Focused shock wave therapy

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.

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:

• Non-invasive treatment. No incisions, injections, or anesthesia are required, reducing risks and recovery time compared to surgery.
• Rapid pain relief. Many patients experience noticeable improvement after the first sessions due to reduced inflammation and improved microcirculation.
• Improved mobility. Therapy helps relax muscles, reduce tension, and improve joint function.
• Individualized approach. Treatment protocols are tailored to each patient based on diagnosis and clinical condition.
• Modern equipment. The clinic uses advanced BTL technology, ensuring high precision and treatment effectiveness.
• Cost-effectiveness. Shock wave therapy is an accessible treatment option.

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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.