Nordics - Treatment Guide for Lower Leg Injuries

FOCUSED SHOCKWAVE STAND OFFS FOR TREATING MORE SUPERFICIAL STRUCTURES

For Radial shockwave devices there are two types of generation, air compressor or electromagnetic. The latter being quite new to the market and currently not supported by any robust or reliable research evidence. The energy from these devices are transmitted through transmitters. The shape, design and material of these transmitters determines the amount of energy being produced. Inevitably there is a huge variation in type and quality between different manufacturers. Only a few manufacturers publish the EFD value of their transmitters. Most simply quote bar pressure. This is the pressure created within the barrel of the handpiece. However, two different manufacturer’s devices, at the same bar pressure, can produce different EFD vales from their respective transmitters. For runners who may have tried shockwave treatments unsuccessfully you may well find success with a different radial shockwave device.

The role of shockwave in lower leg running injuries

Tendinopathy is defined as inflammation of the tendon and results from micro-tears that happen when the musculotendinous unit is acutely overloaded with a tensile force that is too heavy and/or too sudden. 9

Symptoms can include localized pain, possible inflammation around the tendon, and pain with exertion.

Symptoms can last from days to 6 weeks depending on when treatment starts. 10

“Tendinopathy can occur in any tendon. But it’s most common around shoulders, elbows, wrists, knees and heels.” 11

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