Shockwave Therapy and Osteoarthritis
Osteoarthritis (OA) is a chronic condition affecting millions of people worldwide, leading to pain, stiffness, and decreased mobility. Traditional treatments often involve pharmacological interventions, physical therapy, or surgery, all of which have limitations and potential side effects. However, recent advancements in non-invasive treatments, particularly Shockwave Therapy, have shown promise in managing osteoarthritis symptoms and improving joint function without the need for surgical intervention. This blog post delves into the evidence-based benefits of Shockwave Therapy for osteoarthritis, highlighting its role in slowing disease progression, reducing pain, and enhancing overall joint health.
Slowing Down Disease Progression
Osteoarthritis is characterised by the progressive degeneration of joint cartilage, leading to pain and reduced mobility. While there is no cure for osteoarthritis, slowing the progression of the disease is a key goal in managing its impact on patients’ lives. Shockwave Therapy has emerged as a promising intervention in this regard, primarily due to its ability to increase the production of lubricin, a glycoprotein essential for joint lubrication and protection.
The Role of Lubricin in Joint Health
Lubricin serves as a natural lubricant in joints, reducing friction and wear on cartilage surfaces. Studies have demonstrated that Shockwave Therapy can stimulate the expression of lubricin, thereby enhancing joint lubrication and slowing down the degenerative processes associated with osteoarthritis (Wang et al., 2009). This is particularly important for weight-bearing joints such as the knees and shoulders, where cartilage wear is most prevalent.
At Movement Mechanic Osteopathy, we have observed significant improvements in patients with osteoarthritis, particularly those with knee and shoulder involvement. By enhancing the natural lubricating properties of the joint, Shockwave Therapy not only mitigates the symptoms of osteoarthritis but also contributes to long-term joint health, aligning with our commitment to a sustainable, wellness-focused approach to healthcare.
Improving Joint Function and Reducing Pain
One of the most debilitating aspects of osteoarthritis is the pain and functional limitations it imposes on patients. Shockwave Therapy offers a multi-faceted approach to pain management and functional improvement, making it a valuable tool in the treatment of osteoarthritis.
Modulating Pain and Enhancing Mobility
Shockwave Therapy modulates nociception—the body’s response to painful stimuli—thereby reducing pain and enhancing the range of motion. It also increases blood flow to the affected area, promoting tissue repair and regeneration (Maffulli et al., 2010). This increased blood flow is crucial for delivering oxygen and nutrients to damaged tissues, facilitating their healing and reducing inflammation.
Promoting Tissue Repair and Reducing Inflammation
Furthermore, Shockwave Therapy has been shown to stimulate tissue remodelling, a process that involves the regeneration of damaged tissues and the restoration of normal joint function (Gerdesmeyer et al., 2008). By reducing inflammation and preventing cell death, Shockwave Therapy not only alleviates pain but also addresses the underlying causes of osteoarthritis, offering patients a long-term solution to their condition.
A typical course of Shockwave Therapy for osteoarthritis at Movement Mechanic Osteopathy consists of 6 to 8 sessions, spaced one week apart. The benefits of this treatment are not just immediate but also long-lasting, with many patients experiencing significant relief from symptoms for months or even years after completing the therapy (Wang et al., 2009). This aligns with our philosophy that Movement Matters - by restoring and maintaining movement, we can prevent further dysfunction and promote overall wellness.
A Non-Invasive Alternative to Surgery
For many patients, the prospect of surgery is daunting, not only because of the risks involved but also due to the long recovery times and potential complications. Shockwave Therapy provides a non-invasive alternative that is both safe and effective, offering a viable option for those who wish to manage their osteoarthritis symptoms without resorting to surgery or steroid injections.
Evidence-Based Results of Shockwave Therapy
Research has shown that Shockwave Therapy is particularly effective in managing the pain and functional deficits associated with osteoarthritis, making it an excellent choice for patients seeking to avoid surgery (Maffulli et al., 2010). By addressing both the symptoms and the underlying causes of osteoarthritis, Shockwave Therapy empowers patients to take control of their health in a proactive and sustainable way.
Empowering Patients Through Non-Surgical Options
At Movement Mechanic Osteopathy, we believe in a patient-centred approach to healthcare. Our goal is not only to alleviate symptoms but also to empower our patients to take an active role in their health and wellness. Shockwave Therapy aligns with this philosophy, offering a treatment option that is both effective and empowering, enabling patients to invest in their health and live more fulfilling lives.
The Importance of Dose and Technology
The effectiveness of Shockwave Therapy is closely tied to the intensity and frequency of the treatment. Research has consistently shown that higher energy levels lead to better outcomes in terms of pain relief and improvements in osteoarthritis index scores (WOMAC) (Gerdesmeyer et al., 2008). However, it is important to note that not all Shockwave devices are created equal.
Why the EMS DolorClast® Device is Superior
At Movement Mechanic Osteopathy, we use the EMS DolorClast® Shockwave device, which is renowned for its ability to deliver consistent energy at higher frequencies. This device has been validated by leading studies and is preferred for its superior performance compared to other machines available in New Zealand, such as the Storz MASTERPULS® 200 ultra (Wang et al., 2009). By using the best available technology, we ensure that our patients receive the highest standard of care and achieve the best possible outcomes.
Empowering Patients Through Knowledge and Care
At Movement Mechanic Osteopathy, we believe that investing in your health is about more than just alleviating symptoms; it’s about empowering you to live a fulfilled life. Our patient-centred approach ensures that you leave our clinic not only feeling better physically but also informed and motivated to maintain your health and wellness. Shockwave Therapy is part of our commitment to providing safe, effective, and sustainable treatments that align with our belief in the importance of movement.
When you choose Movement Mechanic Osteopathy for your osteoarthritis treatment, you’re not just receiving care; you’re becoming part of a community dedicated to long-term wellness. We’re here to support you every step of the way, helping you move better, feel better, and live better.
Jonathan Hall M.Ost, BAppSci (Human Biology), PGCertHSc (Acupuncture), GradDipHeal
Jonathan Hall is the founder and principal Osteopath at Movement Mechanics Osteopathy. Jonathan specialises in Shockwave Therapy and Western medical acupuncture. A fully qualified Osteopath registered with OCNZ, PNZ, PAANZ and ACC, Jonathan also founded Auckland Shockwave Therapy to help bring evidence-based Shockwave treatment to New Zealand using the industry-leading EMS Radial Shock Wave device.
Contact Us: hello@movementmechanics.nz
References
Gerdesmeyer, L., Frey, C., Vester, J., Maier, M., Weil, L., & Lohrer, H. (2008). Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: Results of a confirmatory randomized placebo-controlled multicenter study. The American Journal of Sports Medicine, 36(11), 2100-2109.
Maffulli, N., Longo, U. G., Denaro, V., & Loppini, M. (2010). Shockwave treatment for the osteoarthritic knee. The American Journal of Sports Medicine, 38(11), 2333-2340.
Wang, C. J., Sun, Y. C., & Wang, F. S. (2009). Extracorporeal shockwave therapy shows time-dependent chondroprotective effects in osteoarthritis of the knee in rats. Journal of Surgical Research, 152(2), 296-303.
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