Radial Pulse Therapy

(RSWT)

 

Radial Pulse Therapy at Move PT

What is it?

 

Radial Pulse Therapy (RSWT) is a newly FDA-approved treatment technique.  It uses Shockwaves to mobilize the soft tissues of the body to achieve effects that are difficult or impossible to achieve by hand.  We can achieve more in a single RSWT treatment than 4-8 manual therapy sessions in some cases!  This means better, faster results!

 

What is it used for?

RSWT has been used for years in Europe* to successfully treat conditions such as:

  • Tendonitis/Tendonosis
  • Bursitis
  • Bone spurs
  • Heel spurs
  • Plantar fasciitis
  • Lateral epicondylitis (tennis elbow)
  • Medial epicondylitis (golfers elbow)
  • Myofascial pain syndrome
  • Trigger points
  • Shin splints

 

  • Chronic inflammation
  • Hypertonic muscles
  • Hemotomas
  • Pes anserinus syndrome
  • Illiotibial band syndrome
  • Back pain
  • Shoulder pain
  • Knee pain
  • Ankle/foot pain
  • Elbow pain

 

*In the US, the FDA has approved RSWT to “relieve minor muscle aches/pains” and for the “temporary increase in local blood circulation”.

 

How does it work?

The device used by MOVE is the Zimmer enPuls.  This machine uses a state-of-the-art electromagnetically-accelerated ballistic handpiece to deliver kinetic energy into the body.  This energy (shockwaves) spreads out (radially) into the desired region of the body.  Current research indicates that the positive effects of this type of stimulation trigger reactive systems in the cellular structure of the tissue.  The observed tissue reactions and metabolic effects are:

  • Increased metabolism
  • Altered cell membrane permeability
  • Improvement of cellular structure
  •  Improvement of tensile stability
  • Increased cell activity by gene expression
  • Expression of substance P

 

How long/frequent are treatments?

While each case is unique, a typical treatment session involves 1500 to 2000 pulses and is usually delivered within 10 minutes.  Light stretches, manual therapy work and ice/stim may compliment the RSWT.   RSWT treatments are typically performed only once per week, for 4 – 6 weeks.

 

How will RSWT fit into my current treatment regimen?

A RSWT treatment can be delivered in place of your regular treatment as its own adjunctive session or as an addition to your regular treatment.  Regular therapy sessions resume for the remainder of the week.

 

What can I expect from a RSWT treatment?

The ultimate goal of treatment will vary by case, but some of the reported, instant results include:

  • Immediate, sustaining pain relief
  • Increased range of motion
  • Normalized muscle tone
  • Increased soft-tissue mobility

The pulses delivered by the enPuls are adjusted to maximize patient comfort and efficiency.  Similar to many manual techniques, the nature of this type of therapy involves mechanical stress on the involved tissues and increases blood flow to the area.  Swelling, redness, soreness and occasional bruising are expected.  We administer ice and electrical stimulation as needed following a session, and recommend icing as necessary up to 20 minutes per hour.

 

Is it covered by my insurance?

RSWT is offered as a private-pay service only.  We offer multiple payment options including payment plans and discount packages.  RSWT treatments will not interfere with insurance benefits or allowed visit numbers.