Shock wave therapy is a promising method for treating knee joint diseases. BioSpaClinic specialists note its high efficiency and safety.
Shock wave therapy is an effective method for treating degenerative changes in cartilage and bone tissue, injuries and various pathologies of the musculoskeletal system in the knee joint. She shows good results after the first session.
As a modern physiotherapeutic technique, shock wave therapy of the knee joint activates the body's own resources. In some cases, it can become an alternative to surgical treatment of some orthopedic diseases.
Acoustic waves of 16–25 Hz, which are not perceived by the human hearing aid, freely penetrate through soft tissues to cartilaginous and bone structures and have a destructive effect on compacted foci of inflammation, fibrous tissue and areas with salt deposits. This helps relieve pain, improve blood supply and mobility of the knee joint, and increase its resistance to physical stress and damage.
Shock wave therapy for joints
Treatment of joints with shock wave therapy (SWT) is a unique technique that has proven itself effectively and has been used in Russian medicine for more than 20 years. The shock wave therapy method has already helped many patients suffering from severe and prolonged joint pain to get rid of them without surgery.
Dr. Bubnovsky's center invites anyone who experiences pain in the joints, back, neck, lower back, or heels to undergo unique shock wave therapy procedures. Qualified doctors at our center will conduct a detailed consultation with you, during which an accurate diagnosis will be made and the most appropriate treatment strategy will be developed. For some diseases, UVT helps to avoid surgical intervention, as well as large expenses for medications and additional procedures.
Types of osteoarthritis
Osteoarthritis can develop as an independent disease or as a complication of other diseases. In the first case, it is most often called idiopathic, or primary osteoarthritis, since the true cause of its development remains unknown.
In the second case, the main cause of the disease is diagnosed, which may be:
- Trauma, congenital joint dysplasia and skeletal abnormalities
- Metabolic diseases (gout, hemachromatosis, ochronosis, Wilson and Gaucher diseases)
- Endocrine diseases (diabetes mellitus, acromegaly, hyperparathyroidism, hypothyroidism)
- Inflammatory processes in systemic autoimmune and infectious diseases (rheumatism, lupus erythematosus, psoriasis, herpes zoster, tuberculosis, syphilis, tick-borne encephalitis, purulent inflammation of the joint)
- Degenerative-necrotic processes (osteochondritis dissecans, osteochondropathy of the femoral head)
- Deposits of heavy metal and calcium salts (calcium phosphates, hydroxyapatite)
Osteochondrosis caused by the above reasons is called secondary.
Also, this disease can affect only one joint - monoosteoarthrosis, or several joints sequentially or simultaneously - polyosteoarthrosis.
From the point of view of localization in this joint disease, its main types can be distinguished:
- Nodular osteoarthritis, or disease of the small joints of the hand
- Osteoarthritis of the first metatarsophalangeal joint of the foot
- Osteoarthritis of the ankle joint
- Coxarthrosis, or osteoarthritis of the hip joint
- Gonarthrosis, or osteoarthritis of the knee joint
- Manifestations of osteoarthritis in other joints
The most common secondary osteoarthritis is coxarthrosis and gonarthrosis - more than half of all cases, and these are the most traumatic types of the disease. The primary form of the disease is usually nodular osteoarthritis, which is presumably genetic in nature and transmitted through the female line.
Shock wave therapy for the knee joint
Shock wave therapy (SWT) of the knee joint is based on the use of acoustic waves acting directly in the area where pain is localized. This method began to be actively used in the early 90s of the twentieth century and during this time has proven its effectiveness even in the treatment of severe acute arthrosis. Thanks to the targeted impact of acoustic impulses, shock wave therapy for arthrosis helps to achieve rapid treatment results, reducing pain and stimulating blood circulation. As a result, there is a significant improvement in the blood supply to the joint, which starts the process of its natural restoration: over time, possible growths and fibrous foci are loosened and resolved. In case of severe pain in the joints, intra-articular injections and lubricants can be administered together with shock wave therapy, which relieve inflammation and stimulate the restoration of the cartilage layer between the joints. Ideally, in addition to these procedures, physical therapy may be recommended, which helps strengthen muscles and restore their tone, as well as “polish” damaged cartilage. Shock wave therapy for the knee has many benefits:
- The procedure is completely painless,
- No surgical intervention;
- Good tolerability of SWT regardless of age;
- No side effects (for example, swelling does not develop);
- Targeted impact on the site of the disease, which eliminates injury to other tissues.
As a rule, relief occurs after the first procedure, but in order to achieve a lasting and long-lasting effect, you should complete the entire course of shock wave therapy. It usually consists of 7-8 procedures lasting up to 60 minutes, which are carried out 1-2 times a week. The doctor draws up the treatment program and course duration individually after consulting the patient.
Description of the procedure
The acoustic shock wave penetrates the skin, blood vessels, subcutaneous fat to a depth of seven centimeters, reaching bone structures and connective tissue. The effect produced is similar to a deep massage - the wave crushes the deposits of salt calcifications in tendons, ligaments and joints, and increases the flow of blood at the source of pathology. As a result, the muscles relax, tension in the muscles and joints is relieved, and mobility is restored.
Our clinic has equipment that generates different types of waves:
- focused. They are characterized by an intense powerful flow used for osteochondrosis, hernias, arthrosis,
- planar. Waves of medium depth of impact and pressure,
- radial. The penetration depth is only a couple of centimeters. Suitable for treating bruises and removing orange peel.
The exposure time is minimal at first - about 5-6 minutes, then the duration of the session increases to 25 minutes.
Shock wave therapy for the hip joint
Treatment methods for manifestations of arthrosis of the hip joint depend on the stage of the disease. At the initial stages, conservative methods are used - physiotherapy, therapeutic exercises, anti-inflammatory drugs, hormones, analgesics and other drugs are prescribed.
However, shock wave therapy of the hip joint has become one of the best non-surgical methods for treating coxarthrosis. The method is based on the use of pulses of sound waves that affect the affected areas. Shock waves increase blood flow, destroy scar tissue and microcrystals of calcium salts. Shock wave therapy relieves the joint of ballast, tissue regeneration occurs, pain disappears, and the ability to bear loads is restored. The range of movements increases.
Why is UVT needed?
Treatment with sound impulses has shown the greatest significance in degenerative-inflammatory and degenerative-dystrophic processes:
- arthrosis,
- myositis,
- osteochondrosis,
- heel spur,
- fasciitis,
- tendinitis,
- intervertebral hernia,
- bursitis,
- periarthritis.
In complex therapy, treatment with shock waves relieves scoliosis, kyphosis, protrusion, flat feet, arthrosis, arthritis, gout, Tibialis syndrome, myofascial syndrome, radiculitis, and urolithiasis.
Shock wave therapy for the shoulder joint
Treatment of the shoulder joint should begin as early as possible, before the disease begins to progress. The most effective treatment for severe shoulder pain is shock wave therapy. Treatment of the shoulder joint with shock wave therapy allows the doctor to target calcium deposits and scar tissue and thereby get rid of shoulder pain. Already after the first treatment procedure with this method, a positive effect appears in the form of a decrease in pain and an increase in the range of motion in the shoulder. By the end of the course of treatment, pain in the joint completely disappears and range of motion is restored. The patient can return to a full life. The course of treatment on average consists of 6-8 procedures and is carried out at intervals of 3-7 days. Additionally, we prescribe an individual course of physical therapy, which speeds up the recovery process. Compliance with special diets, as well as taking medications during treatment is practically not required.
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WHAT IS A HEAL Spur
Heel spurs or plantar fasciitis are one of the most common causes of heel pain. The essence of the problem is that a sharp growth, a “spur,” forms on the articular surface of the heel bone, which injures the surrounding soft tissue. Doctors note a complex of biomechanical factors that stimulate this process. Past injuries, falls, excess weight, and playing sports on hard tracks are highlighted. The architecture of the arch of the foot has a certain significance - people suffering from flat feet are more predisposed to biomechanical injuries.
A heel spur usually appears on one side. Heel pain intensifies when walking, but decreases with rest. Getting up in the morning and stepping on your heel for the first time can be very painful.
Tissues injured by the bone spur may begin to swell and pain may spread throughout the entire foot, involving the tendons that run from the heel bone to the toes. This is how plantar fasciitis develops.
Indications for UVT:
- Plantar fasciitis (heel spur)
- Lateral epicondylitis (tennis elbow)
- Medial epicondylitis (golfer's elbow)
- Humeroscapular periarthritis
- Humeroscapular periarthritis
- Treatment of slowly healing fractures and false joints
- Partial ruptures of muscles, ligaments, tendons as a result of household or sports injury.
Contraindications to UVT:
Blood clotting disorders, oncological process in the body, impact on the focus of the purulent process, pregnancy.
Preliminary examination before UVT:
General blood test, coagulogram, and, if there are additional indications, radiography of the joints.
How does the procedure work?
The doctor places the patient on the couch and applies a special conductive composition to the areas requiring attention. Then he sets the settings on the device. In each specific case, these parameters are different - it all depends on the complexity of the problem. After this, the sensor of the device is pressed tightly to the skin and the procedure itself is carried out. A session usually lasts from three to fifteen minutes.
Experts note that in some cases, after the first sessions of shock wave therapy for osteochondrosis or other diseases of the musculoskeletal system, pain may intensify. But this feature occurs in only 10% of cases. Also, sometimes swelling and hematomas may form at the sites of exposure, which quickly disappear.
Contraindications:
- presence of infectious diseases;
- diabetes;
- the presence of malignant tumors in the affected area;
- presence of a pacemaker;
- thrombophlebitis, fragile blood vessels;
- there is an endoprosthesis in the affected area;
- somatic diseases.
Also, exposure to acoustic waves should not be resorted to if the patient is under 18 years of age or has a disorder in the blood clotting process. If you need to undergo the UVT procedure in Moscow, please contact our clinic. Specialists will conduct sessions at a high professional level using modern equipment.
DIAGNOSIS OF HEALTH Spur
First you need to see a doctor. This could be a general practitioner, neurologist, orthopedic traumatologist or physiotherapist. If you suspect that you have a heel spur, only a doctor can confirm the diagnosis and prescribe treatment. In this case, no traditional medicine will eliminate the problem.
The doctor conducts an initial examination and diagnosis. If pressing in the heel area causes pain, the doctor will make an assumption about the presence of a heel spur, and to confirm its presence, he will issue a referral for an x-ray or MRI of the foot. If the examination confirms the presence of a bone growth, the diagnosis is considered confirmed.
It is important to remember that changes in the tactile sensitivity of the foot or concomitant inflammatory diseases of the joints require additional research, as they may indicate the presence of other diseases.