The conversation revolves around the use of orthobiologics, including shockwave and laser therapy, in the treatment of orthopedic conditions. The panel of experts discusses patient profiles, treatment protocols, and the role of orthobiologics in promoting tissue healing and functional recovery. They also address the challenges of standardization and patient management post-procedure. The conversation delves into the nuanced approach to orthobiologics and the use of modalities such as shockwave and laser therapy. It emphasizes the importance of individualized treatment, patient education, and collaborative efforts between providers. The discussion also highlights the need for standardized approaches and evidence-based practice in the field of orthobiologics.

• Associate Professor, Harvard Medical School
• Sports Medicine Physician
• Director of Shockwave Medicine and Running Medicine at the National Running Center, Mass General Brigham Sports Medicine
• Author of 195+ publications, including work on:
  • Tendinopathy
  • Bone stress injuries
  • Shockwave therapy
  • Photobiomodulation

• Associate Professor and Associate Chair of PM&R, Harvard Medical School
• Chief, Division of Sports and Musculoskeletal Rehabilitation
• Director of Regenerative Medicine, Mass General Brigham Sports Medicine
• Medical Director, Spaulding Wellesley Center
• Team Physician, Wellesley College

• Nationally recognized leader in:
  • Orthopedic manual therapy
  • Regenerative rehabilitation
  • Advanced human performance optimization
• Founder and CEO, Torrentia Medical Education
• Owner and Clinical Director, Pursuit Health & Wellness (Fort Wayne, IN)
• Fellow, American Academy of Orthopedic Manual Physical Therapy

In this episode of ShockTalk, Dr. Blatz & Paul Hobrough discuss the advancements and research in shockwave therapy, focusing on its applications in rehabilitation and recovery. Paul shares his journey into doctoral research, the unique aspects of his studies, and the mechanisms behind shockwave therapy. They explore the significance of the 72-hour recovery window, the impact of EMTT on athletes, and insights from a field study involving basketball players. The conversation emphasizes the need for further research and the potential of shockwave therapy in sports and recovery practices.

Thank you to Paul Hobrough for sponsoring this episode of ShockTalk and supporting the Medical Shockwave Industry. Learn more about Paul's work

paulhobrough.com

This conversation between Dr. Soo Hoo & Dr. Tenforde delves into the intricacies of shockwave therapy in sports medicine, focusing on a recently published study that aimed to establish consensus on treatment protocols. The speakers discuss the terminology, indications, and efficacy of shockwave therapy, particularly for tendinopathies and bone injuries. They highlight the variability in treatment protocols among practitioners and the need for standardized guidelines. Additionally, they address contraindications, side effects, and the future directions of shockwave therapy, emphasizing the importance of ongoing research and expert collaboration.

Keywords

Shockwave Therapy, Sports Medicine, Extracorporeal Shockwave Therapy, Delphi Study, Tendinopathy, Pain Management, Osteoarthritis, Treatment Protocols, Contraindications, Side Effects

Takeaways

• Shockwave therapy is an innovative treatment modality in sports medicine.
• The Modified Delphi study aimed to establish consensus on shockwave therapy protocols.
• Terminology in shockwave therapy can be confusing; clarity is essential for effective communication.
• Experts agree on the use of shockwave therapy for various tendinopathies despite varying evidence.
• Low to moderate energy settings are recommended for soft tissue injuries, while high energy is for osseous pathologies.
• There is a lack of consensus on the use of shockwave therapy for knee osteoarthritis.
• Treatment protocols vary widely among practitioners, indicating a need for standardized guidelines.
• Bone treatment with shockwave therapy requires careful consideration of energy settings and patient tolerance.
• Pre and post procedural considerations are crucial for effective shockwave therapy.
• Contraindications include active malignancy and pregnancy; caution is advised with certain medical conditions.
• Summary
• This conversation delves into the intricacies of shockwave therapy in sports medicine, focusing on a recently published study that aimed to establish consensus on treatment protocols. The speakers discuss the terminology, indications, and efficacy of shockwave therapy, particularly for tendinopathies and bone injuries. They highlight the variability in treatment protocols among practitioners and the need for standardized guidelines. Additionally, they address contraindications, side effects, and the future directions of shockwave therapy, emphasizing the importance of ongoing research and expert collaboration.
• Titles
• Exploring Shockwave Therapy in Sports Medicine
• Consensus on Shockwave Therapy Protocols