Focused Shock Wave Therapy Focus Radial Onda De Choque Orthopedics Machine

Specification

Radial pressure wave is the most common type of shockwave therapy, used in most MSK clinics. However, Focused is growing in popularity, due to the increased treatment options, treatment depth, treatment precision and patient comfort in more acute cases.

Focused and Radial shockwaves differ not only in regard to their physical properties and mode of generation, but also in terms of the magnitude of the standard parameters (pressure amplitude, pulse duration, impact) used and the therapeutic tissue penetration depths achieved.

Radial Pressure Wave / Radial shockwave (soft shock) – Larger treatment area of superficial indications

radial shockwave therapy device handpiece
Superficial 3-4 cm treatment depth
Spreads to treat larger areas
Slow impulse
Low energy density

The radial shockwave comprises three parts – Ultrasonic pulse, audio acoustic pulse and the relatively slow shear wave.

Radial pressure wave have their greatest energy at its source and weakens the farther it travels. Radial waves are generated by means of a pneumatic system. Using compressed air, a projectile is accelerated to a high-speed then suddenly decelerated by a transmitter, which is held to the area being treated. The generated kinetic energy is than transmitted to the tissue from where it propagates outwards aspherically as a radial wave into the tissue.The transmitter surface constitutes the highest pressure and highest energy density.

The pressure waves lose power the deeper they enter the body. For treatments where the targeted tissue is superficial, radial pressure waves will give patients good results, such as plantar fasciitis, tennis elbow or the Achilles tendon. The Storz radial systems offer a wide range of transmitters, including fascia and spine applicators, which allows for both local treatments and the treatment of broad superficial areas. Muscle chains can be treated functionally in the course of the chain. Pressure waves mobilise the tissue layers, which in turn breaks up adhesions and trigger points. The shifting of the tissue layers brings about myofascial release, which is the prerequisite for fascia therapy.

Focused shockwaves (hard shock) – Smaller focal point for greater accuracy and greater treatment depth.

focused shockwave machine
Deep reach up to 12cm dependent on the attachments used
Precise energy delivery to the exact area
Fast impulse
High energy density

Focused shockwaves are able to penetrate deeper into the tissues and provides all of its power at the designated depth. Focused shockwaves are generated electromagnetically through a cylindrical coil creating opposing magnetic fields when current is applied. This causes a submerged membrane to move and generate a pressure wave in the surrounding fluid medium. These propagate through the medium without any loss in energy with a small focal zone. At the site of actual wave generation the amount of energy dispersed is minimal. This limits damage at the skin and to underlying soft tissues.

The focusing mechanism directs each shock to a defined point within the body. The location within the body is adjusted by altering the energy output of the machine or by adjusting the focusing mechanism. A stand off applicator can be used to adapt the depth of energy. Treatments that require targeting tissue at a deeper level such as tissue close to bone, calcifications or delayed unions and non unions benefit from focused shockwaves. Patients who are unable to tolerate radial treatments for acute injuries will also benefit from focused shockwave therapy.

Focused shockwave indications

F-SW is used for the treatment of but not limited to:

Acute injuries in elite athletes
Knee & Joint arthritis
Bone and Stress Fractures
Shin Splints
Osteitis Pubis -Groin Pain
Insertional Achilles Pain
Tibialis Posterior Tendon Syndrome
Medial Tibial Stress Syndrome
Haglunds Deformity
Peroneal Tendon
Tibbialis posterior ankle sprain
Tendinopathies and Enthesopathies
Urological indications (ED) Male Impotence or Erectile Dysfucntion / Chronic Pelvic Pain / Peyronie’s
Delayed bone-non unions/bone healing
Wound Healing and other dermatological and aesthetic indications