What is Sacroiliac Joint Dysfunction?

In today’s world of persistent pain and chronic musculoskeletal conditions, patients and providers alike are increasingly turning to advanced, non-invasive solutions that go beyond traditional methods. One such therapy gaining recognition is Radial Shockwave Therapy (RSWT). The treatment offered by Proback Clinic (London) provides a helpful case study of how RSWT is positioned for treating spine, joint, tendon and soft-tissue problems. Proback Advanced Back Care

In this article, we’ll explore what radial shockwave therapy is, how it works, what conditions it treats, what to expect during and after treatment, as well as its benefits and limitations. The goal is to give you a full, 1000-word overview so you can make an informed decision or integrate it into your practice/marketing strategy.

What is Radial Shockwave Therapy?

Radial shockwave therapy (RSWT) is a form of extracorporeal shockwave therapy (ESWT) that uses acoustic (sound) waves generated outside the body and delivered radially (spreading outward) to the affected tissues. oaaortho.com+2Physiopedia+2
By comparison to focused shockwaves (which converge at a focal point), radial shockwaves propagate outwards in a more dispersed way, making them suitable for more superficial or broad-area treatment rather than deep focal lesions.

At Proback Clinic, the description emphasises that the machine “stimulates the blood flow, … breaks down scar tissue … and helps to restore normal function”. Proback Advanced Back Care
In essence, the device sends light percussion or tapping forces through the skin to underlying vertebrae, joints, tendons or muscles, in order to improve mobility, reduce pain, and accelerate healing.

How Does It Work? (Mechanism of Action)

The exact mechanism is still under research, but the physiology of shockwave therapy is well-documented:

• Shockwaves are high-pressure acoustic pulses, with a rapid rise time, broad frequency spectrum and both positive and negative pressure phases. Physiopedia+1

• The positive phase applies mechanical load, while the negative phase can cause cavitation (formation and collapse of bubbles) which in turn can provoke micro-trauma, increase cell permeability, stimulate local blood flow and initiate a healing cascade. Physiopedia+1

• Biologically, RSWT is thought to promote neovascularisation (new blood vessel formation), stimulate tenocyte/osteoprogenitor cell proliferation, increase growth factor release, boost collagen synthesis, and remodel tissue. Physiopedia

• Additionally, shockwaves can disrupt calcific deposits (for example in tendons) and release trigger points in muscle, thereby reducing pain and improving function. oaaortho.com+1

• At Proback Clinic they highlight that their machine first “detects areas… increased resistance” and then applies percussive stimulation to that site, helping alignment and circulation. Proback Advanced Back Care

Thus, RSWT is more than symptomatic relief—it aims to stimulate tissue repair and regeneration, and realign dysfunctional biomechanics.

What Conditions Can Be Treated?

RSWT has a broad range of musculoskeletal applications, particularly when conservative treatments have not delivered the desired outcome. According to Proback Clinic, they have seen success in:

• Spinal misalignments or poor posture

• Back and neck stiffness

• Degenerative disc disease

• Back and neck pain

• Leg or calf pain

• Shoulder pain

• Migraines or headaches (related to cervical spine dysfunction)

• Facet joint syndrome

• Tendinopathy, repetitive strain injury

• Golf or tennis elbow

• Plantar fasciitis

• Achilles tendonitis Proback Advanced Back Care

Independent sources add further to this list: RSWT is commonly used for Achilles tendinopathy, patellar tendinopathy, tennis/golfer’s elbow (epicondylitis), calcific rotator-cuff tendinitis, shin splints (medial tibial stress syndrome), greater trochanteric pain syndrome, and other over-use, chronic tendon disorders. oaaortho.com+1

The underlying theme is chronic or refractory soft-tissue or tendinous pain, where standard physiotherapy, rest, injections or other conservative options have not sufficed.

What To Expect: Treatment Process & Sessions

At the Proback Clinic, the RSWT treatment is described as follows: Proback Advanced Back Care

• The process begins with a comprehensive consultation, full history assessment and any required diagnostic imaging.

• Then a targeted treatment: acoustic shockwaves are applied directly to the affected area.

• Immediately following, the body’s natural healing response is stimulated—improved circulation, tissue repair begins.

• Many patients notice pain reduction and improved movement within a few sessions.

• Because it is non-invasive, patients can return to normal daily activities fairly quickly.

Additional details from other sources:

• A typical session lasts around 5 to 10 minutes (depending on area, severity) although initial sessions may be slightly longer. oaaortho.com+1

• Treatment protocol commonly is once per week for 3-6 weeks (or more depending on condition). OptraCare

• Some transient soreness or discomfort following treatment is possible; described as like a “gym-workout” in the treated area. Proback Clinic mention patients may feel a little discomfort evening or day after the session. Proback Advanced Back Care

• After treatment, patients are usually advised to avoid high-impact exercise or heavy use of the treated area for ~48 hours. rnoh.nhs.uk

From a marketing or patient-education perspective it’s helpful to emphasise: minimal downtime, no surgery, relatively short sessions, and a “build ahead” improvement rather than overnight miracle.