{"id":60809,"date":"2025-01-27T09:53:00","date_gmt":"2025-01-27T09:53:00","guid":{"rendered":"https:\/\/avant-age.live\/?p=60809"},"modified":"2026-08-31T10:42:09","modified_gmt":"2026-08-31T10:42:09","slug":"parameters-for-successful-shockwave-therapy","status":"publish","type":"post","link":"https:\/\/avant-age.live\/en\/parameter-fuer-eine-erfolgreiche-stosswellentherapie\/","title":{"rendered":"What parameters determine success and failure in shockwave therapy?"},"content":{"rendered":"<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The success of shockwave therapy depends crucially on the quality of the device used. However, correct application as well as the therapist's experience, empathy, and communication skills also play a decisive role. In this blog post, we would like to briefly list the most important points.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Key factors that determine the success of ESWT therapy<\/h2>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\">What makes a shock wave therapeutically effective?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">A shock wave is a high-energy acoustic pressure wave that penetrates deep into tissue, activating therapeutic processes such as increased blood circulation, cell regeneration, and pain relief. Crucial for its effectiveness are:<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"500\" src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation-1.jpg.webp\" alt=\"\" class=\"wp-image-60810\" srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation-1.jpg.webp 800w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-300x188.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-768x480.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-18x12.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-130x81.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-600x375.jpg.webp 600w\" sizes=\"(max-width: 800px) 100vw, 800px\" data-smush-webp-fallback=\"{&quot;src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation-1.jpg&quot;,&quot;srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation-1.jpg 800w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-300x188.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-768x480.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-18x12.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-130x81.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation-1-600x375.jpg 600w&quot;}\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">1. HIGH ENERGY per stroke is crucial<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recent clinical studies show that a high amount of energy (energy density) per individual shock wave is essential for effective treatment.<sup>.1<\/sup><\/li>\n\n\n\n<li>In terms of treatment efficiency, lower energy levels per pulse cannot be compensated for by emitting a greater number of pulses.<sup>1<\/sup><\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">2. CAVITATION is the key to success<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cavitation plays a particularly important role in the success of extracorporeal shock wave therapy.<sup>2<\/sup><\/li>\n\n\n\n<li>Without cavitation, certain important biological reactions do not occur in the treated tissues.<sup>2-11<\/sup><\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"800\" height=\"500\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation02.png.webp\" alt=\"\" class=\"wp-image-60811 lazyload\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation02.png.webp 800w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation02-300x188.png.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation02-768x480.png.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation02-18x12.png.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation02-130x81.png.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Enstehung-von-Kavitation02-600x375.png.webp 600w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 800px; --smush-placeholder-aspect-ratio: 800\/500;\" data-original-sizes=\"(max-width: 800px) 100vw, 800px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation02.png&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation02.png 800w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation02-300x188.png 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation02-768x480.png 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation02-18x12.png 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation02-130x81.png 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Enstehung-von-Kavitation02-600x375.png 600w&quot;}\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<h5 class=\"wp-block-heading\">HIGH ENERGY OUTPUT for MORE CAVITATION<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Extracorporeal shock waves are sound waves with specific characteristics, such as a high peak pressure, a short rise time and duration, and a low peak-to-valley amplitude.<\/li>\n\n\n\n<li>The initial compression phase of the shock wave increases as the energy acting on the tissue increases. Similarly, during the decompression phase, more energy results in the formation of more cavitation bubbles.<\/li>\n\n\n\n<li>The more energy is applied, the greater the tissue pressure and cavitation level become<sup>2<\/sup>&nbsp;and thus the physiological responses.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Radial or focused shockwave? That is not the central question!<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rather, it depends on the quality of the device:<\/strong>&nbsp;In other words, is the energy flux density sufficiently high, and does the energy output remain constant throughout the entire treatment period?\u00a0Studies show that, when using the same treatment protocol, comparable results are achieved with radial (e.g., DolorClast) and focused shock waves (e.g., Storz).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The second point in this line of reasoning is:<\/strong>&nbsp;Does the energy reach the right place? A wave is a wave, regardless of whether it is generated by a focused or a radial device. What is much more important is that enough energy reaches exactly where it is needed inside the cell.<sup>12<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Therefore, the question of whether to use radial or focused shock waves is not really relevant to energy delivery. There is no \u201cbetter\u201d or \u201cworse\u201d option here.<sup>12<\/sup>&nbsp;The selection of the appropriate type of shock wave depends on the type and localization of the condition, as well as the patient's medical history and response.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"800\" height=\"500\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_radial-1.jpg.webp\" alt=\"\" class=\"wp-image-60812 lazyload\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_radial-1.jpg.webp 800w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_radial-1-300x188.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_radial-1-768x480.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_radial-1-18x12.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_radial-1-130x81.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_radial-1-600x375.jpg.webp 600w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 800px; --smush-placeholder-aspect-ratio: 800\/500;\" data-original-sizes=\"(max-width: 800px) 100vw, 800px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_radial-1.jpg&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_radial-1.jpg 800w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_radial-1-300x188.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_radial-1-768x480.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_radial-1-18x12.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_radial-1-130x81.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_radial-1-600x375.jpg 600w&quot;}\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<h5 class=\"wp-block-heading\">Benefits of Radial Shock Wave Therapy<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Radial shock waves are characterized by their versatility and are particularly well-suited for:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Superficial applications:<\/strong>&nbsp;90 % of the tendons are located less than 15 mm beneath the skin.<\/li>\n\n\n\n<li><strong>Large areas:<\/strong>&nbsp;Ideal for treating large muscles and muscle chains (e.g., the thigh and gluteal muscles).&nbsp;<\/li>\n\n\n\n<li><strong>Faster treatment:<\/strong>&nbsp;Up to three times faster than focused shock wave treatments.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"800\" height=\"500\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_fokussiert-1.jpg.webp\" alt=\"\" class=\"wp-image-60813 lazyload\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_fokussiert-1.jpg.webp 800w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_fokussiert-1-300x188.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_fokussiert-1-768x480.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_fokussiert-1-18x12.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_fokussiert-1-130x81.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_fokussiert-1-600x375.jpg.webp 600w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 800px; --smush-placeholder-aspect-ratio: 800\/500;\" data-original-sizes=\"(max-width: 800px) 100vw, 800px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_fokussiert-1.jpg&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_fokussiert-1.jpg 800w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_fokussiert-1-300x188.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_fokussiert-1-768x480.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_fokussiert-1-18x12.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_fokussiert-1-130x81.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_fokussiert-1-600x375.jpg 600w&quot;}\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<h5 class=\"wp-block-heading\">Benefits of Focused Shock Wave Therapy<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Focused shock waves offer benefits for specific indications, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Deep-seated structures:<\/strong>&nbsp;Effective for deep-seated problems.<\/li>\n\n\n\n<li><strong>Precision:<\/strong>&nbsp;Precise application in the target area.<\/li>\n\n\n\n<li><strong>Higher energy densities:<\/strong>&nbsp;For particularly resistant conditions.<\/li>\n\n\n\n<li><strong>Patient comfort:<\/strong>&nbsp;No skin irritation, making it suitable for patients with sensitive skin.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">The Game-Changers at a Glance<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">However, successful treatment with shock waves does not depend on whether a radial or focused technique is used. Various other parameters play an important role:<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">Energy Flux Density &amp; Energy Output<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">That <em>now<\/em>We just discussed that high-quality devices with high energy density and consistent energy output deliver successful and long-term treatment results.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">Device quality<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">90 of the % studies published in the PEDro database that used DolorClast devices were conducted with an energy flux density &gt; 0.1 mJ\/mm\u00b2. However, since not all devices have the same performance parameters, these published settings cannot be applied directly to other devices. It is important to know the exact performance specifications of your own device.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">Exclusion of contraindications<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Treatment over air-filled tissue (lung, intestine).<\/li>\n\n\n\n<li>Treatment of torn tendons.<\/li>\n\n\n\n<li>Treatment of pregnant women.<\/li>\n\n\n\n<li>Treatment of persons under 18 years of age (exception: Osgood-Schlatter disease).<\/li>\n\n\n\n<li>Treatment of patients with blood coagulation disorders (including local thrombosis).<\/li>\n\n\n\n<li>Persons treated with oral anticoagulants.<\/li>\n\n\n\n<li>Treatment of tissue with local tumors or local bacterial or viral infections.<\/li>\n\n\n\n<li>Individuals who have received local corticosteroid treatment (minimum interval between shock wave therapy and the last cortisone injection: six weeks).<\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"800\" height=\"500\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Erfahrung.jpg.webp\" alt=\"\" class=\"wp-image-60814 lazyload\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Erfahrung.jpg.webp 800w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Erfahrung-300x188.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Erfahrung-768x480.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Erfahrung-18x12.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Erfahrung-130x81.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2025\/01\/Stosswellen-Parameter_Erfahrung-600x375.jpg.webp 600w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 800px; --smush-placeholder-aspect-ratio: 800\/500;\" data-original-sizes=\"(max-width: 800px) 100vw, 800px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Erfahrung.jpg&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Erfahrung.jpg 800w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Erfahrung-300x188.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Erfahrung-768x480.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Erfahrung-18x12.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Erfahrung-130x81.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/Stosswellen-Parameter_Erfahrung-600x375.jpg 600w&quot;}\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<h5 class=\"wp-block-heading\">User experience<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Here too, the device alone does not do the work. Experience, practice, knowledge, and communication are further cornerstones. A detailed medical history and constant dialogue with the patient regarding their treatment comfort are essential for optimal treatment success.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">patient's pain sensitivity<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Patients with a higher sensitivity to pain might refuse the shockwave therapy. It is important to inform the customer precisely in advance about the effects and side effects of the therapy.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">Follow-up Treatment<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Combining shockwave therapy with further rehabilitation measures, such as performing complementary exercises to improve functionality and effective follow-up care, can further enhance the treatment success achieved with the shockwave.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Knowledge is power: Secure your advantage!<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This blog only briefly summarized the important parameters for successful shockwave therapy, but it does not replace in-depth further training on this topic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To further optimize your own shockwave therapy or, even better, to understand what really matters when purchasing a shockwave device, we cordially invite you to our next shockwave seminar. Our full-day seminars are aimed at therapists who want to deepen their expertise and expand their practical skills. Practice owners who are planning to purchase a radial or focused shockwave therapy device will also benefit enormously from the knowledge of our speakers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our seminars are each led by top speakers who work with shockwaves on a daily basis or are active in the field of shockwave therapy research. First-hand knowledge is therefore guaranteed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sign up now and improve your treatment outcomes for the long term!<br><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-b192c3d7 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/en\/mtr-academy\/\" style=\"border-width:1px\">About the Seminars<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">References<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li>KENMOKU et al., J Orthop Sci. 2021;26(4):698-703.<\/li>\n\n\n\n<li>CSASUAR et al., Plos one. 2015;10:E0140541.<\/li>\n\n\n\n<li>HOCHSTRASSER et al., Sci Rep. 2016;6:30637.<\/li>\n\n\n\n<li>WAUGH et al., Eur Cell Mater. 2015;29:269-280.<\/li>\n\n\n\n<li>ZHANG et al., Cell Tissue Res. 2011; 346:255-262.<\/li>\n\n\n\n<li>ZHANG et al., Stem Cell Res Ther. 2018; 9:54.<\/li>\n\n\n\n<li>WANG et al., Arch Orthop Trauma Surg. 2008: 128(8):879-84.<\/li>\n\n\n\n<li>WANG et al., Nitric Oxide. 2009;20(4):298-303.<\/li>\n\n\n\n<li>GOLLWITZER et al., Ultrasound Med Biol. 2013;39:126-133.<\/li>\n\n\n\n<li>HOFMANN et al., J Trauma. 2008:65:1402-1420<\/li>\n\n\n\n<li>TISCHER et al., Eur Surg Res. 2008:41:44-53<\/li>\n\n\n\n<li>WUERFEL et al., Biomedicines. 2022; 10(5):1084.<\/li>\n<\/ol>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Do you have questions about the topic?<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">We are happy to provide you with further information and answer your questions personally.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/en\/contact\/\" style=\"border-width:1px\">Contact us now<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Die Stosswellentherapie hat sich als effektive Methode zur Behandlung muskuloskelettaler Beschwerden etabliert, insbesondere in der Orthop\u00e4die, der Sportmedizin und der Rehabilitation.<br \/>\nDoch trotz ihrer breiten Anwendung erzielen viele Anwender nur durchschnittliche Ergebnisse und k\u00e4mpfen mit Problemen wie:<\/p>\n<ul style=\"color:  white; font-weight:300;\">\n<li>No effect after the first treatment.<\/li>\n<li>Little to no effect even after several sessions.<\/li>\n<li>More sessions are required than are officially communicated.<\/li>\n<li>The customer is sensitive to pain and does not like the therapy. A different therapy must be used.<\/li>\n<li>After using a shockwave device, unsightly spots become visible. Both the customer and the therapist are frightened.<\/li>\n<\/ul>\n<p  style=\"color:  white; font-weight:300;\">Why is that?<\/p>","protected":false},"author":1,"featured_media":60808,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[21],"tags":[2731],"blog_topic":[65],"class_list":["post-60809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical","tag-stosswellentherapie","blog_topic-stosswellentherapie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Welche Parameter entscheiden zwischen Erfolg und Misserfolg ...<\/title>\n<meta name=\"description\" content=\"In diese Blogbereicht erk\u00e4ren wir die wichtigsten Parameter f\u00fcr eine erfolgreiche und langfristig wirksame Stosswellentherapie am Bewegungsapparat.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/avant-age.live\/en\/parameters-for-successful-shockwave-therapy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Welche Parameter entscheiden zwischen Erfolg und Misserfolg ...\" \/>\n<meta property=\"og:description\" content=\"In diese Blogbereicht erk\u00e4ren wir die wichtigsten Parameter f\u00fcr eine erfolgreiche und langfristig wirksame Stosswellentherapie am Bewegungsapparat.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/avant-age.live\/en\/parameters-for-successful-shockwave-therapy\/\" \/>\n<meta property=\"og:site_name\" content=\"MTR Equipments\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-27T09:53:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-31T10:42:09+00:00\" 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