Shockwave therapy


Shock waves are high-energy, audible sound waves that occur in nature during lightning strikes in the atmosphere or when aircraft break through the sound barrier.
In medicine, electromagnetic or hydraulic pressure waves are generated outside the human body, transmitted into the body and bundled within a focal point at the point of action, without damaging the layers above. Since 1980 they have been used successfully in the smashing of kidney stones.

In orthopaedics, shock waves are used to eliminate tendon calcifications, calcified shoulders, or to treat heel pain, which can prevent surgery or radiotherapy.
Shock waves have also been used for years in the treatment of tendon overloads caused by sport or bad posture, muscular trigger points, periosteitis and myogelosis.
Shock waves can increase the microcirculation of blood and lymph, induce metabolic activity and strengthen anti-inflammatory mechanisms. This promotes the regeneration of damaged tissue and accelerates the healing process.

Extracorporeal shock wave therapy - if carried out by qualified therapists - is a largely risk-free and side-effect free procedure.
In rare cases, local pain occurs a few hours after the treatment. If this is the case, cooling compresses usually help. As a rule, it is not necessary to take a painkiller. Bruising rarely occurs and subsides after a few days. A treatment usually lasts between 10 and 20 minutes.

At the German-speaking International Society for Extracorporeal Shockwave Therapy DIGEST you will find me registered as a certified practitioner.

We treat with a STORZ Duolith SD1, with which we can use focused, radial or triggered shock waves individually or in combination, depending on the necessity.


Dr. med. Martin Böhringer Facharzt für Orthopädie - 91074 Herzogenaurach

Storz Duolith SD1

 

What diseases can be treated?

 

  • Shoulder pain, i.e. calcification of shoulder (tendonitis calcerea)
  • Tennis or golfer’s elbow
  • Patella tip syndrome (Jumper’s knee)
  • Shin splints/ Medial tibial stress sysndrome
  • Pain at the Achilles tendon
  • non union of bone fractures
  • Pain at heel
  • Chronic neck and shoulder pain or backache
  • Myogelosis (Muscle tension )
  • Knee arthrosis
  • Fracture healing disorder (pseudarthrosis)

The extracorporal shockwave therapy is a therapy that involves hardly any risks and side effects – provided it is carried out by a qualified therapist.

Recently, shock waves have also been used to treat poorly healing wounds after injuries, operations, diabetes and circulatory disorders. The scientific work on this topic has not yet been completed. However, there are some studies published by the journal Orthopädie/Rheuma.

The following effects are discussed in detail:

- Increase in the microcirculation of blood and lymph
- Stimulation and acceleration of metabolic activities
- Reduction of inflammatory processes
- Muscle/binding tissue relaxation and fascial stretching
- Bactericidal efficacy in vitro
- Stimulation of the formation of new blood vessels
- stem cell migration
- Promotion of the body's own formation of growth factors

(Wang et al: "ESWT for Chronic Diabetic Foot Ulcers.", 2007)

Epicondylitis treated by shockwaves

Epicondylitis before shockwave R=bad
compared by infrared L=well
Both sides picture R and L
R after 5 times of shockwaves

Shockwave instead amputation

Calcification of shoulder

after or before shockwave (8x)
   

Shock wave therapy of calcified shoulders

Particularly frequently, calcified shoulders are treated with focused shock waves, since these tissue calcifications can be dissolved with success rates of between 60-80% in the literature, depending on the configuration.

Here some more of our results
                                           
calcification before
after shockwaves
Calcification before
after shockwaves
                                           
Calcification before
after shockwaves
Calcification before
after shockwaves


















   

We offer those different types of shockwaves

 




Over 20 years of experience

We have been conducting shock wave therapies since 1996.

We started with the then revolutionary Ossotron (HMT), an almost 300kg, washing machine sized, 200.000,- € monster.
At that time, the execution was dependent on whether the elevator and the staircase were large enough for the device.

Meanwhile, the devices perform significantly better, are much smaller, handier and more versatile in their applications.

Ossotron from 1996