RSWT

Radial Shock Wave Therapy (RSWT) for wound Management NON INVASIVE HEALING AND REGENERATION OF TISSUE BY SHOCK WAVE APPLICATION Non Invasive therapy which specifically utilizes the biological effects of shock waves to treat chronic wounds and skin lesions.

Most effective Non Invasive technique to close wounds, especially for treatment of Chronic Diabetic Foot Lesions The Effectiveness of RSWT is fully proven for several indications and recent research has confirmed that, • Shock waves have highly beneficial effects on Skin lesions • Tissue exposed to shock waves initiates the production of VEGF, which in turn activates the growth of new vessels • Also, shock waves are known to produce an antibacterial effect • Been established that, a combination of these 2 effects initiates a healing process in skin lesions and stimulates the development of new tissue

Benefits of Shock Wave treatment in Wound Management • Increase the release of wound growth factors • Stimulate the expression of angiogenesis related growth factors • Promote vessel ingrowth • Increase cell proliferation RSWT treatment Consider RSWT for Chronic Wounds ( ie. No healing within 6 weeks ) Perform standard wound cleaning and debridement prior Place sterile plastic drape over the wound and surrounding tissue (the plastic drape should overlap the wound margins by at least 5 cms ) Apply sterile ultrasound gel onto the drape Apply radial shock waves — 2 treatments per week — total of 6 – 8 treatments — no preferred wound treatment of the wound edges Remove gel and plastic drape, clean with sterile saline Apply standard wound dressing according to the phase of wound healing Application of Ultrasound Gel onto the drape Application of Radial Shock Waves Indications for RSWT • Non healing lesions • Acute and Chronic lesions • Post traumatic Lesions • Post operative healing Disorders Contra indications for RSWT • Never treat an Infected wound with shock waves • Never treat a Grade III wound ( exposed bones or joints ) • Never treat a Necrotic wound ( necrotic tissue cannot regenerate & must be removed ) • Be careful with Ischemic wounds