Extracorporeal Pulse Activation and Shockwave Technology is the most advanced and highly effective non-invasive treatment for neuromuscular disorders approved by the FDA. This proprietary technology is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals. This non-invasive office/clinic based procedure represents a breakthrough treatment option for a broad range of musculoskeletal condition.

Treating the Foot Accelerated Tissue Repair and Cell Growth Ingrowth of NeovascularizationNutrient blood flow is necessary to start and maintain the repair processes of damaged tissue structure. The application of acoustic waves creates capillary micro-ruptures in tendon and bone and significantly increasing the expression of growth indicators such as the eNOS, VEGF, PCNA and BMP. These two processes stimulate the growth and remodeling of new arterioles. The new blood vessels will improve the blood supply and the oxygenation resulting in the faster healing of both tendon and bone.

Reversal of Chronic Inflammation

Chronic inflammation occurs when the inflammation response is not completely halted. It can damage healthy areas in the body and can result in chronic pain. The activity of mast cells, which are involved in inflammatory process, may be increased by pervasive acoustic waves. Mast cell activation may be followed by the synthesis of chemokines and cytokines. The releasing of pro-inflammatory compounds, when needed, may help to restore the normal healing and regenerative processes.

Stimulation of Collagen

Treating the Foot The production of sufficient amounts of collagen is a necessary precondition of the tissue repair process. Shockwave therapy hastens procollagen synthesis. The newly created collagen fibers are forced into a longitudinal structure. These newly formed tendon fibers are more dense and stiff.

Release of Trigger Points

Trigger points are the principal cause of pain in the back, neck, shoulder and limbs. They are associated with palpable nodules in taut bands of muscle fibers and have extremely contracted sarcomeres. The dysfunctional sarcomeres contract so tightly that they begin to cut off their own blood supply. This causes the build-up of waste products which in turn irritates the sensory nerve endings which then causes yet more contraction. This vicious cycle is referred to as a metabolic crisis. Although the precise medical effects of acoustic wave therapy are still unclear, it can be assumed that the delivered acoustic energy unblocks the calcium pump. Thus, it reverses the metabolic crisis in the myofilaments and releases these trigger points. .

• Patients are immediately fully weight bearing.
• Bilateral patients can be treated at the same time.
• No incision
• No risk of infection at the treatment site
• No scar tissue formation.
• Patients are able to return to work/normal activities within 24-48 hours, resuming strenuous activities after 4 weeks.
• Patients evaluated for success at 12 weeks.
• Over 80% successful outcomes [Published DataLong-term pain relief (Results retained)].
• Non-invasive so biomechanics are not affectedfuture treatment options are not limited.
• Cost Effective.
• Reduced conservative careends the cycle
• Reduced after care and complications costs.
• Reduced cost from lost work.
• Fast, safe and effective.
• Does not require anesthesia.

For more information, please refer to recent scientific literature:

Physics and Technology of Shockwave and Pressurewave Therapy

What is Extracorporeal Shockwave Therapy ?

Extracorporeal Shockwave Therapy (ESWT) is innovative biological , highly effective and non-invaisive ttreatment for many orthopedic disorders of muscle and tendon. ESWT treatment belongs to the new type of treatments call regenerative orthopedics.

Why is ESWT considered a biological treatment?

ESWT therapy promotes self tissue healing( tissue regeneration) on a cellular level through activation of bodyies own healing responses on a cellular level.

Is ESWT a really new treatment?

ESWT has been used in medicine for nearly 30 years for fragmentation of kidney stones(lithotripsy). ESWT new application called orthotripsy (treatment of diseased tendons with shockwave) has been used in Europe with much success for nearly 15 years. Recently with multiple new research investigations in the field of regenerative orthopedics and biological treatments different types of ESWT technologies are gaining polpularity in US.

What kind of energy is used in ESWT?

ESWT uses sonic(acoustic) or mechanical energy to treat diseased tissues in musculoskeletal system. How does ESWT promote healing ? The strong mechanical pulse exerts pressure and a tension force on the afflicted tissues (damaged cells). The mechanical or acoustic signal is transduced within the cell into biochemical signal. This appears to create an increase in cell membrane permeability allowing ( mechanotrunsduction) which promotes new localized circulation (neovasculogenesis) and metabolism by cellular respone of releasing special enzymes called growth factors (TGF,VEGF AND eNOS) which are the main precursors of tissue healing . ESWT can remodel damaged tissues by modulating tissue plasticity. ESWT breaks down pathological deposits of calcium in the soft tissues which is followed by a absorption of the calcium. Excessive deposits of calcium in soft tissue is believed to be the underlying pathological condition for many types of musculoskeletal pain (e.g. painful shoulder tendonosis/tendinitis). ESWT stimulates osteoblast activity (bone cells) which is responsible for healing and new bone growth. Lastly, ESWT is thought to diminish pain by stimulating what is known as the "gait control mechanism". In summation, acoustic waves that are transmitted through the surface of the skin are spread into the body and the body responds with increased metabolic activity around the area of the pain. This stimulates and accelerates the healing process and is especially useful for those suffering from chronic heel, shoulder, knee (patellar tendon), achilles, elbow and back pain.

Are there any side effects observed with ESWT?

The only possible side effect observed in 3% of population is mild bruising.

What are the indications for ESWT?

• Rotator cuff tendinopathy
• Plantar fascitis/fasciopathy
• Tennis elbow (radial epicondilitis)
• Golfers elbow (medial epicondilitis)
• Tendinosis calcarea (painful limitation of shoulder movement due to calcification of shoulder tendons )
• Bursitis ( Bursitis is inflammation of a bursa. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.)
• Patellar tendonitis ( jumpers knee)
• Tibialis anterior syndrome
• Achilles tendonitis
• Achillodynia Heel spur
• Various chronic enthesiopathies (painful irritation of tendon attachments due to overexertion and improper strain, or due to a degenerative process)
• Various sports injuries Painful trigger points(acute and chronic painful neck,back, shoulder and etc. due to chronically shortened and thickened muscle tissue)
• Many other conditions not listed above

How is ESWT treatment performed?

It is a consensus of the worlds scientific community involved in ESWT research that ESWT SHOULD ONLY BE PERFORMED AFTER TISSUE IMAGING WITH DIAGNOSTIC ULTRASOUND OR MRI. Targeted therapy with diagnostic ultrasoun is preferd.

What are the expected results?

The beneficial effects of ESWT are often experienced after only 4 treatments. Some patients report immediate pain relief after the treatment, although it can take up to four weeks for pain relief to begin. The procedure eliminates pain and restores full mobility, thus improving your quality of life. Over 80% of patients treated report to be pain free and/or have significant pain reduction.

What if I have a special health condition?

The safety and effectiveness of the ESWT procedure has not been determined on people with the following health conditions. Your doctor will provide you with information about how these and other conditions might affect the determination to perform the ESWT procedures. Malignancies DVT (Deep Vein Thrombosis)

How is the treatment performed?

Your medical professional localizes the pain region by IMAGING WITH ULTRASOUND. Coupling gel is then applied to the treatment area to ensure waves to be introduced into the body almost painlessly and without any loss of energy. After these preparations, ESWT waves are released via the applicator and moved over the pain region in a circular motion.

What is the duration of the treament and how many treatments will I need?

Treatment sessions take approximately 5-10 minutes depending on the disorder to be treated. Generally, 4 treatment sessions are necessary at weekly intervals.

What will happen after the treatment/procedure?

You will receive posttreatment instructions from your physician to follow during your recovery.

The rapidly oscillating Wave pro plate stimulates the whole body by sending rapid vibrations along the vertical axis of the human body. A person stands on the tilting plate and senses a vibration coming up from the plate. These vibrations are too fast for a person to voluntarily react to; however they stimulate the muscle, bone and tendons, which receive the vibration.

More effective and more efficient exercise

The effect on the muscular system — especially when joints are flexed, such as in a half squat — is to fire the stretch reflex through the muscle spindles to add muscular force. In addition, the golgi tendon organs are activated by relatively strong contractions, lessening the force on the muscle as a protective mechanism. Theoretically, the muscles are fired, relaxed somewhat and fired again in this scenario, in response to the vibrations. Normally a conscious muscle contraction only sees 40% of a muscle's fibres contracting; when the contraction is stimulated via the stretch reflex 97% of the muscle fibres are contracting – immediately this a 250% increase in effectiveness. And because of the rapid turn around time of the stretch reflex (40 milliseconds) up to 25 contractions per second can occur in a muscle - equivalent to 1,500 contractions per minute. No other form of exercise training is as effective and efficient as whole body vibration.

Muscles

• Increased muscle strength and power.
• Increased flexibility through muscle lengthening.
• Increased tendon strength.

Bone

• Increased bone strength - ideal for osteoporosis and osteopenia.

Metabolic

• Up to a 460% increase in growth hormone production - essential in repairing and regenerating body tissues.
• Up to 7% increase in testosterone production - allowing fast twitch white muscle fibres to recover faster and assisting with muscle strength.
• Cortisol levels decreased by 30% - decreasing stress response.

Blood Vessels

• 100-150% increase in peripheral blood flow - ideal for peripheral vascular disease and diabetes.
• Decreased diastolic blood pressure.

Neurological

• Reduction in muscular tone due to spasticity.
• Reduced tremor in neurological conditions such as Parkinson's. Increased positioning awareness in stroke, multiple sclerosis and Parkinson's.
• Function Decreased low back pain. Increased balance control in elderly and post ACL repair.
• Improved 'get up and go' time in the elderly.
• Improved stress incontinence.

Whole Body Vibration was developed by Russian scientist in to combat the problems of bone and muscle wasting in their cosmonauts as a result of spending time in zero gravity. The rapidly accelerating platform creates a form of hyper gravity that challenges the body to work harder. The result is a more effective and efficient physical training program.Impressed by the speed with which the cosmonauts regained their strength, Russian athletics trainers saw the potential for their athletes and used Whole Body Vibration to gain a competitive strength advantage over those outside the Eastern Bloc.Upon the fall of the Berlin Wall the West became aware of Whole Body Vibration and a German company commercialised its production. Since that time Whole Body Vibration has been used by elite sports clubs, world class athletes, hospitals, gyms and physiotherapy centres In Europe. It is only recently that clinical research proving the benefits of body vibration therapy created the popularity of vibration therapy in United States.

• Back pain
• Hip pain
• Knee pain
• Ankle and foot pain
• Shoulder pain
• Stroke Traumatic
• Brain Injury
• Cerebral Palsy
• Multiple Sclerosis
• Motor Neuron Disease
• Post operative rehabilitation
• Post operative joint replacement
• Deconditioning
• Strenght training
• Coordination training
• Endurance training