Further clinical pictures | Extracorporeal shock wave therapy

Further clinical pictures

Further disease patterns that can be successfully cured by shock wave treatment are Pseudarthroses were the first orthopedic application of shock waves. This therapy has been used successfully for a long time. Despite all the positive experiences, shock wave therapy is not a general standard in the treatment of pseudoarthrosis.

Surgical intervention with freshening of the non-healing fractures and deposition of growth bone (cancellous bone) is still the common procedure. Almost without exception, such interventions are more complicated to perform than the initial operation and carry corresponding risks. The attempt to heal a fracture by means of a single high-energy shock wave treatment is almost free of side effects and quite often successful.

If the procedure is carried out properly, successful treatment is possible in about 75% of cases. In Austria shock wave treatment is already part of the standard procedure for pseudoarthrosis. Now that shock waves have been successfully used for a long time in the treatment of pseudoarthrosis, the range of applications is increasingly expanding.

It is only logical that the bone-stimulating effect of shock wave therapy is also increasingly used for the treatment of femoral head necrosis and other aseptic osteonecrosis (e.g. osteochondrosis dissecans). From a physical point of view, it has been proven that shock waves also exert their effect in the femoral head. Approximately 50% of the energy flux density (measure for the strength of the shock wave; mJ/mm2) reaches the interior of the femoral head.

Since the shock wave quickly loses its intensity in the bone, the shock waves must be applied precisely. X-ray fluoroscopy is necessary for this purpose. It is still too early to make a final assessment.

However, there are indications that a high-energy shock wave treatment can be more successful than the usual surgical drilling of the bone defect with subsequent bone transplantation. However, good and very good results can only be expected in an early stage of the disease. Cellulite (orange peel skin)

For some time now, shock wave therapy has also been used in the treatment of cellulite.

Cellulite, also known as orange peel skin, is a widespread disease among women. In Germany, 80% of the over 20-year-olds are affected. In general, cellulite has no disease value, but many women find this cosmetic blemish very annoying.

In men, cellulite occurs much less frequently, as the male subcutaneous fatty tissue is much firmer and has more connective tissue fibres.There are many different treatment options available for the orange peel skin, but in most cases no satisfactory improvement of the problem is achieved. A study published in 2013 was able to show the effectiveness of shock wave therapy in combination with a sports program in cases of cellulite. Sequence of the treatment

The total duration of the therapy is six weeks.

During this period, shock wave therapy is performed once a week on the affected areas. One therapy session lasts about 20 minutes. In addition to this therapy, strengthening training of the gluteal region must be performed daily.

Only the combination of shock wave therapy and strengthening training proved to be effective in the study. In addition, consistent conditioning training that burns fat can support the treatment and contribute to better results. Treatment results

Shockwave therapy for cellulite cannot usually eliminate it completely.

A reduction of 30% is realistic. It has been proven that the reduction of cellulite lasts for about one year, after which the therapy may have to be repeated. The exact way in which shock wave therapy for cellulite works is not clear.

Treatment costs

Since cellulite is not a disease in the true sense of the word, shock wave therapy for cellulite is not covered by health insurance companies, so the treatment itself must be paid for. The cost of a therapy session is about 250 Euros, so that the six-week treatment costs a total of about 1500 Euros. If the effect of the treatment disappears after about a year, it may be necessary to reinvest this sum to maintain the cosmetic result.

Conclusion

Shockwave therapy for cellulite is a treatment option with few side effects, but is quite expensive. The effect could be scientifically proven in contrast to other therapies that are offered on the market. It is important to note that the effect has only been proven in connection with strengthening training.

For some time now, shock wave therapy has also been used in the treatment of cellulite. Cellulite, also known as orange peel skin, is a widespread disease among women. In Germany, 80% of the over 20-year-olds are affected.

In general, cellulite has no disease value, but many women find this cosmetic blemish very annoying. In men, cellulite occurs much less frequently, as the male subcutaneous fatty tissue is much firmer and has more connective tissue fibres. There are many different therapy options available to treat cellulite, but in most cases no satisfactory improvement of the problem is achieved.

A study published in 2013 was able to show the effectiveness of shock wave therapy in combination with a sports program in cases of cellulite. Course of treatment The total duration of the therapy is six weeks. During this period, shock wave therapy is performed once a week on the affected areas.

One therapy session lasts about 20 minutes. In addition to this therapy, strengthening training of the gluteal region must be performed daily. Only the combination of shock wave therapy and strengthening training proved to be effective in the study.

In addition, consistent conditioning training that burns fat can support the treatment and contribute to better results. Treatment outcome Shockwave therapy for cellulite usually cannot completely eliminate it. A reduction of 30% is realistic.

It has been proven that the reduction of cellulite lasts for about one year, after which the therapy may have to be repeated. The exact way in which shock wave therapy for cellulite works is not clear. Treatment costs Since cellulite is not an illness in the true sense of the word, shock wave therapy for cellulite is not covered by health insurance, so that the treatment itself must be paid for.

The cost of a therapy session is about 250 Euros, so that the six-week treatment costs a total of about 1500 Euros. If the effect of the treatment disappears after about a year, it may be necessary to reinvest this sum to maintain the cosmetic result. Conclusion Shockwave therapy for cellulite is a treatment option with few side effects, but it is quite expensive. The effect could be scientifically proven in contrast to other therapies that are offered on the market.It is important to note that the effect has only been proven in connection with strengthening training.

  • Golfer’s arm (tendinosis humeri ulnaris)
  • Patellar tip syndrome (“Springer knee”)
  • Bursitis trochanterica (bursitis of the hip bone)
  • Achillodynia (inflammation of the Achilles tendon sliding tissue)
  • Supraspinatus tendon syndrome (shoulder tendon disease)
  • Shinbone Edge Syndrome
  • Myofascial pain syndromes (muscle tension disorders) (trigger point treatment)
  • Atlas correction