Shockwave Therapy for Insertional Tendinopathy in DRHC Dubai

Shockwave therapy has been used as a treatment for insertional tendinopathy, a condition where the tendon attaches to the bone . In this condition, there is often chronic pain and inflammation at the point where the tendon inserts into the bone. Shockwave therapy can help by:

Promoting Healing:

Shockwaves stimulate the body's natural healing response, increasing blood flow and the production of healing factors in the affected area.

Breaking Down Calcifications:

In some cases, calcifications can form at the insertion point of the tendon. Shockwaves can help break down these calcifications, reducing pain and improving function.

Reducing Inflammation:

Shockwaves have been shown to have anti-inflammatory effects, which can help reduce pain and swelling in the affected area.

Stimulating Tissue Regeneration:

Shockwaves can stimulate the production of collagen and other proteins involved in tissue regeneration, helping to repair the damaged tendon.

Chronic tendinopathy is indeed a complex condition involving degenerative changes in the tendon structure, as well as alterations in nerve fiber density and distribution. Substance P-positive nerve fibers are associated with pain transmission, and their increased occurrence in tendinopathy indicates a heightened pain response. Conversely, the decrease in vascular sympathetic nerve fibers suggests a dysregulation in the normal nerve signaling within the tendon.

Shockwave therapy is thought to help alleviate pain in insertional tendinopathy by several mechanisms, including the induction of neovascularization. By promoting the growth of new blood vessels, shockwave therapy improves the blood supply to the affected tissue, which can help reduce pain and promote healing. Additionally, shockwave therapy may stimulate tissue regeneration processes, aiding in the repair of chronically inflamed tissues.

The exact mechanisms by which shockwave therapy produces these effects are not fully understood and are the subject of ongoing research. However, the treatment has shown promise in improving pain and function in patients with chronic tendinopathy, particularly in cases where conservative treatments have been ineffective.