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Clinical Evidence


The Science Behind Shockwave

Shockwave is a revolutionary regenerative therapeutic technology that uses a high energy discharge to promote cellular repair of tendons, bones, and other soft tissues. This discharge initiates communication with and among cells, activating an intrinsic repair program within the tissue. This communication leads to the shedding of microvesicles from cell membranes, which contain nucleic acids, proteins, and other molecules that activate neighbouring cells and initiate intrinsic healing and repair mechanisms.

These mechanisms include the release of angiogenic growth factors, which leads to vessel sprouting (angiogenesis) and the activation of stem cells, which in turn causes new vessel formation (vasculogenesis). At the same time, an increase of the metabolic activity of cells, proliferation, and a positive, modulating effect on inflammation can be observed.

Shockwave is capable of traveling through the body at supersonic velocity, and its physical force causes no harm to cells. Results vary depending on each individual, but success rates are high and many patients see immediate improvement. Shockwave is a unique medical technology with no relevant side effects, and its potential to benefit your practice and your clients is unparalleled.

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Types of Shockwaves

Radial Pressure Waves

The generation of radial pressure waves is generated by the collision of a projectile accelerated by compressed air or electromagnetic induction on an impact body (applicator). Most of the energy is transferred as a pressure wave into the adjacent medium. The wave propagates radially from the applicator, with the square of the distance the energy decreases.

Electromagnetic Shockwaves

In electromagnetic shockwave generation the shock wave is emitted by a flat coil or a cylindrical coil by electrical pulses. In the flat coil a membrane is deflected which compresses a medium (water). The pulse is focused by means of an acoustic lens. In the cylindrical coil the shock wave is focused by a reflector.

Electro-hydraulic Shockwaves

The oldest principle used in medicine is that in which the shockwaves are generated by a spark plug, the electro-hydraulic principle. The shock waves propagate in a medium (water) and are also focused in one place by a parabolic mirror.

Piezoelectric Shockwaves

The piezoelectric principle is based on a focusing of pressure waves, which is produced by the electrical activation of piezoelectric crystals. The piezoelectric crystals are mounted in a shell in such a way that the pressure waves of each crystal meet in a focus.

Research & Evidence

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