Successfully Treating Football Injuries with Shock Waves

250 million people of every age play football all over the world – this means that people are destined to get injured. Since football is a contact sport and most people do not use shin pads or other protection, a wide range of different injuries are possible. During a game, players constantly change movements and are continually stopping and running. This places great strain on the entire locomotor system and its connected musculoskeletal system. The weather and the state of the pitch can also cause injuries.

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Football is a rough sport!

Most injuries involve the lower extremities, which – assuming they are not affected by fractures, cartilage damage or torn ligaments – are for the most part treated using conservative methods. Here, combined ESWT is used for virtually all injuries.

Classic football injuries that can be successfully treated with ESWT include:

  • Tendon injuries such as those to the Achilles tendon, the peroneal tendon, the posterior tibial tendon, the flexor hallucis longus tendon and the patellar tendon
  • Adductor problems
  • Muscle pain in the area of the pubic bone

With these complaints, a comprehensive clinical examination is first carried out for diagnosis. This examination always includes the pelvic position, the leg axis, the foot position as well as functional examinations of the entire kinetic chain. Imaging procedures such as ultrasound or, in more complex cases, MRT or CT complete the clinical examination for diagnosis. If it is possible to treat an indication using ESWT, it is usual to apply a coordinated combination of focused and radial shock wave therapy. When doing this, 3 - 6 treatments are carried out at 4- to 7-day intervals, depending on the symptoms.

The DUOLITH SD1® »ultra« is ideally suited for treating the indications mentioned above.

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Diagnosis and shock wave therapy in one system: the modular DUOLITH® SD1 »ultra«

In addition to shock wave therapy and the associated treatment documentation, you can also use the DUOLITH SD1® »ultra« for diagnostic clarification. Since it is possible to combine ESWT very well with other physical therapies and manual techniques, people tend to do this in most cases. The self-healing process is activated and allows athletes to start training again very quickly. Amongst other things, this is due to the rapid effect of shock waves. This not only leads to quicker healing of the tissue structure but is also very effective and leads to a sustainable and promising outcome.

At his sports medicine practice in Hanover, Prof Dr Karsten Knobloch specializes in tendon injuries: »Focused shock wave therapy activates stem cells, which supports the healing of the tendon. The radial shock waves supplement this process by means of trigger point treatment. To me, this means that ESWT is an indispensable component of modern tendon therapy.«

Dr Pascal Vogt is an orthopaedic surgeon at the Canton hospital in Münsterlingen (From 1st of June 2015 at Sportpraxis am See, Münsterlingen), Switzerland, whose high quality sports medicine service was awarded the »sport medical base approved by Swiss Olympic« title: »We achieve excellent results with combined ESWT in the case of sports injuries. In the area of pseudarthrosis in particular, our results are more than encouraging and very successful after other therapies have failed.«

Dr Markus Braun, BVB Borussia Dortmund's team doctor: »At our club, we use combined shock waves both preventively and in acute cases. We treat trigger points as well as tendinopathies. We have achieved excellent results in the area of patellar tendonitis.«

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Prof. Dr. Karsten Knobloch (left), Dr. Pascal Vogt (middle) und Dr. Markus Braun (right)



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Tuesday, September 22 2020

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