Focused Shock Wave — Initial Treatment 60 min

Initial 60-minute focused shock wave consultation and first treatment — combines clinical assessment, target localisation, first treatment delivery, and home protocol education. Required entry product for new clients.

Focused shock wave therapy (fokusovaná rázová vlna, FRV) delivers high-energy acoustic pulses concentrated to a precise tissue depth — typically 1-12 cm below the skin — using an electromagnetic or piezoelectric source. The energy density at the focal point is significantly higher than radial shock wave, making focused FRV the appropriate tool for deeper or more localised musculoskeletal targets: calcific tendinopathies (e.g. shoulder calcific deposits), deep insertional tendinopathies (Achilles, plantar fascia), avascular necrosis, non-union fractures, and selected chronic pain syndromes. Studio Náskok's focused shock wave protocol typically runs as a series of 3-5 sessions spaced 5-7 days apart, with response measured between sessions. Effects are mediated by mechanotransduction (mechanical signal converted to biological response): increased local blood flow, neovascularisation, release of growth factors, and disruption of calcific deposits. Session protocol: • Initial 60-min appointment — assessment, target localisation, first treatment session, education on home protocol • Subsequent 30-min appointments — direct treatment delivery • Standard pain-area expectation: mild to moderate discomfort during pulse delivery, often described as a brisk percussive sensation; typically tolerable without anaesthesia Indications: chronic plantar fasciitis (heel spur), Achilles tendinopathy (insertional and mid-portion), calcific shoulder tendinopathy, lateral and medial epicondylitis (tennis/golfer's elbow), patellar tendinopathy (jumper's knee), trochanteric bursitis, myofascial trigger points, and selected non-union fracture cases. Contraindications: pregnancy, anti-coagulation therapy (relative), active infection in the target area, malignancy in the target area, and treatment over a pacemaker or steroid-injection site within 6 weeks. Package products on the ceník bundle the initial 60-min plus follow-up sessions at a discounted rate. Cancellation <24h before is 500 CZK.