Radial shockwave therapy (RSWT) is a more recent advancement in rehabilitation. With RSWT, a projectile is accelerated in a handpiece which generates a mechanical pressure wave, which is then transferred to the human body by an applicator head, allowing the shockwave to radiate out into the surrounding tissue. The mechanical energy is absorbed by the tissue and leads to the release of numerous messenger substances which trigger various pain-inhibiting and stimulating reactions, leading to decreased pain, improved blood flow, and a faster healing rate.
Shockwave therapy has been to improve treatment outcomes in patients with plantar fasciitis, shin splints, tennis elbow and Achilles, patellar and hamstring tendinopathies. Many studies have shown that incorporating shockwave therapy with progressive physiotherapy programs will optimize response to treatment.