \"\"<\/p>\n

    CONTRAINDICATIONS<\/span> ?<\/strong><\/p>\n

    I don’t know can<\/span> do<\/span> on people suffering<\/span> from<\/span> bone<\/span> tumors<\/span> or metastases<\/span> , the who<\/span> wear<\/span> a pacemaker<\/span> , in pregnant<\/span> or in children<\/span> on<\/span> the cartilage<\/span> of growth<\/span> . I don’t<\/span> know either should be<\/span> performed<\/span> on people with severe coagulopathies<\/span> , for<\/span> him danger<\/span> of bruises<\/span> , about<\/span> him central nervous<\/span> system<\/span> , large<\/span> vessels<\/span> or lungs<\/span> .<\/p>\n

    <\/strong>HOW<\/span> ARE THEY APPLIED<\/span> ?<\/strong><\/p>\n

    In our<\/span> centers<\/span> are apply<\/span> , in the shock<\/span> wave<\/span> unit<\/span> <\/strong>guided<\/span> under<\/span> the vision<\/span> of radioscopy<\/span> or ultrasound<\/span> , without anesthesia<\/span> , with local or regional anesthesia<\/span> , depending<\/span> on the energy<\/span> that<\/span> must<\/span> apply<\/span> .<\/div>\n
    <\/div>\n
    \"\"<\/div>\n
    <\/div>\n
    \n
    WHEN<\/span> IS THE IMPROVEMENT NOTICED<\/span> ? <\/strong><\/div>\n

    There is<\/span> a initial<\/span> period<\/span> in that<\/span> you notice the analgesic<\/span> effect<\/span> of the<\/span> same<\/span> , then<\/span> a period<\/span> of a<\/span> week<\/span> in that<\/span> can<\/span> even<\/span> return<\/span> the pain and then<\/span> progressive<\/span> improvement<\/span> until<\/span> the 3rd-4th week<\/span> .<\/p>\n

    I know need<\/span> a average<\/span> of between<\/span> 3-5 sessions<\/span> to<\/span> get<\/span> maximum<\/span> improvement<\/span> or let<\/span> the pain disappear<\/span> , but<\/span> if<\/span> after<\/span> third<\/span> session<\/span> not there is<\/span> no<\/span> improvement<\/span> Consider<\/span> that<\/span> the<\/span> waves<\/span> of crash<\/span> not will be<\/span> effective<\/span> for<\/span> this<\/span> pathology<\/span> .
    \nUsually<\/span> the pain gradually<\/span> disappears<\/span> depending<\/span> on the age<\/span> of the injury<\/span> and in very<\/span> chronic<\/span> cases<\/span> they may<\/span> require<\/span> a<\/span> few more<\/span> sessions<\/span> .<\/p>\n

    WHAT<\/span> PRECAUTIONS<\/span> SHOULD<\/span> BE TAKEN<\/span> AFTER<\/span> THE SHOCKWAVE<\/span> SESSION<\/span> ?<\/span><\/strong><\/p>\n

    A<\/span> bag<\/span> should<\/span> be placed<\/span> ice<\/span> in the<\/span> first<\/span> hours<\/span> to<\/span> avoid<\/span> bruises<\/span> or small<\/span> bruises<\/span> , take<\/span> a pain reliever<\/span> if<\/span> there is<\/span> pain or annoyance<\/span> and relative<\/span> rest<\/span> of the treated<\/span> area<\/span> .<\/p>\n

    They will be carried out<\/span> with intervals<\/span> of between<\/span> 1 and 3 weeks<\/span> and the maximum<\/span> result<\/span> can be<\/span> obtained<\/span> after<\/span> a month<\/span> of finishing<\/span> the<\/span> shock<\/span> wave<\/span> treatment<\/span> .<\/p>\n

    HOW<\/span> CAN I<\/span> MAKE THEM<\/span> ?<\/strong><\/p>\n

    I know A<\/span> prior<\/span> visit<\/span> must be<\/span> made<\/span> additional<\/span> tests<\/span> necessary<\/span> for<\/span> a<\/span> proper<\/span> diagnosis<\/span> and assess<\/span> if it<\/span> falls<\/span> within<\/span> the<\/span> established<\/span> indications<\/span> .<\/p>\n<\/div>\n<\/div>

    <\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":1863,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"\nShock waves - CEMATEC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cematec.org\/en\/treatments\/physical-treatments\/shock-waves\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Shock waves - CEMATEC\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cematec.org\/en\/treatments\/physical-treatments\/shock-waves\/\" \/>\n<meta property=\"og:site_name\" content=\"CEMATEC\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-16T19:58:47+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.deepface.es\/wp-content\/uploads\/2019\/05\/ondas1.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.cematec.org\/en\/treatments\/physical-treatments\/shock-waves\/\",\"url\":\"https:\/\/www.cematec.org\/en\/treatments\/physical-treatments\/shock-waves\/\",\"name\":\"Shock waves - 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