Extracorporeal Shockwave Therapy: Evolution, Mechanisms, and Clinical Efficacy

This lecture provides a comprehensive exploration of Extracorporeal Shockwave Therapy (ESWT), a electro-physical agent that has evolved significantly since its initial use in the 1980s for renal stones. The lecture delves into the journey of ESWT from its roots in Extracorporeal Shockwave Lithotripsy to its current widespread application in orthopaedics and traumatology for treating various musculoskeletal disorders.

🔹 Key Highlights:

Understanding Shockwaves: Learn about the physics behind shockwaves and their unique characteristics in ESWT.
Mechanotransduction and Healing: Discover how shockwaves interact with different tissues, inducing mechanotransduction - a process vital for tissue regeneration and wound healing.
Types of ESWT: Get insights into Focused Shockwave Therapy (FSWT) and Radial Shockwave Therapy (RSWT), including their generation methods and applications.
Clinical Applications: Examine the current research on ESWT's effectiveness in treating conditions like tendinopathies, myofascial pain syndrome, low back pain, fractures, and osteoarthritis.
Practical Considerations: Discuss the practical aspects of ESWT in clinical settings, including patient outcomes and best practices.

🔹 Who Should Watch?
Medical professionals and students seeking a deep understanding of ESWT.
Physiotherapists and orthopaedic specialists interested in the latest treatment modalities.
Anyone curious about advanced therapies in pain management and tissue healing.

🔹 Additional Resources:
For further exploration, we recommend using PubMed's clinical queries function to research specific population groups and outcomes: https://pubmed.ncbi.nlm.nih.gov/clini...

0:00 Introduction
0:33 What are shockwaves?
0:53 Characteristics of shockwaves
2:10 The two types of shockwave therapy
2:18 Focused shockwave therapy
3:01 Radial shockwave therapy
3:20 The key parameters of shockwave
4:30 The 4 steps of mechanotransduction
6:05 Extracorporeal shockwave therapy: what's the evidence?
6:50 Shockwave for tendinopathy
9:05 Shockwave for low back pain
9:30 Shockwave for fractures
10:15 Concluding statement

References:
https://doi.org/10.1016/j.apmr.2020.0...
https://doi.org/10.1016/j.ijsu.2020.0...
https://doi.org/10.1186%2F1749-799X-7-11
http://dx.doi.org/10.1159%2F000355472
https://doi.org/10.1186/s40798-023-00...
https://doi.org/10.3389/fimmu.2023.11...
https://doi.org/10.1097/PHM.000000000...
http://dx.doi.org/10.1097/MD.00000000...
https://doi.org/10.1002/pri.2042
https://doi.org/10.1016/j.jcot.2020.0...
https://doi.org/10.1002/14651858.CD00....