The shock waves created are acoustic waves radiated through the skin in the area involved in the therapy.
It is a transient disturbance that propagates in space in three dimensions and that can expand in any medium such as gas, liquid or solid.
Two types of shock waves can be defined:
- Focused shock waves (ESWT Extracorporeal Shock Wave Therapy)
- Radial shock waves (RSWT Radial Shock Wave Therapy)
The first are acoustic waves conveyed inside the human body and focused on the target to be treated.
Unlike the focused ones, the RSWT radial waves have a localized focus on the emission head and the waves are spread on the target area in a spherical and radial way with a wide pressure dispersion, low penetration depth and large treatment volume.
The D-WAVE MED device produces radial shock waves using ballistic technology through a pneumatic system that accelerates a bullet contained inside a barrel to high speed, which hits the applicator and which in turn transfers the energy to the part of the patient undergoing treatment.
Monitoring clinical progress during application quickly leads to the conclusion that a moderate energy flux density associated with shock waves could be one of the parameters for effective treatment for cell renewal and regeneration.
Any mechanical stimulus such as pressure, tension and stress causes a biological reaction in the tissues for which a similar reaction can be expected using shock waves in its focused, planar and radial forms.
The immediate effect on the cells appears to be not a harmful effect, but a structural modification of the cell, however transitory, and probably responsible for triggering the biological reactions induced by the stimulation by shock waves, through the mechanism known as mechano-transduction.
Mechano-transduction is the mechanism by which cells are able to convert stimuli of a mechanical/physical nature into biochemical responses.
The mechanical-sensitive tissue par excellence is made by bone tissue which, at the level of the musculoskeletal system, certainly surpasses all other tissues present, both in terms of complexity of intrinsic structure and in terms of functioning.
Bone is the only body tissue capable of repairing without a scar, with the formation of bone tissue from scratch, and which is subjected to remodeling phenomena throughout the life of an individual.
The trophic effect exerted by shock waves on bone was the first discovery on the "biological" potential of this method, which has also extended to the field of orthopedics and physiatry.