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Extracorporeal Shock wave Therapy (ECSWT)

This was originally developed for use as a non-invasive treatment for kidney stones. In the last decade it has become increasingly popular in the treatment of soft tissue injuries.

The stimulating effect of low energy shock waves on biological processes is universal in tissues resulting in the liberation of VEGF (vascular endothelial growth factor), nitric oxide and PCNA (proliferating cell nuclear antigen) resulting in an increase in circulation and metabolism. It also has a profound antibacterial effect.

Currently this therapy is most widely employed in treatment of musculoskeletal disorders such as tendinitis, epicondylitis, poor fracture healing, myofascial pain and erectile dysfunction in men. In an aesthetic setting it has been gaining widespread attention in the treatment of cellulite and post liposuction irregularities.

Cellulite – also scientifically called – gynoid lipodystrophy – is the aesthetically bothersome appearance of skin dimpling (orange peel appearance) commonly affecting the thighs and buttocks and occurring most commonly in women. It results from herniation of fat cell chambers into the corium. Since men have criss-cross septa in the connective tissue under the skin, the fat cell chambers are small and do not herniate that easily. There is also deterioration in the dermal vasculature and the resulting hypoxia (lack of oxygen) causes a thickening and fibrosis of the septa with chronic inflammation.

Low energy ECSWT has been shown to increase blood vessel formation improving the oxygenation of the dermal tissue and also results in lipid peroxidation which helps to break down the fibrous septa. There are published data showing that ECSWT can result in remodelling of the skin collagen.

This treatment intervention is promising in the management of this difficult to treat condition. In our clinic we offer ECSWT in conjunction with other therapies such as the powerful RF (TempSure), mesotherapy with lipolytics and and vacuum cavitation with lipolaser for best overall results.