Method Swiss Dolorclast

Principles Of Shockwave Generation

Shockwaves are mechanical pressure pulses that propagate in a medium, e.g. a gas or liquid. (Over-) pressure can build up at their wavefront within very short rise times. This is followed by an underpressure phase with tensile stresses. The shockwaves used in medical technology to date are short pressure pulses generated in water.

There are various methods of generating shockwaves.

The course of a shockwave generated by the EMS Swiss DolorClast is shown below by way of an example.

Shockwaves can be made visible by what are known as Schlieren photographs. Shown below using a shockwave generated by the Swiss DolorClast.

Theories On The Working Mechanism Of Eswt

Why does the application of shock waves lead to a long-term, pain-alleviating effect on chronic pain?

It may be supposed that shock waves:

All these theories are at present undergoing clinical investigation. Up till now neither experimental nor clinical studies have contributed to supporting the truth of these hy¬potheses. Potentially it could be the symbiosis of several mechanisms which lead to a long-term, pain-alleviating effect.

The results obtained so far are however convincing: the success ratio was 70% (taking into consideration the ratings - far better, satisfying, good and very good results) whereby the rate of success was defined as functional im¬provement and / or pain-alleviation.

Effects Of Eswt On Tissue

A measure of the effect of shockwaves on tissue is what is known as the energy flow density. This means the amount of energy that flows through a defined area (mJ/mm²).The ability of cells to regenerate after shockwave treatment, known as the cell repair potential, decreases as the energy flow density increases.

If the energy is set too high, the cell nucleus is destroyed. In Osteotherapy, in order to achieve an osteoneogenetic effect, the shockwaves have to be strong enough to destroy bone structures. In pain therapy on the other hand the destruction of tissue is an undesired side-effect.

The energy flow density should be differenciated according to the given application:

Indications Of Eswt

The Range of Indications

The range of indications for the Swiss DolorClast covers the whole spectrum of pain therapy. Besides muscular pain caused by myogeloses (trigger points), the following indications are also part of the treatment spectrum:

Other indications

The list of potential applications for ESWT with the Swiss DolorClast is being continu¬ously extended and demonstrated by clinical studies. The following indications have currently been clinically investigated:

Example: Treatment Of Tennis Elbow

  1. The treatment area is located by palpation.
  2. After being located, the skin over the treatment area is marked.
  3. Any local anaesthesia required is administered subcutaneously. The injection site should not lie in the immediate treatment area.
  4. The contact is improved by using EMS Swiss DolorClast contact gel.
  5. The tip of the applicator is passed over the treatment area, using either single or continuous pulse mode and applying light pressure.

Recent Announcements

Monday, 20 Feb 2017

5th Congress of ECOSEP & 2nd UAE FA Football Medicine Update 25th-27th November 2017 Dubai

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Platelet Rich Plasma (PRP)

An innovative treatment, for  Musculoskeletal Pathologies , PRP uses your own blood for healing muscle, tendon and ligament injuries. 

A common form of healing is scarring which affects function . Most of the Current therapies  treating sports Injuries  do not change the intrinsically poor healing properties. Given this situation, biologically based strategies involving the stimulation of cell activities through the delivery of Growth Factors have attracted considerable interest. 

Platelet Rich Plasma is derived by placing a small amount of your blood in a filtration system which separates red blood cells from platelets. The high concentration of platelets (containing a high level of Growth Factor) is then injected into the injured tissue which initiates the body’s natural healing response.

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Acute Lateral Ankle Sprains In Track & Field Athletes: A Proposal Of An Expanded Classification

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Ten year follow-up study comparing conservative versus operative treatment of anterior cruciate ligament ruptures. A matched-pair analysis of high level athletes

Objective: To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.

Design: We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.Participants: In total 50 patients were pair-matched.

Results: We found no statistical difference between the patients treated conservatively or operatively with respect to osteoarthritis or meniscal lesions of the knee, as well as activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.

Conclusion: We conclude that the instability repair using

a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.

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ACL injuries. Diagnosis, treatment and rehabilitation

The ability to recognize the ACL deficient knee is lacking, even among orthopaedic surgeons. The history of an acute ACL tear is remarkably constant, because the injury is often non contact, and patients usually report a twist on the flexed knee, turning to the same side as the injured knee, although hyperextension or direct injury is the cause in some sports. Patients often remember a loud pop, but, because there are no nociceptors in the ACL, pain is not an immediate feature in the isolated lesion. Players may attempt to continue to play, but they usually stop because the knee feels insecure. Pain ensues in association with a hemarthrosis: 70% of acute hemarthroses of the knee are associated with a tear of the ACL. The diagnosis must be confirmed before treatment is offered.

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