Focused Shockwave Therapy
Understand the Science, Applications, and Clinical Value of Focused Shockwave Therapy
What is Focus Shockwave Therapy?
Focused shockwave therapy technology stands out for its exceptional application in various medical fields. These advanced systems have proven their effectiveness in diverse areas such as orthopedics, sports medicine, cardiology, neurology, urology, pelvic health, wound healing, and veterinary medicine.
Focus Shockwave devices offers a wide range of treatment options in the areas of Orthopedics, men’s sexual health and dermatology supported by numerous clinical papers. Focus Shockwave Therapy enables clinics to enhance their healthcare services with the latest clinically proven technology.
With its advanced capabilities including increased treatment options, precise targeting, enhanced treatment depth, and improved patient comfort (especially in acute cases), focused shockwave therapy is rapidly becoming more in demand. This surge in popularity is attributed to the superior benefits of focused shockwave therapy, making it an increasingly preferred choice for various treatment applications.
Focused shockwaves distinguish themselves from radial devices by exhibiting a higher energy density and faster impulse. These characteristics enable focused shockwaves to precisely target deeper tissues, ensuring the delivery of energy directly within the tissue itself. Focused shockwave therapy is particularly effective in treating localized pain, chronic insertional tendinopathies, bone stress injuries, and deep trigger points. The ability to specifically target these areas allows for optimal therapeutic outcomes when utilizing focused shockwaves.
Harnessing Neovascularization for Enhanced Tissue Healing and Regeneration
Focused shockwave therapy promotes new blood vessel formation through a process called neovascularization. The high-energy shockwaves stimulate the release of growth factors and cytokines, which in turn attract endothelial progenitor cells and promote angiogenesis. This leads to the formation of new blood vessels, improving blood flow to the treated area and facilitating tissue healing and regeneration.
Substance P Reduction
Focused shockwave therapy has been found to decrease the concentration of substance P, a neurotransmitter involved in pain signaling. This reduction in substance P can contribute to pain relief by reducing the stimulation of pain fibers. The acoustic waves generated during shockwave therapy have demonstrated the ability to lower substance P levels, offering relief from pain.
Stimulation of Collagen Production
Focused shockwave therapy has been found to decrease the concentration of substance P, a neurotransmitter involved in pain signaling. This reduction in substance P can contribute to pain relief by reducing the stimulation of pain fibers. The acoustic waves generated during shockwave therapy have demonstrated the ability to lower substance P levels, offering relief from pain.
Nerve Regeneration and Neuromodulation
Beyond pain relief, focused shockwave therapy influences peripheral nerve function through neuromodulation. It can promote the regeneration of damaged nerve fibers and enhance nerve signal transmission. This effect makes it a promising modality in treating nerve-related disorders and neuropathic pain, especially in areas such as urology and orthopedics.
Enhanced Cellular Metabolism and Microcirculation
Focused shockwave therapy increases cellular activity by stimulating mitochondria within treated tissues. This accelerates ATP production, promoting energy availability for repair processes. The therapy also enhances microcirculation, delivering oxygen and nutrients while removing metabolic waste which is critical for tissue recovery and reducing chronic inflammation.
Deep, Precise, and Controlled Targeting
Unlike radial pressure waves, focused shockwave therapy penetrates deeper into the body with pinpoint accuracy. This allows clinicians to target specific structures such as tendons, bones, and deep connective tissues without affecting surrounding areas. The concentrated energy delivery ensures maximum therapeutic impact exactly where it’s needed, making it ideal for chronic and hard-to-reach conditions.
Focused Shockwave Clinical Indications
The high-energy acoustic waves interact with the tissue, leading to multiple simultaneous effects that contribute to accelerated tissue repair, cell growth, analgesia, and restoration of mobility. Focused shockwave therapy harnesses these effects to effectively treat a wide range of chronic, sub-acute, and acute conditions, including but not limited to:
- Acute injuries
- Bone and Stress Fractures
- Tib Post / Peroneal Tendons
- Medial Tibial Stress Syndrome / Shin Splints
- Insertional Achilles Pain
- Coccydynia
- Myofascial Pain
- Plantar Fasciitis
- Urological indications
- Delayed bone-non unions/bone healing
- Tendinopathies
- Osteitis Pubis -Groin Pain
- Tib Post / Peroneal Tendons
- Knee & Joint arthritis / Medial Knee OA
- Wound Healing
- Carpal Tunnel Syndrome
- Trigger Finger
- Chronic Pelvic Pain
- Avascular necrosis of hip
- Morton Neuroma
- Tibialis Posterior Tendon Syndrome
Focused Shockwave Vs. Radial Pressure Waves
While both focused shockwaves and radial pressure waves are used under the broader category of extracorporeal shockwave therapy (ESWT), they are fundamentally different in how they deliver energy, how deeply they penetrate tissue, and how they interact with the body. Understanding these differences is essential for healthcare professionals looking to select the appropriate technology for their clinical goals.
Focused shockwave therapy offers highly precise, high-energy acoustic waves that can target deep anatomical structures with pinpoint accuracy, making it particularly effective for chronic tendinopathies, bone healing, and urological conditions. In contrast, radial pressure wave therapy disperses energy more broadly and superficially, making it suitable for treating larger muscle groups, myofascial trigger points, and superficial soft tissue conditions. The chart below outlines the key differences between these two modalities to help guide clinical decision-making.
Focused Shockwave Clinical Evidence
The Clinical Benefits of Focused Shockwave Therapy
Targeted treatment:
Focused shockwaves are ideal for treatments that target deeper tissues, such as those near bones, calcifications, or in cases of delayed unions and non-unions, providing effective and precise therapy.
Non-invasive treatment:
Focused shockwave therapy offers a non-surgical alternative for patients, minimizing the need for invasive procedures and reducing associated risks.
Treatment at the cellular level:
Focused shockwave therapy promotes deep cell stimulation, releasing growth factors that drive tissue regeneration and kickstarts healing in damaged tissues.
Can reach deep tissue levels with ease:
Focused shockwaves deliver high energy with precision, targeting tissues at accurate depths. Focus shockwaves can reach up to 12 cm deep, depending on the attachments used, ensuring maximum effectiveness at the desired depth.
Cost effective treatments:
Focused shockwave therapy offers a cost-effective solution with affordable and quick coil changes, ensuring your device is always ready for use. With minimal maintenance requirements and efficient servicing, there’s no need to worry about clinic downtime. Keep your practice running smoothly while providing high-quality treatments without the added costs or interruptions.
Storz Medical Focused Shockwave Therapy Devices
When it comes to choosing a shockwave therapy device, several factors come into consideration, including your discipline, patient base, the range of conditions commonly seen in your clinic, and the budget considerations unique to your practice. At Remington Medical, we understand the importance of finding the right solution that aligns with your clinic’s needs. Our team is dedicated to assisting you in selecting the ideal device that will effectively meet your requirements and enhance your clinical practice.
Storz DUOLITH SD1 FOCUS T-TOP »ultra«
Storz Medical stand-alone flagship focused device, the SD1 T-TOP ULTRA, is the result of decades of research, innovation, and refinement. This device combines efficiency with versatility, featuring a high-resolution touch screen for intuitive operation and easy switching between modalities. Its ergonomic design, along with integrated handpiece controls, enhances comfort for both the practitioner and the patient during treatments.Equipped with a powerful focused shockwave module, the SD1 T-TOP ULTRA delivers precise treatment with exceptional control. It generates a high energy flux density, enabling effective therapy in fewer sessions, providing faster and more effective results for your patients.
- The most advanced focused shockwave system available
- Penetrates up to 125mm deep
- All controls conveniently located on the handpiece
- Lower service costs with easy coil replacement
Storz DUOLITH SD1 Ultra (RSW + FSW)
The Storz Medical Duolith SD1 is a state-of-the-art shockwave therapy device offering effective, non-invasive treatments for various conditions. Ideal for fields like orthopaedics (MSK) and urology, this advanced system combines precision and power for optimal therapeutic results, making it a valuable addition to any rehabilitation practice.With its clear, modular design, the Duolith SD1 meets the evolving needs of medical practices in both therapy and diagnosis, catering to both newcomers and experienced users of extracorporeal shockwave therapy.
- The Ultimate Shockwave Device
- Modular system offering RSW, FSW & Vibration therapy
- Falcon & Sepia handpieces with built-in controls
- Offering Storz's most powerful radial compressor
Shockwave Therapy FAQ
Most frequent questions and answers about Focus Shockwave
Continued Education Program for Focused Shockwave Therapy
Shockwave Learning Never Ends. So We Make Sure It’s Fun.
We pride ourselves on providing Canada’s leading shockwave education platform for clinicians. Remington Medical has partnered with some of Canada’s top practitioners across various disciplines, all with a shared goal: to empower clinicians with comprehensive shockwave education, equipping them with the knowledge and skills to deliver exceptional care and achieve optimal patient outcomes.
Remington offers various training options to accommodate different learning styles and geographic needs:
- 1-1 Custom Training
- Medical Shockwave Institute Training Centre
- In-person courses & Seminars
