Shockwave Therapy Wound Healing Application: A Protocol Analysis
Title of study: Analysis of treatment protocols: application of ESWT for wound healing disorders
Shockwave therapy is a non-invasive medical treatment that uses high-energy acoustic waves to stimulate healing processes in bones and soft tissues. Recent research has shown that shockwave therapy also has highly beneficial effects on skin lesions, initiating a more rapid and effective healing phase in acute conditions.
Shockwave therapy works through mechanotransduction, leading to biological responses at the cellular level that release angiogenic growth factors. These growth factors are known to play an important role in wound healing, promoting neovascularization, improved blood supply, cell proliferation, and a significant bacterial effect.
To standardize shockwave treatment for various indications, the energy, frequency, number of pulses, and number of re-treatments are important characteristics of treatment description. For shockwave therapy on wounds, the number of pulses depends on the wound size, and the number of treatments is case-specific and depends on the type of wound healing disorder.
Studies have shown that most wound healing treatments require 100 impulses per cm2, with a minimum quantity of 350 shocks to limit the maximum doses required. It is justified to limit the impulses to 20 impulses per cm2, which means more shocks on small wounds and fewer shocks on large wounds compared to a linear formula used in previous protocols.
In conclusion, shockwave therapy is a promising treatment for skin lesions as it stimulates healing processes and promotes a more rapid and effective healing phase. With the standardization of shockwave therapy treatment description, it is possible to optimize the number of pulses and treatments required for different types of wound healing disorders.