Shockwave Therapy (ECSW)

What is Shock Wave Therapy

Shockwave therapy is an FDA-approved treatment to delivery acoustic shock waves to your injured tissue to reduce pain and stimulate healing in muscles, tendons, ligaments, and joints. The major forms of shockwave therapy include radial, focal, and magnetotransducive. Dr. Luga Podesta is an expert in performing shockwave therapy, utilizing the state-of-the-art Wolfe PiezoWave2 device.

Make an appointment to see Dr. Luga Podesta at the Bluetail Medical Group in Naples, FL or Thousand Oaks, CA, to experience this cutting-edge diagnostic and treatment modality today.

Therapies And Conditions Treated

Myofascial Acoustic Compression Therapy (MyACT)

A sound approach to treating acute and chronic musculoskeletal pain. Myofascial Acoustic Compression Therapy (MyACT) is widely used in the treatment of acute and chronic pain in muscles, tendons and joints. MyACT uses acoustic waves to target tissues at varying depths by compressing and manipulating the tissue, resulting in a focused, precise, deep tissue massage. The results of the mechanical stimuli delivered by MyACT can lead to improved circulation and pain relief – key components in the healing process. 

Acoustic pressure waves are characterized by a pressure surge with an extremely short rise time, which is then followed by an exponential drop in pressure and a brief phase of negative pressure. The pressure pulses used in MyACT applications focus or develop in the target tissue at the point where the pain originates.

“The primary means by which extracorporeal focused sound waves affect living tissue is based on the transformation

of mechanical stimuli into biochemical or biomolecular signals, also known as mechanotransduction.“

Physical principles of acoustic single pressure waves

Acoustic pressure pulses are mechanical waves that result from the back-and-forth vibration of the particles of the medium through which the sound wave is moving. A MyACT single pressure wave is characterized by an acoustic pulse with a spatial expansion and a very short rise time of only a few nanoseconds. After a few microseconds, the rise is followed by a brief period of negative pressure, after which pressure returns to normal again.

Pin-pointed and linear energy delivery

The PiezoWave2 MyACT system offers a choice of two piezo therapy sources: the Focused Therapy Source for pinpointed, focused treatment and the Linear Therapy Source for the treatment of larger areas. Both can used for the localization and treatment of pain points.

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Spine Conditions Treated
  • Cervical spine-neck pain
  • Muscle soreness and or spasm
  • Neck arthritis
Shoulder Conditions Treated
  • Calcific rotator cuff tendonitis of rotator cuff muscles
  • Rotator cuff tendonitis, tendinosis or partial tears
  • Shoulder arthritis- Glenohumeral or acromioclavicular joints
Elbow Conditions Treated
  • Tendonitis golfers, tennis elbow and triceps
  • Ligament sprains/partial tears, UCL
Wrist and hand Conditions Treated
  • Arthritis-Thumb CMC joint, wrist arthritis
  • Triangular fibrocartilage complex tear (TFCC)
  • Finger tendonitis 
Pelvis Conditions Treated
  • Osteitis Pubis, groin muscle strain, sports hernia
Hip Conditions Treated
  • Greater trochanter bursitis
  • Gluteal tendinitis
  • Hip osteoarthritis
  • Hip labrum tears
Knee Conditions Treated
  • Patella and Quadriceps tendonitis
  • Osteoarthritis
  • Meniscal tears
  • Bone Marrow Edema
Leg and Feet Conditions Treated
  • Upper leg - Iliotibial band friction syndrome, Hamstring and quadricep muscle strains
  • Lower leg - Shin splints, calf muscle strains
  • Ankle/Feet - Plantar fasciitis, heels spurs, Achilles tendonitis, ankle ligament sprains
What is Shockwave Therapy (ECSW)?

It's an FDA-approved treatment that delivers acoustic shock waves to injured tissue in order to reduce pain and stimulate healing in muscles, tendons, ligaments, and joints.

What are the different types of shockwave therapy?

The major forms include radial, focal, and magnetotransducive shockwave therapy, which can be delivered using a variety of machines and technologies.

What is Myofascial Acoustic Compression Therapy (MyACT)?

MyACT is an approach that uses acoustic waves to target tissue at varying depths by compressing and manipulating it, resulting in a focused, deep tissue massage that improves circulation and relieves pain.

What device does Dr. Luga Podesta use for this treatment?

He uses the state-of-the-art Wolfe PiezoWave2 device, which offers two therapy sources: a Focused Therapy Source for pinpointed treatment and a Linear Therapy Source for larger areas.

How does the acoustic pressure wave affect the tissue?

It's a mechanical wave with an extremely short rise time (nanoseconds), followed by an exponential drop in pressure and a brief negative pressure phase before returning to normal. This mechanical stimulus is converted into biochemical signals (mechanotransduction) that support healing.

What conditions and body areas can be treated with this therapy?

A wide range of areas can be treated, including the cervical spine, shoulder, elbow, wrist and hand, pelvis, hip, knee, leg, ankle, and foot — addressing conditions such as tendonitis, arthritis, muscle strains, bursitis, and plantar fasciitis.

Can shockwave therapy be combined with other treatments?

Yes, it can be combined with ultrasound guidance and orthobiologic therapies such as Platelet Rich Plasma (PRP), Bone Marrow Concentrate, micronized fat, and Concentrated Plasma Proteins (A2M), either before or after treatment.

Where can I schedule an appointment with Dr. Luga Podesta?

You can schedule an appointment at (239) 631-1960

Specialties

Regenerative Orthopedics

With recognized expertise in advanced shockwave technology, we deliver targeted acoustic pressure waves to injured tissue to reduce pain, break down chronic scar tissue, and stimulate the body's natural healing response in muscles, tendons, ligaments, and joints.

Indication · FOCUS · TENDON · LIGAMENT · JOINT

Sports Medicine

Non-surgical evaluation and treatment of orthopedic, musculoskeletal and sports-related injuries, from competitive athletes to weekend warriors. Built to return you to activity safely

Indication · FOCUS · INJURY · RECOVERY · RETURN TO PLAY

Performing Arts Medicine

Specialized non-surgical care for musicians, dancers and performers, treating the repetitive stress and overuse injuries that come with life on stage and keeping you at your highest level.

Modality · FOCUS · MUSICIANS · DANCERS · OVERUSE

Regenerative and Orthobiologics therapies

Regenerative orthopedics focuses on stimulating and enhancing our body's natural ability to respond to orthopedic injuries and heal itself. It applies advanced orthobiologic techniques, each with the potential to stimulate the immune system and increase the body’s natural ability to heal.

Indication · FOCUS · INJURY · RECOVERY · RETURN TO PLAY

Sports Medicine

With recognized expertise in developing tailored rehabilitation strategies to safely transition injured athletes back to the field, we focus on fully restoring functional movement, optimizing recovery, and returning athletes to peak performance.

Indication · FOCUS · INJURY · RECOVERY · RETURN TO PLAY

Performing Arts Medicine

When an injury keeps you offstage, choosing the right physician is essential. Performance-related injuries affect drummers, concert pianists, and young dancers alike, making it critical to select a doctor who deeply understands the unique physical demands of your craft to ensure a safe, precise, and swift return to peak performance.

Indication · FOCUS · INJURY · RECOVERY · RETURN TO PLAY
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Appointments in Naples, FL, and monthly in Los Angeles, CA. Space in the practice is intentionally limited.

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