Shockwave Therapy

Radial vs. Focused Shockwave Therapy: Key Differences, Conditions Treated, and Usage

Shockwave therapy is a non-invasive treatment that uses acoustic waves to promote healing in various musculoskeletal conditions. There are two main types:

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 Radial Shockwave Therapy (RSWT or rESWT)

 Mechanism:

• Delivers pressure waves that disperse outward (radially) from the application point.

• Lower energy, more superficial penetration (typically up to 3–4 cm).

• Generated pneumatically (using compressed air).

 Usage/Applications:

• More suitable for superficial musculoskeletal conditions and larger treatment areas.

• Often used in physiotherapy clinics.

 Common Conditions Treated:

• Plantar fasciitis

• Achilles tendinopathy

• Patellar tendinopathy

• Tennis/golfer’s elbow

• Myofascial pain (trigger points)

• Shin splints

 Treatment Characteristics:

• Broader area of application

• Typically less painful than focused therapy

• Requires more sessions (usually 3–6 weekly treatments)

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 Focused Shockwave Therapy (FSWT or fESWT)

 Mechanism:

• Emits waves that converge at a specific depth inside the tissue.

• Higher energy and deeper tissue penetration (can reach 6–12 cm).

• Generated through electromagnetic, piezoelectric, or electrohydraulic methods.

 Usage/Applications:

• Ideal for deeper structures and precise targeting.

• Often used in sports medicine and orthopedics.

 Common Conditions Treated:

• Calcific shoulder tendinitis

• Non-union fractures or delayed bone healing

• Chronic tendinopathies

• Deep muscle injuries

• Avascular necrosis

• Erectile dysfunction (also treated using focused therapy)

 Treatment Characteristics:

• More targeted and intense

• Often more uncomfortable (may require local anesthesia)

• Fewer sessions (1–3 sessions, spaced out)