Shockwave Therapy


Shockwaves are mechanical stressors which induce biochemical changes in living tissue . Mechanical stimuli affect almost all cellular functions in living tissue, including growth, cell differentiation, cell migration, protein synthesis, physiological apoptosis, and tissue necrosis. On a molecular level, the biochemical changes ultimately affect the gene expression of cells by eliciting specific tissue reactions

Below is a list of specifically studied effects of shockwave.

  • Stimulates new blood vessel formation
  • Regulates inflammation
  • Releases nitrogen monoxide (NO) which contributes to vasodilation, increases metabolic activity and angiogenesis, and exerts an anti-inflammatory effect
  • Changes levels of Substance P
  • Stimulates bone metabolism
  • Releases growth factors; IGF, TGFbeta, VEGFgamma
  • Exhibits chondroprotective effects
  • Dissolution of calcified fibroblasts
  • Stimulates lubricin production
  • Stimulates stem cells
  • Antibacterial effects

The treatment of orthopedic disorders plays an important role in small animal medicine. Shockwave is one of the few medical technologies which treats pain syndromes of the musculoskeletal system by repeatedly triggering the body’s own self-healing processes. There are many studies that describe the use and verify the efficacy of shockwave for healing of both bone and soft tissue in veterinary medicine . Shockwaves are able to stimulate the endogenous production of lubricin in the tendons and at tendon insertions . Lubricin helps tendons slide within joints and an increased amount of lubricin could provide pain relief and decreased joint erosion and account for some of the clinical success of shockwave when treating chronic osteoarthritis. The efficacy of shockwave for trigger point treatment and the effectiveness of focused piezo shockwaves has also been studied.
A representation of conditions piezoelectric shockwave can be used to treat in
small animal veterinary medicine are listed below.

  • Shoulder diseases – Bicipital tenosynovitis, Supraspinatus and Infraspinatus insertional tendinopathy
  • Elbow diseases – Degenerative joint disease
  • Carpal diseases – Degenerative joint disease, Tendon/Ligament injuries acute and chronic
  • Intervertebral disc disease & Lumbosacral stenosis
  • Coxofemoral diseases – Degenerative joint disease, Iliopsoas trigger points
  • Stifle diseases – Cranial cruciate disease, Patella luxation, Degenerative joint disease, Patella tendonitis, Medial and lateral collateral ligament inflammation,
    Long digital extensor tendonitis
  • Tarsal diseases – Ligament injuries acute and chronic, Achilles tendinopathy
  • Wounds
  • Osteochondritis dessicans (OCD)