Shockwave Therapy. Also referred to as Extracorporeal Shockwave Therapy

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1 Shockwave Therapy Also referred to as Extracorporeal Shockwave Therapy

2 TensCare Shockwave Therapy Unit Introduction ESWT Extracorporeal Shockwave Therapy is a non-invasive therapy that uses acoustic waves to treat various Musculoskeletal conditions. Outside the body Shockwave Intense, short energy wave travelling faster than the speed of sound

3 TensCare Shockwave Therapy Unit Introduction Shockwave therapy is a multidisciplinary device used in orthopaedics, physiotherapy, sports medicine, urology and veterinary medicine. Its main assets are fast pain relief and mobility restoration. Together with being a nonsurgical therapy with no need for painkillers makes it an ideal therapy to speed up recovery and cure various indications causing acute or chronic pain. The shock waves are abrupt, high amplitude pulses of mechanical energy, similar to soundwaves, generated by an electromagnetic coil or a spark in water. The use of radial shock waves is getting more and more common although it is still a relatively new technology for musculoskeletal intervention in the U.K. TensCare with a heritage of offering drug free therapeutic solutions to improve the quality of lives has researched ESWT and is proud to offer the Shockwave 3000 knowing it will provide accurate controlled relief for the recipient that in turn will improve the quality of life for them and the people in their community.

4 Pain Relief Effect of Shockwave Therapy Substance P what is it and why should we care? Substance P is a neurotransmitter that mediates pain information through C Fibres This neuropeptide is generally associated with intense persistent and chronic pain. It relays pain messages to the central nervous system. Lowering the concentration of Substance P reduces the stimulation of fibres and thus reduces the pain Acoustic waves generated by Shockwave Therapy lower the substance P concentration and therefore provide pain relief.

5 Biological Therapeutic Effect Nutrient Blood flow is necessary to start and maintain the repair process of damaged tissue structure The application of acoustic waves (Shockwave Therapy) creates capillary micro ruptures in tendon and bone Due to the micro ruptures the expression of growth factors such as enos, VEGF, DCNS and BMP is significantly increased The new blood vessels improve blood supply and oxygenation of the treated area and support faster healing of both the tendon and the bone

6 Biological Therapeutic Effect The effects of shockwave occur across several levels to accelerate healing: 1. Cell Level Change shockwave stimulus affects the chemical environment of tissues at a cellular level. 2. Blood Flow Change Normal blood flow is critical to the healing process, and shockwaves create a revascularization effect. 3. Muscle Tone Reduction Shockwave treatment reduces the contractile activity of muscle and can also break patterns of neuro-cognitive pain that are associated with chronic conditions. 4. Pain Reduction Shockwave pulses directly affect the nerve fibres that transmit pain signals to our brain.

7 Clinical Indications for Use 1 Tennis Elbow 2 Calcific Tendonitis of the shoulder 3 Golfer s Elbow 4 Pseudarthrosis (non-union) 5 Greater trochanteric pain syndrome 6 Patellar tip syndrome 7 Plantar Fasciitis 8 Achilles Tendinopathy

8 The TensCare ESWT 3000 Introduction 1. Positive & Negative shockwave counter 2. Multi-preset treatment protocols 3. User friendly and reliable 4. No air compressor,low maintenance '' color touch screen

9 The TensCare ESWT 3000 Introduction Direct energy is given to the injured tissue Treatment produces an inflammatory response The body responds by increasing metabolic activity around the site of pain. This stimulates and accelerates the healing process Radialwave breaks down scar tissue and calcification Regenerating new healthy tissue Transmission of pain is blocked

10 The TensCare ESWT 3000 Introduction Multiple Applications Various Tip Sizes 6mm--For tight and small areas as well as acupressure and trigger points 15mm--For treatment of muscles, small tendons and ligaments 25mm--For treatment of Plantar Fasciitis and soft tissues

11 TensCare Shockwave Therapy Unit Specification Type Technology Power Levels / Energy Frequency Display Controls Applicators Life time Dimensions Gross Weight Package Warranty Mobile model Compressor free ballistic radial shockwave therapy-system with electromagnetic generator as projectile accelerator 60 to 185 mj (equivalent to 1-5 bar) 1-22 Hz OLED display on handle Operate on handle or via bluetooth 6/15/25mm Minimum warranty of 2,000,000 shocks per handpiece Minimum warranty of 150,000 shocks per applicator head mm(main engine), mm(carton) 8kg Aluminum Carrying Case 3 years for controller unit and 1 year for accessories

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