EMS Swiss Dolorclast System (ESWT)
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.
How it works? Bullet Projectile travelling at 80 90 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.
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.
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)
Calcification of Rotator Cuff 12 weeks after treatment scan shows calcification has disappeared Weekly treatments 3-5 sessions
Dolorclast SWT - Applications Sports Medicine Physiotherapists Chiropractic/Osteopath Podiatrists & Foot Clinics Elite Sports Clubs Equine & Small animal Vets
Approved indications for the Swiss DolorClast Trigger points Lymphedema Idiopathic / pseudoradicular lower back pain Greater trochanteric pain syndrome Patellar tendinopathy Calcifying tendinitis of the shoulder/ subacromial pain syndrome Tennis elbow Cellulite Peyronie disease 34 Osgood Schlatter disease Mid-portion Achilles tendinopathy Wound management Medial tibial stress syndrome Insertional Achilles tendinopathy Plantar fasciopathy 2015 EMS SA
TREATMENT INDICATIONS
TREATMENT INDICATIONS VETERINARY
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
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
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 https://www.youtube.com/channel/ucoz7esp8efyn_2pni8re3fg Presentations by Australian clinicians (now SDCA certified) Dolorclast Academy https://www.youtube.com/channel/ucoz7esp8efyn_2pni8re3fg Updated video presentations from EMS,
Swiss DC Academy - Resources DC Academy downloadable apps.. (Dolorclast apps/training videos YouTube/EMS site) http://www.swissdolorclastacademy.com/en/news/videos https://www.youtube.com/channel/uck_lyeq5etslqyuupww3era Downloadable clinical papers EMS certified workshops
Contraindications of ESWT/RSWT on the musculoskeletal system Treatment over air-filled tissue (lung, gut) Treatment of pre-ruptured tendons Treatment of pregnant women Treatment of patients under the age of 18 (except of the treatment of Osgood-Schlatter disease) Treatment of patients with blood-clotting disorders (including local thrombosis) Treatment of patients treated with oral anticoagulants Treatment of tissue with local tumours or local bacterial and/or viral infections Treatment of patients treated with cortisone 19 2015 EMS SA