Extracorporeal Shockwave Therapy (ESWT) Amaris Medical
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Extracorporeal Shockwave Therapy (ESWT)

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Extracorporeal Shockwave Therapy (ESWT) is a non-invasive treatment modality that delivers acoustic shockwaves to tissues to stimulate healing, reduce pain, and improve function in chronic musculoskeletal conditions. Used for chronic tendinopathies including plantar fasciitis, Achilles tendinopathy, tennis elbow, and rotator cuff tendinopathy, as well as non-union fractures and myofascial pain, ESWT provides an effective non-surgical option for patients who have failed conservative treatment. Available in focused and radial forms, it offers hope for recovery without surgery.
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Description

Extracorporeal Shockwave Therapy (ESWT)

PRIMARY CLINICAL & DIAGNOSTIC USES

1. Treatment of Chronic Tendinopathies
  • Primary Use: Delivers focused or radial shockwaves to treat chronic tendinopathies including plantar fasciitis, Achilles tendinopathy, patellar tendinopathy (jumper’s knee), lateral epicondylitis (tennis elbow), and rotator cuff tendinopathy. Shockwaves stimulate tissue healing, reduce pain, and promote neovascularization.
  • How it helps: For the orthopedic surgeon, sports medicine physician, and physical therapist, ESWT provides a non-invasive treatment option for chronic tendon conditions that have failed conservative management—stimulating healing and reducing pain without surgery. For the patient with chronic tendon pain that has not responded to rest, therapy, or injections, shockwave therapy offers hope for recovery without the risks of surgery.
2. Treatment of Plantar Fasciitis
  • Primary Use: One of the most common indications for ESWT, delivering focused shockwaves to the plantar fascia insertion to reduce pain, inflammation, and promote healing in patients with chronic plantar fasciitis unresponsive to conservative treatment.
  • How it helps: For the podiatrist and orthopedic foot and ankle specialist, ESWT provides an effective non-surgical option for patients suffering from chronic heel pain—reducing pain and improving function without the risks of surgery. For the patient with persistent plantar fasciitis who has tried stretching, orthotics, and injections without relief, shockwave therapy offers a path to pain-free walking.
3. Treatment of Calcific Rotator Cuff Tendinopathy
  • Primary Use: Focused shockwave therapy is used to fragment calcific deposits in the rotator cuff tendons, reducing pain and improving shoulder function. The shockwaves break down calcium deposits and stimulate tissue healing.
  • How it helps: For the orthopedic shoulder specialist, ESWT provides a non-invasive alternative to surgery for patients with painful calcific tendinopathy—breaking down calcific deposits and relieving pain without the need for arthroscopic debridement. For the patient with a painful calcified rotator cuff, shockwave therapy offers the possibility of pain relief without surgery.
4. Treatment of Non-Union Fractures and Delayed Union
  • Primary Use: Focused shockwave therapy is used to stimulate bone healing in patients with non-union fractures (fractures that have failed to heal) and delayed union. The mechanical stimulation promotes osteogenesis and revascularization at the fracture site.
  • How it helps: For the orthopedic trauma surgeon, ESWT provides a non-surgical option for stimulating bone healing in fractures that have failed to unite—potentially avoiding the need for bone grafting and revision surgery. For the patient with a fracture that has not healed after months of immobilization, shockwave therapy offers hope for bone healing without additional surgery.
5. Treatment of Myofascial Pain Syndrome and Trigger Points
  • Primary Use: Radial shockwave therapy is used to treat myofascial pain syndrome by delivering shockwaves to trigger points, reducing muscle tension, pain, and improving range of motion in conditions such as chronic neck pain, back pain, and muscle spasms.
  • How it helps: For the physical therapist and pain management specialist, ESWT provides a non-invasive tool for treating chronic myofascial pain—releasing trigger points and reducing muscle tension without needles or medication. For the patient with chronic muscle pain and tightness, shockwave therapy offers relief when other treatments have failed.

SECONDARY & SUPPORTIVE USES

1. Treatment of Chronic Wounds: ESWT used to stimulate healing in chronic wounds, diabetic foot ulcers, and pressure ulcers.
2. Treatment of Peyronie’s Disease: Focused shockwave therapy for treatment of penile plaques and curvature.
3. Treatment of Scars and Keloids: ESWT for improving scar appearance and reducing keloid formation.
4. Treatment of Peripheral Neuropathy: Shockwave therapy for neuropathic pain and nerve regeneration.
5. Treatment of Osteoarthritis: ESWT for knee and hip osteoarthritis to reduce pain and improve function.
6. Sports Injury Rehabilitation: Treatment of muscle strains, contusions, and other sports-related injuries.
KEY PRODUCT FEATURES

1. BASIC IDENTIFICATION ATTRIBUTES

  • Device Type: A therapeutic device that delivers acoustic shockwaves to tissues for treatment of musculoskeletal conditions.
  • Designation: Extracorporeal Shockwave Therapy, ESWT, Shockwave Therapy, Radial Shockwave, Focused Shockwave.
  • Types:
    • Focused ESWT: Delivers focused shockwaves to a precise depth; used for calcific tendinopathy, non-unions, and deep structures.
    • Radial ESWT: Delivers radial pressure waves; used for superficial tendons, myofascial pain, and larger treatment areas.
  • Key Components:
    • Generator: Electromagnetic, piezoelectric, or electrohydraulic source of shockwaves.
    • Applicator: Handpiece with treatment head for shockwave delivery.
    • Control Unit: User interface for energy settings and treatment parameters.
    • Coupling Gel: Acoustic gel for energy transmission.

2. TECHNICAL & PERFORMANCE PROPERTIES

  • Energy Flux Density: 0.01-0.6 mJ/mm² depending on indication.
  • Frequency: 1-15 Hz depending on device and indication.
  • Number of Shots: 1,000-4,000 per session.
  • Treatment Sessions: 1-6 sessions depending on condition.
  • Penetration Depth: 0-60 mm for focused; 0-40 mm for radial.
  • Energy Source: Electromagnetic, piezoelectric, or electrohydraulic.

3. PHYSICAL & OPERATIONAL PROPERTIES

  • Construction: Mobile unit with control panel and handpiece.
  • Portability: Cart-mounted for movement between treatment rooms.
  • Controls: Touchscreen interface for energy, frequency, and shot count.
  • Coupling: Acoustic gel required for energy transmission.

4. SAFETY & COMPLIANCE ATTRIBUTES

  • Regulatory Status: Class II medical device regulated by FDA.
  • Contraindications: Pregnancy, malignancy, bleeding disorders, anticoagulation, infection, growth plates, pacemakers.
  • Safety Standards: Compliant with medical device safety standards.
  • Adverse Effects: Temporary pain, bruising, swelling, redness.

5. STORAGE & HANDLING ATTRIBUTES

  • Storage: Store in clean, dry location; protect handpiece from damage.
  • Cleaning: Wipe surfaces with hospital-grade disinfectants; clean handpiece per manufacturer guidelines.
  • Maintenance: Regular calibration; inspection of handpiece and cables.

6. LABORATORY & CLINICAL APPLICATIONS

  • Primary Application: Non-invasive treatment of chronic tendinopathies, plantar fasciitis, calcific rotator cuff, and non-union fractures.
  • Clinical Role: Used in orthopedics, sports medicine, physical therapy, and podiatry.
SAFETY HANDLING PRECAUTIONS

1. SAFETY PRECAUTIONS

  • Contraindication Screening: Screen for contraindications including pregnancy, malignancy, bleeding disorders, and anticoagulation.
  • Energy Settings: Start with low energy and increase based on patient tolerance.
  • Anatomical Considerations: Avoid shockwave application over lungs, large vessels, nerves, and eyes.
  • Patient Positioning: Position patient comfortably; ensure proper coupling.
  • Pain Management: Inform patients of expected discomfort; adjust energy as needed.

2. FIRST AID MEASURES

  • Pain: If pain is excessive, reduce energy or discontinue treatment.
  • Bruising: Local bruising is common; resolves spontaneously.
  • Swelling: Ice application post-treatment for swelling.

3. FIRE FIGHTING MEASURES

  • Flammability: Electrical components may pose fire risk.
  • Extinguishing Media: For electrical fire, use COâ‚‚ or dry chemical extinguisher.

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