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 статті
Rehabilitation After Arthroscopy: What You Need to Know
After joint arthroscopy, it is necessary to restore movement, weight-bearing ability, muscle strength, and the capacity to tolerate everyday activity.
#hand
#knee
#elbow
#shoulder
#foot
Shoulder and Arm Pain: Causes and Treatment
The shoulder has a wide range of motion, which makes it particularly sensitive to injuries, overuse, and inflammatory changes.
#shoulder
Intra-Articular Injections: Indications and Risks
Intra-articular injections are a common treatment option for joint pain. They may provide relatively rapid relief, improve mobility, and help a person return to everyday activities.
#knee
#shoulder
#thigh
Ankylosing Spondylitis: What It Is, Symptoms, and Diagnosis
Ankylosing spondylitis, also known as Bechterew’s disease, is a chronic inflammatory condition that affects the spine and sacroiliac joints. Over time, it can limit mobility and significantly affect quality of life.
#back
Osteoarthritis of the Joints: Symptoms, Causes, and Treatment
Osteoarthritis is a chronic disease of the entire joint in which the articular cartilage gradually deteriorates, bone tissue changes, and the surrounding joint structures function less effectively.
#hand
#knee
#elbow
#shoulder
#thigh
Rheumatoid Arthritis: Symptoms and Rheumatoid Factor
Rheumatoid arthritis is a systemic autoimmune inflammatory disease that affects the joints, tendon sheaths, and other tissues throughout the body.
#hand
De Quervain’s Disease: Symptoms and Treatment Methods
De Quervain’s disease, also known as De Quervain’s tenosynovitis, is a condition affecting the first extensor compartment of the wrist. The thumb tendons pass through a narrowed tunnel and begin to glide with pain.
#hand
Hygroma: Causes and Effective Treatment
A hygroma is a superficial, bony formation near a joint or tendon canal that most often appears on the hand, wrist, or fingers.
#hand
Trigger Finger (Stenosing Tenosynovitis)
Stenosing ligamentitis disrupts the normal gliding of the finger tendon and gradually makes the usual hand movements more difficult. At first, a person feels stiffness, then a painful clicking appears, and at later stages the finger becomes fixed in a bent position.
#hand
Why Does a Finger Hurt: Main Causes and Treatment
Pain in the finger appears after injury, overload, inflammation or compression of the nerve. The symptom itself does not indicate one specific problem, because the source of discomfort can be a joint, tendons, ligaments, nerve or surrounding soft tissues.
#hand
Joint Contracture: Causes, Symptoms, Types, and Treatment Methods
Joint contracture is a persistent decrease in range of motion due to changes in the soft tissues and other structures around the joint. This condition interferes with everyday activities and can significantly worsen quality of life.
#hand
Can You Run with Osteoarthritis?
When running with arthrosis is possible, in which cases it is strictly not recommended, and what alternatives should be considered in order to maintain movement without harm to the joints - says Vasily Mellen, orthopedic surgeon and traumatologist of Mashtaler Ortho&Trauma Clinic.
#knee
What Are Compression Stockings?
When people think about treatment of the musculoskeletal system, they usually imagine surgery, fixation, and exercise. However, there is another component that works almost unnoticed while significantly affecting the recovery process: compression stockings.
#foot
#knee
Rehabilitation and Life After Hip Replacement
The pain that caused sleepless nights, restricted movement, and changed daily habits disappears. In the first days after surgery, patients notice that it becomes easier to stand up and sit down. It is a relief to stop thinking about every step.
#thigh
Innovative Bikini Approach for Hip Replacement Surgery
Bikini approach is a relatively new, minimally invasive method that is distinguished by its delicacy, less trauma and expressive aesthetics.
#thigh
Donor Meniscus Transplantation
This is an important milestone, as the procedure has been performed only eight times in Ukraine.
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Anterior Cruciate Ligament (ACL) Tear
The anterior cruciate ligament connects the femur and the tibia, helping stabilize the knee during bending, pivoting, and walking.
#knee
Super Inductive System
Super Inductive System (also known as High-Intensity Magnetotherapy) is a modern, effective, and safe method of pain treatment that works without invasive intervention.
#hand
#knee
#thigh
#elbow
#shoulder

Focused shock wave therapy

#method

Focused shock wave therapy (FSWT) is an advanced physiotherapy method widely used in the treatment of musculoskeletal disorders and injuries. It is a non-invasive technique that uses high-energy acoustic waves to stimulate tissue regeneration, reduce pain, and improve mobility.

What is focused shock wave therapy?

Shock wave therapy is generally divided into two main types: radial and focused.

Radial shock wave therapy (RSWT) delivers acoustic waves that disperse as they pass through tissues, losing intensity. For this reason, it is mainly used for superficial conditions.

Focused shock wave therapy (FSWT) uses high-energy waves that are concentrated at a specific focal point and can penetrate deeper tissues (up to approximately 10–12 cm). Unlike radial waves, the energy is delivered precisely to the target area without significant loss of intensity. The depth of penetration can be adjusted using different applicators, allowing treatment of both superficial and deep structures.

Mashtaler Ortho&Trauma Clinic actively uses the method of focused shock wave therapy as one of advanced treatment options.

How does focused shock wave therapy work?

Shock wave pulses stimulate biological processes in tissues, promoting regeneration. This leads to improved blood circulation, formation of new blood vessels (angiogenesis), and accelerates tissue repair.

Shock waves enhance cellular activity and metabolic processes in the affected area. They can also reduce the sensitivity of nerve endings, which helps relieve pain.

FSWT may promote the breakdown of calcifications in tendons and soft tissues, helping reduce chronic pain. Improved blood supply enhances healing, while muscle relaxation contributes to reduced tension and swelling.

After a course of therapy, patients often experience reduced pain, improved tissue elasticity, and restored function.

Indications for shock wave therapy

Shock wave therapy is used to treat a variety of musculoskeletal conditions, including:

  1. Plantar fasciitis (heel spur);
  2. Epicondylitis (“tennis elbow” or “golfer’s elbow”);
  3. Tendinopathies (e.g., shoulder, Achilles tendon);
  4. Bursitis (inflammation of bursae, commonly in the shoulder or hip);
  5. Calcific tendinopathy (calcium deposits in tendons);
  6. Chronic muscle pain and myofascial syndromes;
  7. Greater trochanteric pain syndrome;
  8. Patellofemoral pain syndrome;
  9. Chronic back or neck pain;
  10. Delayed bone healing or non-union (as an adjunct therapy).

The method can be used alone or in combination with other treatments such as physiotherapy or medication.

Shock wave therapy procedure

Contraindications to shock wave therapy

  Although the procedure is generally safe, there are contraindications:

  1. Malignant tumors, especially in the treatment area;
  2. Pregnancy;
  3. Acute infections or fever;
  4. Coagulation disorders or anticoagulant therapy;
  5. Pacemakers or implanted electronic devices;
  6. Severe neurological disorders (e.g., epilepsy);
  7. Open wounds or skin infections in the treatment area;
  8. Deep vein thrombosis;
  9. Areas of active bone growth in children;
  10. Acute fractures (early healing phase).

Advantages of focused shock wave therapy

Focused shock wave therapy offers several advantages:

Shock wave therapy

How is a shock wave therapy session performed?

The procedure at Mashtaler Ortho&Trauma Clinic is performed using certified BTL equipment. A session typically lasts 5–10 minutes, depending on the treatment area, and does not require special preparation.

The patient is positioned comfortably (sitting or lying down), and the physician applies the device to the treatment area. The procedure is generally well tolerated, although mild discomfort or tingling may occur.

When combined with high-intensity laser therapy, treatment outcomes may be enhanced and recovery accelerated.

Post-procedure recommendations

 After the session, patients are advised to avoid intense physical activity for 24–48 hours. Mild soreness or swelling may occur but usually it resolves quickly.

A course of 3–6 sessions is typically recommended for optimal results. The exact number and frequency are determined individually by the physician.

Price of shock wave therapy in Lviv

 The Mashtaler Ortho&Trauma website provides current pricing for shock wave therapy. You can contact the clinic via the website form to receive professional consultation.

How to schedule shock wave therapy at Mashtaler Ortho&Trauma

 To learn more or book an appointment, contact the clinic by phone or submit a request through website form.

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1150 UAH

Focused shock wave therapy (pris for 1 site, each subsequent section costs an additional 600 UAH)

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