Diabetic neuropathy, vasculopathy, gangrene and amputation of limbs can be proactively prevented by low intensity electroshock wave therapy
Extracorporeal Shock Wave Therapy
Shock waves are defined as transient pressure changes which propagate rapidly in three-dimensional space.
These pressure pulses reach a very high pressure in a very short time.
They are further characterised by a positive pressure phase followed by a negative pressure phase (tensile phase).
Features of Shock Waves
Shock Waves:
– penetrate soft tissue (without damaging it)
– are reflected and diffracted
– generate forces at acoustic interfaces
– generate cavitation
Summary of the entire Mechanism
The mechanism of SW Therapy involves a cascade of interaction between Physical shock wave energy & Biological responses.
The eNOS and VEGF begin to rise as early as 1 week and remain high for 8 weeks, then decline in 12 weeks; whereas the increase in PCNA (Proliferating Cell Antinuclear antigen) and neo-vessels began in 4 weeks and persisted for 12 weeks and longer.
