NC Spine and Sports in Pittsboro, NC provides Radial ESWT (Extracorporeal Shockwave Therapy). ESWT is primarily used for musculoskeletal problems; two main forms are focused (fESWT) for deeper, precise targets and radial (rESWT) for broader, more superficial areas.
Common uses: chronic tendinopathies (plantar fasciitis, Achilles, patellar, lateral epicondylitis/tennis elbow), calcific shoulder tendinitis, greater trochanteric pain, delayed bone healing, and some myofascial trigger points. Evidence is moderate to strong for plantar fasciitis and calcific shoulder tendinopathy.
Radial Shockwave works via several mechanisms. 1. By stimulating new blood vessel formation, increasing oxygen, nutrients, and growth factors to damaged tissue. 2. Enhances cell metabolism, accelerating collagen production, tissue repair, and waste removal. 3. Activates stem cells, which can differentiate into various tissue types to aid regeneration. 4. Breaks down calcium deposits and scar tissue, which are then naturally reabsorbed by the body. 5. Reduces inflammation and pain, partly by releasing endorphins and calming overactive pain. 6. Promotes osteoprogenitor differentiation in bone-related conditions, supporting bone healing.