• Insertion desmopathies
• Tendinopathies with pain at tendon origins and insertions
• Sesamoiditis with sutural bone inserted into tendons, ligaments and joint capsules (sesamoid bones)
• Calcification (calcium deposits and calcification in tissues)
• Degenerative diseases of joints
• Fractures, fissures
• Periostal reactions of the hoof corium
• Insufficient wound healing
• The procedure only takes 10-15 minutes.
• A standing sedation can be administered.
• Depending on the nature of the injury, it may require a series of 2-4 treatments.
• Anesthesia is not necessary.
EWST Mechanism of Action
Extracorporeal shockwave therapy increases blood flow, promotes the growth of new blood vessels and increases the production of natural healing factors in the treated area. The healing of tissues such as tendons, ligaments, bones and skin take place faster. It also has an immediate pain relief, as humans mention considerable analgesic effect from the first therapy.
There are 4 mechanism that appear to be involved in the therapeutic effect of shockwave
Physical Phase: ESWT causes cavitation which results in an increased permea-bility of cell membranes and ionization of biological molecules. Meanwhile, many signal transduction pathways are activated, such as the mechanotransduction signaling pathway, the extracellular signal-regulated kinase (ERK)signaling pathway, the focal adhesion kinase (FAK) signaling pathway, and the Toll-like receptor 3 (TLR3) signaling pathway
Physicochemical phase: ESWT stimulates cells to release various biomolecules, such as adenosine triphosphate (ATP), which supply energy necessary for various cellular processes.
Chemical phase: ESWT modifies the functions of ion channels in the cell membrane and consequently the calcium mobilization in cells
Biological phase: Studies have shown that ESWT modulates angiogenesis, vascular endothelial growth factor [VEGF], endothelial nitricoxide synthase [eNOS], and proliferating cell nuclear antigen [PCNA]), anti-inflammatory effects, wound-healing, and bone-healing as well as insulin-like growth factor.
REF: Moya, Daniel & Ramon, Silvia & Schaden, Wolfgang & Wang, Ching-Jen & Guiloff, Leonardo & Cheng, Jai-Hong. (2018). The Role of Extracorporeal Shockwave Treatment in Musculoskeletal Disorders. The Journal of bone and joint surgery. American volume. 100. 251-263. 10.2106/JBJS.17.00661.