Shockwave Therapy

Extracorporeal Shockwave Therapy (ESWT) is an evidence-based, versatile treatment modality for chronic and degenerative conditions.

What is shockwave therapy?

Extracorporeal Shockwave Therapy is an established and effective treatment for soft-tissue injuries that is clinically verified. It is approved by top orthopaedic hospitals and professional sports organisations in Singapore.

ESWT involves sending powerful acoustic sound waves into affected tissues that propagate faster than the speed of sound. Microtrauma is produced, blood flow is increased, and an acute inflammatory response is activated, both of which support the healing process.

ESWT is often used in physiotherapy, podiatry, sports medicine, urology, and orthopaedics to provide quick pain relief and improved mobility. ESWT is becoming more common as a cure for erectile dysfunction, slow-healing wounds, cellulite, and collagen loss.

Storz Medical Shockwave Therapy Device

We are proud to bring you the most creative and progressive based shockwave (FSW) and Radial Shockwave Therapy (RSW) machines and equipment available on the market, thanks to a collaboration with Innomed Asia & Storz Medical AG.

Powerful acoustic waves

Short pulses of shockwaves are generated using a precision ballistic mechanism in the handpiece which converts kinetic energy into sound energy.

Safety guaranteed

The Health Sciences Authority of Singapore designates shockwave therapy treatment systems as a Class B medical device, as risk-free as pregnancy test kits or ultrasound imaging.

Evidence-based treatment

ESWT is an evidence-based, non-surgical treatment modality backed by decades of peer-reviewed research across common chronic conditions and injuries.

Backed by Decades of Clinical Research

ESWT has been found to be clinically effective in accelerating patients recovery and improving musculoskeletal functions, even in patients who are non-responsive to conventional physiotherapy.

Leading clinics around the world are already promoting ESWT as the next-generation of physiotherapy, podiatry, urology and aesthetic treatments.

 

DID YOU KNOW?

“The success rate ranged from 65% to 91%, and the complications were low and negligible… The vast majority of the published papers showed positive and beneficial effects… ESWT is a novel non-invasive therapeutic modality without surgery or surgical risks.”

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Wang, 2012 in the World Journal of Orthopaedic Surgery and Research

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Expert's Opinion on ESWT

Scientists understand the importance of shockwave therapies and how they cause direct action. A wide range of issues have been successfully addressed, but what is the science behind the shockwave?

Overstimulates Nerve Fibres

Studies carried out by Scientists have also shown that shockwaves act in another unique way. By hyper-stimulating the nerve fibres, this blocks any escalation in pain stimulation and therefore strengthens the analgesic effect (also known as Gate Control Theory).

Substance P

Substance P, a growth factor and pain modulator, is one of the central messenger substances that is released. The release of such a drug has an analgesic effect while also enlarging blood vessels, stimulating blood circulation, and assisting in the creation of new bone tissue. In essence, we know that when shockwaves are used to treat a sore region, the healing process is accelerated.

The Cox II Enzyme

Shockwaves produce an anti-inflammatory response by blocking inflammatory mediators like Cyclooxygenase-2 (COX II), which reduces any inflammatory process. In a nutshell, it serves as a stimulant during the healing process.

Triggers Cellular Defences

Shockwave therapies help to improve our endogenous cellular defense mechanisms to defend us from disease by committing to the release of free radicals. The signal and modulator modules in the body are critical for the activation of these cells.

What Our Clients Frequently Asked

Over 80% of patients with chronic pain issues who have tried a variety of ineffective therapies claim Shockwave therapy has helped them with their problem.

Depending on your current level of pain, you can feel some mild discomfort during care. Since the treatment only lasts about 5 minutes, the pain should be manageable.

Most people who undergo ESWT notice pain relief within the first two sessions. Regular shockwave treatments are required to ensure that deep tissue regeneration is sustained.

Shockwave therapy is very safe and actually has less contraindications than some more well known therapies such as acupuncture and massage.
 
When Shockwave Therapy can’t be used:

•       Pregnancy or trying to conceive
•       Application over open growth plates – not suitable for under 18 years
•       Over metal pins or plates
•       Malignant tumours
•       Nerve or circulation disorders
•       Infection
•       If you are taking anticoagulants or have a blood disorder

Compared to conventional physiotherapy which typically targets posture correction and static exercises, ESWT stimulates deep tissue regeneration which is necessary for fuller, faster recovery. Acoustic waves generated reach deep into the damaged tissue to accelerate natural healing processes.

Our clinical partners recommend a minimum of four sessions to achieve a good level of deep tissue regeneration and blood vessel formation to facilitate long-term recovery.

Shockwave therapy is provided in three to ten-day intervals, depending on the patient's tolerance, tissue reaction, and the severity of the injury or condition.

Definitely. Bar & Hertz promotes clinics using Storz Medical systems, widely recognised as the industry leader in acoustic wave technology. Fine-tuning of acoustic strength, vibrations and safety features make Storz Medical the top choice for physiotherapists and podiatrists.

Clinics in Singapore charge between $100 to $300 for a single session of ESWT. Bar & Hertz believes shockwave therapy should be made more affordable, especially for the underprivileged. Through our Care Events, we aim to make ESWT accessible and affordable for vulnerable groups in society.

Shockwave treatment provides immediate pain relief for the majority of patients. However, 2-4 hours after your procedure, you can feel some soreness in the affected region. The discomfort is typically bearable and does not interfere with the patient's ability to operate.

You can take pain relievers (such as paracetamol) after surgery, but any anti-inflammatory drug is not recommended. In addition, we advise patients to refrain from any physical activity for 48 hours after treatment, particularly any that involves the affected region.

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