1. SHOCK WAV ES :
H O W THEY
W O R K AND
WHICH
PATHOLOGIES
THEY C U R E

2. Shockwaves are a therapy that uses acoustic waves to cure many
pathologies without the risks associated with other treatments, such
as radioactivity. Recent medical research in physiotherapy and
traumatology has discovered the benefits of shock waves for the
treatment of pathologies and disorders of the musculoskeletal
system.
Subsequent studies have also demonstrated their effectiveness in
other areas, such as internal medicine and aesthetic medicine. In the
field of aesthetic medicine, in particular, shock waves represent a
real revolution in terms of effectiveness and results, as we will see
later.

3. Shock wave technology, known in the medical field as ESWT (extracorporeal
shock wave therapy), consists of the controlled emission of ultrasonic
pressure waves directed and focused on the areas to be treated.
Widely used in regenerative medicine, in musculoskeletal rehabilitation to treat
inflammation, calcification, and chondral processes and to relieve pain, shock
waves are now used at 360°, from aesthetic and dermatological medicine to
orthopedics and sports medicine.
Shock waves are indicated both for patients who are in an acute phase of the
pathology (therefore manifested in recent times) and for those who have been
suffering for some time and therefore are in a chronic phase of the disease or
condition.
W HAT ARE SHOCK W A V E S :
CHARACTERISTICS AND T Y P E S

4. Currently, there are two types of shock waves
divided according to their structure and intensity:
Focal shock waves-This type of wave acts at the
cellular level by directing the waves towards a
single point of action (therapeutic volume),
producing low energy dispersion and allowing the
depth of action to be selected in the tissues.
Furthermore, they are waves that, in their initial
phase, hurt a little more.

5. THERE A R E THREE T Y P E S O F GENER AT OR S
CONNECTED TO THIS TECHNOLOGY.
ELECTRO-HYDRAULIC: PIEZOELECTRIC: ELECTROMAGNETIC:
they work by means of an
electric candle contained in an
aqueous medium, through
which, when a high voltage
electric current passes, it
generates a bubble of plasma
which expands spherically and
generates a shock wave.
consists in producing
mechanical stresses on
crystals which acquire this
voltage by means of a
potential differential of
electric polarity.
uses an electric coil to
generate two magnetic fields
of different polarity. Above the
coil is a metal membrane
which is pushed by the
magnetic field, thus generating
a shock wave.

6. Radial shock waves- Radial shock waves are
pneumatically generated waves which are applied
on the soft tissues in a superficial way with a
maximum penetration of 40 mm. It is an inaccurate
technology, but with a radial diffusion which, based
on the shape of the tip connected to the handpiece,
can produce a more or less wide wave.
Its applications are varied such as, for example:
Calcification of the tendons.
Tendinopathy of the shoulder, knee or elbow.
Trochanteric bursitis.
Iliotibial belt friction syndrome or trigger points.
This technique is non-invasive and is also very safe,
less painful and can be performed on an outpatient
basis.

7. Radial shock wave equipment is composed of an external
air compressor, a mobile radial probe, which is put in
contact with the skin by means of a conductive gel, and a
control panel where it is possible to change the intensity,
frequency and number of pulses to be performed.
Each type of wave produces certain effects, and depending
on these, it is possible to choose which one to use for a
specific therapeutic indication. In some cases, the use of
several types of the same treatment is required.

8. Shockwave therapy hamilton treats pathologies both in the
acute and chronic phases. They are mostly known for the
treatment of heel spurs, for which the indication is very
suitable, but they are also good for other pathologies.
The pathologies for which focal ortho shock wave therapy
ESWT is indicated are:
• plantar fasciitis;
• heel spur;
• Achilles calcific tendinopathy;
• shoulder calcific tendinopathy;
PATHOLOGIES THAT A R E TREATED WITH
SHOCK W A V E S

9. Benefits of Shockwave Therapy
The physiological effects of ortho shock wave
therapy and its form of action are as follows: cause
microscopic interstitial and extracellular biological
effects that produce tissue regeneration. From this
general physiological effect, the following
beneficial effects occur:
·Analgesic effects: shock waves induce the release
of substance p, a neurotransmitter that acts as a
pain modulator.
·Anti-inflammatory effects: degradation of
inflammatory mediators is caused.
·Temporary increase in vascularity: shock waves
cause blood vessels to dilate and stimulate blood
circulation.

10. ·Activation of angiogenesis or formation of new blood vessels: By
interendothelial rupture of capillaries and migration of endothelial cells into
the interstitial space, new vessels are formed.
·Fragmentation of calcium deposits: it is produced by the mechanical effect
of waves on calcium deposits.
·Neo-osteogenesis in nonunion processes and consolidation delays: the
physiological effect, in this case, is produced by osteogenic stimulation
(osteonectin), i.e. the formation of new bone tissue.
Generally, the results of Shockwave therapy hamilton are seen after about
20-30 days from the end of the treatment. In any case, it is recommended to
repeat the cycles according to medical indications to maintain the benefits
for longer.

11. CONTACT US
WEBSITE
www.orthomax.ca
EMAIL ADDRESS
info@orthomax.ca
PHONE
+1 905-777-1000
THANK YOU