Shockwave Therapy (SWT), also known as Extracorporeal Shockwave Therapy, is a therapeutic modality used for the treatment of musculoskeletal conditions, primarily those that affect tendons and their insertions to the bone.

SWT has been used in Canada since the mid-90s but has been thrust into the limelight recently with the introduction of low energy shockwave. At PhysioCore, we have been performing shockwave therapy as part of our treatment protocol for many years with remarkable results.

We are currently using one of the most powerful portable shockwave devices in the market – the BTL-6000 SWT Topline Power. This device achieved the Red Dot Design Award, one of the most prestigious and reputed global awards in product design. It bagged this coveted award because of its level of innovation, superior functionality, ingenious design, and technological advancement.

Benefits of Our BTL-6000 SWT

During treatment, a high-intensity acoustic wave is directed towards the tissues in the affected area of the body. This results in a cascade of beneficial effects including reversal of chronic inflammation, dissolution of calcium build-up, stimulation of collagen production, and neovascularization or the formation of new blood vessels. Activation of these biological mechanisms provides an optimal healing environment so injured structures heal, pain is relieved, and functionality is restored.

Benefits include:

Fast and Permanent Pain Relief – the BTL-6000 SWT Topline Power offers a non-invasive solution for musculoskeletal pain. Patients only need three to four treatments at weekly intervals, and the therapy session only lasts approximately 10 minutes.

Decrease in Muscle Tension & Inhibition of Spasms – one of the major effects of shockwave from our BTL-6000 is hyperemia or an increase in blood supply to an organ or other parts of the body. This provides an energy boost to hypertonic muscles along with their ligamentous structures. It also lessens pathological interactions within muscles, which results in a significant reduction of spasm and tension.

Improved Dispersion of Substance P – the biological activity of Substance P (a pain mediator) results in stimulation of afferent nociceptive neurons. It also facilitates the development of edema and triggers the secretion of histamine. The application of shockwave reduces substance P concentration which leads to the subsequent reduction in pain and swelling in the affected area.

Acceleration of Healing – this is a two-step process with the first being the increase in the production of collagen which is important in the repair of damaged ligamentous and myoskeletal structures. The second is improved metabolism and microcirculation. Shockwave therapy hastens the elimination of nociceptive metabolites, accelerates the delivery of oxygen, and supplies damaged tissue with energy. It also facilitates the removal of lactic acid, histamine, and other irritants.

Most Common Indications for the Use of BTL-6000 SWT

As discussed in the previous section, our team have been using Shockwave Therapy for years and have compiled an extensive amount of data pertaining to the conditions that our BTL-6000 SWT has proven to be very effective – as follow:

Painful Shoulder – any pain arising from the shoulder can significantly limit mobility and affect a patient’s activities of daily living. A common culprit is calcific tendinitis which completely disappears in 85% of patients treated with shockwave. Substantial reduction in pain and improvement in shoulder mobility is generally observed after 4 weeks.

Heel Spur – this involves calcium deposits under the calcaneus (heel bone) and is often associated with plantar fasciitis. Both conditions restrict patients in their daily routine. We use shockwave to treat both problems simultaneously. Recovery is fast, with a return to daily activities noted in up to 88% of patients.

Jumper’s Knee – this is an injury involving the patellar tendon. For athletes, this can be serious and can potentially end their sporting career. It is also difficult to treat. Fortunately, shockwave therapy offers an immediate solution. The majority of our patients report relief right after the first session, and the pain disappears after completing the prescribed treatment duration.

Lateral Epicondylitis – also called tennis elbow, this condition is seen in about 10% of the general population. Treatment is often conservative (i.e. rest, pain killers) and requires repetition. Not the case though with shockwave therapy as it offers immediate pain relief with efficiency of 70% in just 4 treatment sessions.

Medial Tibial Stress Syndrome – this is usually caused by placing too much stress on the tibialis anterior muscle. The stress comes from activities like fast walking, running or sports that involve kicking motion. Patients are often advised to restrict their activities for long periods of time. Shockwave therapy shortens this ‘rest’ period and the recovery time is cut by at least half.

Hip Pain – As we age, the muscles in the hips can get overused; the cartilage, tendons, and ligaments can wear down or become damaged. All these can cause pain in the hip. Shockwave therapy accelerates the healing process, eliminates the pain and can even prevent hip replacement surgery.

How OurBTL-6000 SWTWorks and How It Can Help You

The device emits acoustic waves which transmit high energy to painful areas and musculoskeletal tissues with chronic conditions. Our therapist will put some ultrasound gel on the target area and then place the applicator on the gel. The acoustic wave pulsations are delivered using the applicator through the gel, the skin and the underlying structures. The energy generated promotes healing and regeneration of the bones, tendons and other soft tissues.

The BTL-6000 SWTgives our physiotherapists another treatment modality for chronic affectations of myoskeletal structures. There are certain conditions that are just so stubborn and don’t respond to traditional forms of treatment. Having the BTL-6000 SWT gives us another tool in our arsenal.

Shockwave therapy is most suited if you who have chronic tendinopathies which haven’t responded favourably to other treatment. These include tennis elbow (lateral epicondylitis), Achillodynia, rotator cuff tendinitis, plantar fasciitis, jumper’s knee, shin splints (medial tibial stress syndrome), heel spur, among others.

Book Your Appointment Today

Shockwave therapy has quickly gained popularity among our patients because it is non-invasive, does not require anesthesia or medications, can eliminate the need for surgery, provides immediate relief, only takes 10 minutes and requires an average of 3-4 sessions spaced at one week apart.
When properly applied, shockwave can increase local blood flow, reduce pain, decrease muscle spasm, break down adhesions, and improve the body’s healing response.

PhysioCore is one of the most trusted rehab clinics offering shockwave therapy in Ontario. We have gained a sterling reputation for proving outstanding care by being a multi-disciplinary injury rehab centre. We take utmost pride on our team which boasts 40 years of combined experience. So, if you’re suffering from stubborn and chronic musculoskeletal conditions, feel free to contact us and book an appointment today!