EMS Swiss Dolorclast System (ESWT)
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1 EMS Swiss Dolorclast System (ESWT)
2 What is Extracorporeal Shock Wave Therapy? (ESWT) Extracorporeal Radial shockwaves are high-energy acoustic waves. They are transmitted through the surface of the skin and spread radially into the body. The body responds with increased metabolic activity around the painful treated site. This stimulates and accelerates the healing process.
3 How it works? Bullet Projectile travelling at kph within handle. Kinetic Energy from the collision of projectile and applicator head transfers into tissue via conductive silicone gel. Energy (Shockwave) moves in a radial pattern through the skin to the target tissue to a depth of 2cm. The shockwave creates a tissue effect.
4 Tissue effect Shockwaves creates cavitation bubbles within tissue. Cavitation bubbles have less pressure than surrounding liquid so they implode. This implosion creates a small jet stream within tissue. The jet stream agitation separates fibrous tissue and allows the return of blood flow to the site to encourage healing.
5 Analgesic effect Why is there an analgesic effect on the tissue? The shockwaves bombard the C nerve fibres. The C nerves fibres releases a Substance P when activated. Substance P is responsible for communicating pain. With the onset of shockwaves the Substance P is depleted over the course of the treatment. With the depletion of substance P the nerves are no longer able to communicate pain. This pain relief can last up to six weeks. After first 500 impulses/shocks, patient will feel no or less pain, increase the intensity of the shockwaves by increasing the Air Pressure (2-4 Bar)and Frequency (4-2Hz)
6 Calcification of Rotator Cuff 12 weeks after treatment scan shows calcification has disappeared Weekly treatments 3-5 sessions
7 Target Customers Sports Medicine Physiotherapists Chiropractic/Osteopath Podiatrists & Foot Clinics Elite Sports Clubs Equine & Small animal Vets
8 TREATMENT INDICATIONS
9 TREATMENT INDICATIONS VETERINARY
10 TREATMENT Protocol Four Easy Steps STEP 1 Palpate STEP 2 Mark Site STEP 3 Apply gel STEP 4 Appy Shock Waves STEP 5 Relax Muscles 3-5 Weekly treatments 5-10mins sessions Activates self healing Treatment for Chronic pain Affordable in office procedure No anaesthesia No injections No surgery No Negative side effects Relax surrounding Muscle with 36mm applicator tip
11 Swiss Dolorclast System Dolorclast Smart Control Unit 10HZ, 20HZ (DC Smart10, DC Smart20, DC Master Touch} Compressor Dolorclast Smart Cart Cord and Bottle Holder Kit Applicator Tips Radial Handpiece 15mm Standard tip EVO Handpiece (Blue) incl. 15mm Standard & Trigger tips, 36mm tip Warranty to 1,000,000 shocks Optional: Power Handpiece (RED) incl. 15mm Standard & Trigger tips, 36mm tip Warranty to 600,000 shocks AU Power cord and Manual
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13 Evidenced Based FDA approval Safe, Reliable, Efficient 15 out of 20 Double-blind, published, peer reviewed papers. Numerous publications in American Journal of Sports Medicine. Dolorclast in use world-wide for over ten years. Units currently installed Australia wide in Sports Med Clinics, Vets, Podiatrists and Elite Sports Clubs. MDSANZ YouTube link Clinician presentations Presentations by Australian clinicians (now SDCA certified) Dolorclast Academy Updated video presentations from EMS,
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15 Swiss DC Academy - Resources DC Academy downloadable apps.. (Dolorclast apps/training videos YouTube/EMS site) Downloadable clinical papers EMS certified workshops ipad/tablet as part of your sales tools
16 Service Handbook EMS Compressor Service and Maintenance Recommendations
17 Why DolorClast vs the others Applicator is an extension of the hand. Dolorclast applicators have spring loaded tip to reduce vibration. RED PH gives greater depth/ EVO Blue handle gives more energy and cavitation density - unique to DC
18 cont... Key point - promoting a measured dosage, backed by evidence based medicine Smart20 Powerful 20HZ High Frequency better treatment outcomes Encourage trials to have competing machine side by side with DC to compare power and build quality.
19 cont... Competition units have pre-sets that are not using parameters set out in studies but claim the outcomes. The applicator tip is fixed so energy feeds back into hands. Recent feedback on side by side comparisons were positive for DC. The users conceded the incredible power difference of the EVO over others. Clinicians also preferred the ability to change the parameters in real time. Changing the parameters in others involves stopping the treatment and clicking back through menus to change settings.
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