An orthopedic surgeon, discusses why not all shockwave therapy is the same and breaks it down into two primary categories:
Radial Pulse Shockwave (or EPAT)
- Mechanism: Often referred to as "the jackhammer," it uses a projectile and an air compressor to transmit energy directly through the skin into adjacent tissues.
- Characteristics: It is not a "true" shockwave, but it works well for larger, wide-surface areas and superficial conditions close to the skin's surface.
- Best Used For: Superficial conditions like plantar fasciitis and Achilles tendonitis.
2. Focused Shockwave Therapy
- Mechanism: A true shockwave (electromagnetic, piezoelectric, or electrohydraulic) derived from the lithotripsy technology used to break up kidney stones.
- Characteristics: It has the distinct ability to penetrate deep into body tissues and pass directly through bone.
- Best Used For: In addition to superficial issues, it treats deep-tissue pathologies like rotator cuff issues, hamstring injuries, stress fractures, and non-healing bone fractures.
Summary Conclusion
While both methods are safe and appropriate for superficial conditions like tendonitis, Dr. Ohlson highlights that Focused Shockwave Therapy is preferred in his practice because of its versatility in reaching deeper pathology and treating bone-related injuries that radial shockwaves simply cannot reach.