"What You Need to Know About Shockwave Therapy for Shoulder and Arm Pain Relief"
What causes shoulder and arm pain?
Rotator cuff tendinopathy (RCT), subacromial impingement (SAIS), and medial (MEP) and lateral (LEP) epicondylitis are the most common causes of upper limb pain caused by microtrauma and degeneration.
Rotator Cuff Pain is the most common source of shoulder pain, and its prevalence is estimated to be 2%–3.8% in the general population
Subacromial impingement syndrome (SAIS) is a pathological state of the rotator cuff tendons , resulting from mechanical impingement causing 50%–70% of shoulder pain cases
What can shockwave therapy do?
Shockwave therapy may reduce pain through hyperstimulation of nociceptors/gate-control theory of pain transmission, altered pain receptor neurotransmission, and by increasing local pain inhibiting substances.
Stimulation of nociceptive C-fibers may not only play a role in analgesia, but also in tendon remodeling, as it may increase the release of neuropeptides, causing fibroblast stimulation and vasodilation.
How does shockwave therapy work:
Shockwave therapy is mainly responsible for: pain relief, by acting directly on nerve fibers; tissue regeneration by stimulating vascularization; and reduction of calcium deposits in tissue
Is shockwave therapy safe?
Shockwave therapy is a safe and effective treatment of soft tissue diseases of the upper limbs. Even in the minority cases when unsatisfied results were recorded, high energy shockwaves were nevertheless suggested in prevision of surgical treatment.
Here's a special treat! One of our many videos about stretching from our STAND CORRECTED online pain management programs, we hope it helps. ENJOY!
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References Simplicio CL, Purita J, Murrell W, Santos GS, Dos Santos RG, Lana JFSD. Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine. J Clin Orthop Trauma. 2020 May;11(Suppl 3):S309-S318. doi: 10.1016/j.jcot.2020.02.004. Epub 2020 Feb 12. PMID: 32523286; PMCID: PMC7275282.
Testa G, Vescio A, Perez S, Consoli A, Costarella L, Sessa G, Pavone V. Extracorporeal Shockwave Therapy Treatment in Upper Limb Diseases: A Systematic Review. J Clin Med. 2020 Feb 6;9(2):453. doi: 10.3390/jcm9020453. PMID: 32041301; PMCID: PMC7074316.