Shockwave therapy – contraindications

The article describes contraindications and side effects of using radial shockwave therpay.

Due to the characteristics of the shockwave, the contraindications are divided into absolute and relative.
Shockwave theraphy – absolute contraindications

gestation
coagulation disorders
cancer
cartilage growth in children
demyelinating polyneuropathy
infectious inflammation of the tendon sheath
proximity of lung parenchyma in the area of application
acute infection of the soft tissue / bone
local epiphysiolusis (division or separation of the epiphyseal cartilage bone)
patients with pacemakers
brain, spinal cord, point concentration of large nerves (skull, spine, ribs)
advanced osteoporosis

Shockwave theraphy – relative contraindications

rotator cuff rupture
tendinitis associated with acute arthritis of shoulder joints which is secondary condition to capsular ligament instability
acute infection of the soft tissue / bone
cancer
local epiphysiolusis (division or separation of the epiphyseal cartialge bone)
blood coagulation disease and use of anticoagulants
locally on the lung tissue

Shockwave theraphy – side effects

hematomas and/or effusions, especially where high energy pulses occured (> 0,60 mj/mmq)
swelling
exacerbation of symptoms after 2 – 3 days after the shockwave therapy treatment with cryotherapy and painkillers or without