MODUS COMBINED ESWT
RADIAL & FOCUSED SHOCKWAVE THERAPY

Chronic myofascial pain is a longer-lasting type of pain that can affect one or multiple muscle groups in the connective tissue.

This syndrome typically occurs after muscle overuse. As a result, pressure on sensitive points in the muscles causes pain in the muscle and sometimes in different parts of the body.

Symptoms of Myofascial Pain

The most basic symptom of myofascial pain syndrome is tissue stiffness in the affected area. Stiffness, along with pain or tenderness in the areas where myofascial pain occurs, are common symptoms.

Other effects of myofascial pain in patients are as follows:

• Muscle tightness and burning,
• Restricted joint movement or fatigue,
• Head, back, neck, chest, lower back, shoulder, and sciatic pain.

ESWT Treatment for Myofascial Pain Syndrome

Studies suggest that ESWT breaks the cycle that causes persistent muscle spasms by creating ischemia in tight bands and trigger points and provides a 21-fold revascularization. It is also suggested that it increases the inhibitory control of descending pathways by stimulating the brainstem with serotonergic activation from the dorsal root, leading to hyperstimulation analgesia. Thus, it is stated that the release of free radicals, which provide an analgesic effect, changes the chemical composition of the cellular environment.

Advantages of ESWT Treatment for Myofascial Pain Syndrome

A study showed that the improvement in a group of patients with upper trapezius muscle myofascial pain syndrome treated with ESWT was as successful as the improvement achieved with injection or transcutaneous electrical neural stimulation treatments. It was also stated that this modality could be used for the diagnosis of myofascial pain as well as for its treatment.

Are There Any Side Effects of ESWT Treatment for Myofascial Pain Syndrome, and If So, What Are They?

ESWT is generally a safe procedure. With proper application, systemic side effects are almost non-existent. The most common unwanted effects are skin hyperemia and superficial hematomas. Other unwanted effects that may occur after treatment include local pain, numbness, and tingling.

What is the ESWT Treatment Duration and Period?

ESWT is effective in relieving pain in myofascial pain syndrome after four treatments in two weeks. However, the frequency of treatment may vary depending on the area and severity of the pain and the age group of the patient.

What is Pseudoradicular Pain?

Pseudoradicular pain does not radiate below the knee and is generally a localized proximal pain that does not affect the nerve roots. Pseudoradicular pain is also called referred pain. This means that the pain is perceived at a different location from its actual origin. In many cases of pseudoradicular low back pain, it is impossible to find the underlying disease.

ESWT Treatment for Pseudoradicular Low Back Pain

Radial shockwave therapy is a highly effective alternative treatment for pseudoradicular low back pain and is a type of treatment usually applied in 6-month periods.

Advantages of ESWT Treatment for Pseudoradicular Low Back Pain

The use of ESWT in patients with pseudoradicular low back pain or pseudoradicular pain in other areas provides significant and measurable reductions in pain at a 1-month follow-up and in disability at a 3-month follow-up.

Are There Any Side Effects of ESWT Treatment for Pseudoradicular Low Back Pain, and If So, What Are They?

• Pain and discomfort during and after treatment (anesthesia is not required)
• Slight redness in the treated area
• Swelling and numbness of the tissue in the treated area
• Side effects seen in the patient usually disappear within the first 36 hours after treatment.

What is the ESWT Treatment Duration and Period?

A single treatment usually lasts 15 to 20 minutes. Depending on the side effects seen after treatment, the patient often receives 3 to 5 treatments within a few weeks.

What is Tendon Inflammation?

Inflammation of the tissue that connects muscles and bones is called tendonitis. The tendon is responsible for opening and closing the joints in our body, i.e., for movement. Excessive strain on the tendon or repeated performance of the same movement can cause tendon inflammation.

Focused ESWT therapy provides a powerful solution for muscle and tendon disorders in four main categories. The treatment aims to create a supportive process that triggers and strengthens the body's unique healing process.

Focused ESWT Treatment for Tendon Inflammation

Focused ESWT treatment has been used for a long time to treat tendon diseases and tendon insertion problems. When a shockwave is applied in this treatment, healing of the wound is achieved by utilizing the body's activation of growth factors in the adjacent tissues. With this method, shockwaves should be understood as sound waves that spread into the tissue with a specific target. Short sound impulses with very high energy density are sent to specific tissue regions in a targeted manner, and an optimal depth effect can be achieved here.

How Long Does Shockwave Therapy Take? How Often Should It Be Applied?

A widely used method, focused shockwave therapy should be applied at intervals of five to seven days. Generally, 3 to 5 sessions are recommended for patients. The number of shockwaves delivered in a single session can change the total number of sessions to be performed, depending on the patient.

Are There Any Side Effects of Focused Extracorporeal Shockwave Therapy for Tendon Inflammation? If So, What Are They?

The healing process of the treatment is extremely fast, and no complications are observed other than minor redness or bruising. Pain or soreness after the application are not long-term side effects.

What to Expect After Focused Extracorporeal Shockwave Therapy, and What are the Advantages?

In this effective treatment method, it is often possible to see and feel the effect much more easily after the second session. After the sessions are completed, the pain significantly decreases and almost disappears from the third month onwards. The duration of the shockwave therapy's effect may also vary depending on each individual's muscle structure and skin sensitivity.