Clinical Guide RPW Shockwave Therapy

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11 Radial Pressure Waves Radial pressure waves are pulses generated by compressed air. The compressed air is used to drive a projectile in a cylinder, located inside the hand piece, to a shock transmitter. The kinetic energy generated by the motion and weight of the projectile, converts into acoustic energy when the projectile hits the shock transmitter. The acoustic pulses then spread into the underlying tissue, treating a larger area than the focused shockwave shown on the previous page. The highest energy level of the pressure waves will be at the tip of the transmitter (max 0, 63 mJ/mm² at 5 Bar) right on the skin over the treatment point and 4 Bar on the Mobile RPW. The energy level will then gradually decrease as the penetration depth increases. The penetration depths are normally 0-6 cm (0-2.3”). Apart from providing focused shockwaves, a treatment with radial pressure waves needs no additional pre examinations or treatments such as ultrasound imaging, local anesthesia, MRT or X-ray. With a correct handling, RPW is an excellent non invasive treatment method with very few negative side effects, for indications that normally are very difficult to treat. For these indications we now know that radial pressure waves is a treatment method that reduces pain as well as improves function and quality of life.
12 Physical Effects of Shockwaves Radial pressure waves offer a non invasive treatment solution to long term insertion and soft tissue pathologies. Local treatment in the affected area will support and reset the healing pattern. Today there are several working hypothesis for the physical effects of radial pressure waves: • Pain reduction: The patient experiences a reduction of pain, explained by the Gate Control Theory. Intensive pulses from the transmitter into the tissues create a strong nociceptor activation of the A-β fibers, which affect interneurons that inhibit the transmission of the pain signals. • Increased metabolism: Shockwaves influence the tissues on a cellular level. The chemical environment of the cells is affected by free radicals promoting the release of pain and inflammatory inhibiting substances. • Revascularization: Repeated shockwaves to the affected area create a revascularization effect, with the new blood flow in the area promoting tissue healing and regeneration. • Reduced muscle tone: The “vicious circle”, as well as the strong pathological association between pain and muscle tone, will be broken and lead to restoring a normalized muscular tone. RPW Introduction
Page 1: RPW Shockwave Therapy Clinical Guid
Page 4 and 5: 3 About Chattanooga & DJO Global Ch
Page 6 and 7: 5 Table of Contents Chapter Content
Page 8 and 9: 7 Table of Contents Chapter Content
Page 10 and 11: 9 RPW Introduction Background .....
Page 14 and 15: 13 Indications In the Intelect® RP
Page 16 and 17: 15 How to Perform a Radial Pressure
Page 18 and 19: 17 Dosage / Ramp Functionality Dosa
Page 20 and 21: 19 Transmitters Transmitter Data In
Page 22 and 23: 21 Foot
Page 24 and 25: 23 Plantar Fasciitis with Heel Spur
Page 26 and 27: 25 Plantar Fasciitis with Heel Spur
Page 28 and 29: 27 Plantar Fasciitis without Heel S
Page 30 and 31: 29 Lower Leg & Ankle
Page 32 and 33: 31 Achillodynia - Muscular Treatmen
Page 34 and 35: 33 Achillodynia II About Chronic ac
Page 36 and 37: 35 Shin Splints I About “Shin spl
Page 38 and 39: 37 Massage - Vibration Treatment Ab
Page 40 and 41: 39 Muscular Cramps/Spasm, Calf Musc
Page 42 and 43: 41 Thigh & Knee
Page 44 and 45: 43 Jumpers Knee - Muscular Treatmen
Page 46 and 47: 45 Jumpers Knee II About Known as p
Page 48 and 49: 47 Runners Knee I About The Ilio Ti
Page 52 and 53: 51 Trigger Point Therapy About A tr
Page 54 and 55: 53 Pelvis & Hip Trochanteric Insert
Page 56 and 57: 55 Trochanteric Insertional Tendoni
Page 58 and 59: 57 Bursitis - Muscular Treatment Ab
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61 Cellulite Treatment (Cont.) Alte
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63 Lower Back
Page 66 and 67:
65 Lower Back - Muscular Treatment
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67 Lower Back II About Muscle strai
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69 Lumbalgia - Activation of Muscle
Page 72 and 73:
71 Upper Back
Page 74 and 75:
73 Thoracic Back Pain - Muscular Tr
Page 76 and 77:
75 Thoracic Back Pain II About Thor
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77 Dorsalgia - Activation of Muscle
Page 80 and 81:
79 Neck
Page 82 and 83:
81 Cervicobrachial Neuralgia - Musc
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83 Cervicobrachial Neuralgia II Abo
Page 86 and 87:
85 Trapezius Tension - Muscular Tre
Page 88 and 89:
87 Trigger Point Therapy About A tr
Page 90 and 91:
89 Shoulder Calcified Tendonitis Sh
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91 Calcified Tendonitis Shoulder I
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93 Shoulder Pain - Muscular Treatme
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95 Shoulder Pain II About Shoulder
Page 98 and 99:
97 Frozen Shoulder I About Also cal
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99 Massage - Vibration Treatment Ab
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101 Trigger Point Therapy About A t
Page 104 and 105:
103 Upper Arm & Elbow Ulnar / Media
Page 106 and 107:
105 Ulnar / Medial Epicondylitis (G
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107 Radial / Lateral Epicondylitis
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109 Radial / Lateral Epicondylitis
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111 Trigger Point Therapy About A t
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113 Forearm, Wrist & Hand Finger Te
Page 116 and 117:
115 Finger Tendonitis I About Overu
Page 118 and 119:
117 Dupuytren’s Contracture About
Page 120 and 121:
119 De Quervain Syndrome About De Q
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DJO Global 1a Guildford Business Pa
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Clinical Guide RPW Shockwave Therapy

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