CAN’T I GET THE SAME RESULTS WITH FRICTION MASSAGE? Friction massage is used to increase circulation and release areas that are tight; particularly around joints and where there are adhesions within the muscles or tendons. 22 Manually moving tissue in this fashion is actually another form of mechanotransduction. However, the practice is generally not comfortable for patients and can only be applied to superficial structures. Applying these techniques at depth is not tolerated by most patients.
Luckily, ESWT therapies are more comfortable and have the ability to reach much deeper tissues. An added benefit is that these devices also require significantly less work by the practitioner which can help save a clinician’s most valuable equipment, their hands!
Mechanotransduction
• Mechanical forces that are applied to cell membranes impact ion exchange which impacts biochemical responses within the cell. • Influences migration, proliferation, differentiation, and apoptosis. 18 • Proteins containing Integrins when manipulated by shockwave energy convey force and transmission to the cell nucleus which leads to increased gene transcription. The increased nuclear activity results in increased collagen production in damaged areas. 23
Shockwave Indications
• FSW Indications: The Chattanooga Intelect FSW is indicated for extracorporeal shockwave treatment of heel pain due to chronic proximal plantar fasciitis for patients of age greater than 18 years with a history of failed alternative conservative therapies for at least six months. • Intelect RPW 2 Indications: The Intelect RPW 2 device is intended to be used to temporarily increase bloodflow and help reduce muscle pain and aches associated with:
• • • •
Myofascial trigger points (MTrP),
Achilles tendinopathy,
Disorders of tendon insertions, Plantar Fasciitis, and others.
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