principles of Traditional Chinese Medicine (TCM). In addition to this traditional
philosophic concept, the scientific and clinical research on acupuncture in
recent years unveiled many new findings. They did not always confirm the old
ideas. In fact, they questioned many of them and rejected some of them in part.
Some of the traditional views were even abolished or put on a completely new
Acupuncture is one of the main pillars of TCM – and the use of the traditional
acupuncture needles in the treatment of painful disorders of the musculo-skeletal
system, has been used over a very long period. Acupuncture uses either local
acupuncture points or distal influential acupuncture points for treatment. This
procedure is well known to all acupuncturists. The distal influential acupuncture
points do not only have a local effect at the spot where the needle is inserted, but
have in addition a considerable effect on the organism as a whole. In pain-
acupuncture, the use of peripheral distal acupuncture points and local points are
of equal importance.
Painful disorders of the musculoskeletal system - only these are included in
these statistics - are of course not solely treated by acupuncture, but also with a
variety of other treatments as well. These treatments are often very distinctive.
One of these methods is the shock wave therapy. In orthopaedics mere shock
waves have been used for many years in the treatment of painful disorders of
muscles, ligaments, tendons and joints, i.e. without combination with
acupuncture. When applied on the local points, shock waves have a direct effect
which is clinically proven.
The majority of painful local points in the musculoskeletal system have a dual
property: they are simultaneously acupuncture points and trigger points
(synonyms for trigger points: myogelosis, muscle tensions). This dual property
of the acupuncture points in the locomotor system is familiar to all
acupuncturists. The author calls these points "acupuncture /trigger points". The
relevant local acupuncture /trigger points are identified by palpation and
according to the rules of TCM, the distal influential points are selected
according to the TCM diagnosis only.
The new feature in "S.W.A.G. - Shock wave acupuncture according to Dr.
Germann" is the fixed, mandatory combination of traditional needle acupuncture
of influential distal acupuncture points, combined with a shock wave application