Radial Shockwave Therapy

Radial Shockwave Therapy (Radial Pulse Therapy) is the most advanced and highly effective non-invasive treatment protocol for musculoskeletal disorders. This proprietary technology is based on a distinctive set of direct pressure waves projected to a damaged tissue. That increases blood circulation, stimulates the metabolism and accelerates healing process. Injured tissue gradually regenerates and eventually heals. This non-invasive in office procedure represents a superior treatment choice for a broad range of orthopedic and neurological conditions.

The mechanical stress, produced with enPuls System, triggers reactions in the tissue that have a positive influence on a wide range of musculoskeletal conditions. Ingrowth of Neovascularization Nutrient blood flow is required to start and maintain the repair processes of damaged tissue structures. The application of Radial Pulse Shockwave Therapy creates capillary micro-ruptures in tendon and bone and significantly increases the expression of growth indicators. These two processes stimulate the growth and remodeling of new arterioles. The newly formed blood vessels will improve the blood supply and the oxygenation resulting in the faster healing of bones and tendons.

Normally, an inflammation is a healthy response to an injury and lasts a certain period of time. Chronic inflammation occurs when this inflammation response was not halted on time, thus causing damage to surrounding tissues resulting in chronic pain. Shockwave therapy increases metabolism; improves cell permeability caused by mechanical stress to the cell wall; causes release of a substance P (a neurotransmitter and pain mediator) reducing pain threshold; releases AGF and VGF (growth hormones); and increases cellular activity via gene expression. These processes restore normal healing and regeneration process.

Tissue regeneration process requires the production of adequate amounts of collagen (fibrous protein that makes up bones, tendons, cartilage and other connective tissue). Radial Shockwave Therapy or Radial Pulse Therapy initiates and hastens synthesis of procollagen (the precursor of collagen). The newly formed collagen fibers are forced into longitudinal tendon fibers. These newly formed tendons become more dense and firm.

Trigger points, also known as muscle knots and described as hyperirritable spots in muscle tissue, are responsible for the majority causes of pain in the neck, back, shoulders, arms and legs. They are associated with palpable nodules in taut bands of muscle fibers and have extremely contracted sarcomeres (segments of muscle fibers). The dysfunctional sarcomeres contract so tightly that they begin to cut off their own blood supply. This causes the build-up of waste products (lactic acid), which in turn irritates the sensory nerve endings, which then causes yet more contraction. This vicious cycle is referred to as a “metabolic crisis.” Current scientific investigations assumed that the delivered direct pressure with shockwave therapy unblocks the calcium pump. Thus, it reverses the “metabolic crisis” and releases painful trigger points.