Urology Clinic

We use state-of-the-art medical equipment to ensure safe and effective treatments.

RO-BOOST applies a multidisciplinary approach in the evaluation and treatment of male health conditions, integrating specialists from complementary fields to achieve optimal therapeutic outcomes.

ORTOPEDIE

ESWT Therapy

Extracorporeal Shock Wave Therapy (ESWT) is a multidisciplinary method used in orthopedics, physiotherapy, sports medicine, and rheumatology to treat musculoskeletal conditions such as plantar fasciitis and heel spurs, lateral epicondylitis, calcific tendinopathy of the shoulder, lumbar muscle contractures, and diabetic foot. It is a non-surgical therapy that relieves pain and restores joint mobility.

Mechanism of Action of the Therapy

Shock wave therapy is based on the ultrasonic principle of medium- to high-intensity waves and focused shock waves.

Shock wave therapy acts as a short, focused pulse delivered to an area of just a few millimeters.

In physical terms, shock waves are rapid, short, and distinct fluctuations of acoustic energy from a positive to a negative phase. The resulting energy is influenced by the size and nature of the tissues through which the wave front passes, the angle at which the acoustic signal is applied, and the intensity of the pressure used.

The mechanisms that allow tissues to recognize and convert the intensity, frequency, amplitude, and duration of an acoustic signal into a biological response are still not fully understood. However, in extra-articular pathologies treated with ESWT, an increase in nitric oxide (NO) production and specific growth factors has been observed, leading to accelerated procollagen synthesis. Thus, shock wave therapy facilitates the production of collagen necessary for the repair of damaged musculoskeletal structures. Regarding the dissolution of calcified fibroblasts, ESWT focuses acoustic energy to biochemically break down calcium deposits into granular particles, which are then eliminated by the lymphatic system.

The presence of the following conditions contraindicates the use of this type of therapy.

Coagulation Disorders (Hemophilia)
Use of anticoagulants, especially the medication Marcumar
Thrombosis
Cortisone therapy administered less than 6 weeks prior to the start of treatment
Neoplasms or local infections
Neurological Disorders
Pregnancy
Pacemakers pacients
Patients with immune-mediated rheumatic diseases

The results of the treatment become noticeable after completing all ESWT sessions. However, the medical literature describes cases where no effects were observed, these outcomes being directly proportional to factors specific to the patient's associated pathology, lifestyle, age, sex, and other individual variables.
Like any therapeutic intervention, shock wave treatment may be accompanied by unwanted side effects. Although shock wave therapy is non-invasive, in some cases, mild pain may occur in the treated area. Exposure to ultrasonic waves can cause swelling, redness, or small hematomas, depending on the individual's reaction. In some cases, mild petechiae may also appear on the treated area. These adverse reactions are typically mild in intensity, temporary, and tend to resolve within 5–10 days.

Orthopedic Conditions That Can Be Treated with ESWT:

Plantar
Fasciitis

Pain and inflammation of the plantar fascia caused by a heel spur, as well as pain in the Achilles tendon due to calcification at its insertion point.

Hip Pain
Trochanteric Bursitis

Pain in the hip area caused by inflammation of the trochanteric bursa.

Knee Pain
Patellar Tendinitis

Pain caused by inflammation of the patellar tendon at its insertion or origin.

Shoulder Pain

Shoulder pain occurs especially in active individuals or athletes, reducing shoulder mobility. It is caused by calcifications and injuries to the tendons or joint capsule.

Elbow Pain – Medial Epicondylitis (Golfer’s Elbow) and Lateral Epicondylitis (Tennis Elbow)

Pain at the insertion of the forearm's pronator-supinator muscles at the level of the epicondyles, caused by physical exertion or trauma.

Back Muscle Pain – Lumbar Muscle Contractures as well as Muscle Contractures and Injuries in Other Areas (Thigh, Calf)

This is a very common condition nowadays, caused by prolonged periods spent at the desk and a lack of physical activity, which lead to muscle hypotonia and the development of contractures.

Diabetic Foot

It is well known that one of the main complications of diabetes is peripheral arterial disease (PAD), which leads to reduced blood flow in the foot, the development of non-healing wounds, an increased risk of infection, and ultimately, the potential need for amputation.

ESWT therapy helps improve blood circulation in the foot, promoting wound healing and significantly reducing the risk of amputation.
.

Achilles Tendinitis

Pain and inflammation of the Achilles tendon.

www.ro-boost.ro
™ Toate drepturile rezervate.

Address: Bucuresti, strada Dr. Leonte Anastasievici nr. 34, sector 5
Phone: 0743.153.954 | 0743.153.960
Email: contact@ro-boost.ro