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Shockwave Therapy Applications

Richard Wolf is a leader in the development of medical shockwave systems based on piezoelectric technology. This highly precise, efficient technology has been proven in practice. Users also benefit from the system's excellent cost-effectiveness, and for patients, piezoelectric shockwaves are very gentle and almost painless.

Richard Wolf piezoelectric shockwave systems combine patient-friendly technology with outstanding performance, offering focused, linear focused or planar treatment. For stone and pain treatment, urologists, orthopedic surgeons and physiotherapists prefer this non-invasive procedure.

In addition to the technical advantages, ELvation® Medical's dedicated ESWL and ESWT team provides qualified customer service and authorized service from a single source.

Extracorporeal shockwave therapy in orthopedics

Since the early 1990s, extracorporeal shockwaves have also been used successfully to treat chronic pain conditions.

Extracorporeal shockwave therapy (ESWT) and trigger point shockwave therapy (TPST) treat chronic pain of the musculoskeletal system efficiently and non-invasively. ESWT has been used successfully for a growing number of indications in the treatment of acute and chronic musculoskeletal pain, and has therefore become firmly established in conservative treatment.

Mechanisms of action and effects of ESWT described in the literature:

  • Neovascularization
  • Induction of the release of growth factors such as TGF-ß1 and VEGF
  • Stimulation of fibroblast proliferation
  • Stimulation of mesenchymal stem cell migration
  • Antibacterial effect
  • Improved local blood circulation and inhibition of pro-inflammatory processes


For more information, visit www.elvation.de。

Extracorporeal shockwaves


Typical orthopedic indications for shockwave therapy (ESWT) are insertion tendinopathies, such as soft tissue changes of the rotator cuff in the shoulder, tennis or golfer's elbow, patellar tip syndrome of the knee or plantar fasciitis with heel pain.

In sports medicine, insertion tendinitis (enthesopathy) is one of the standard indications for focused shockwave therapy.

When clinical studies evaluate the effect of ESWT in this field, the focus is on stimulating or activating tissue substances that play a key role in self-healing, rather than on tissue destruction.

Trigger point shockwave therapy

With trigger point shockwave therapy (TPST), shockwave pulses of different penetration depths, intensities, power and pulse frequencies can easily be applied for a wide range of indications.

Before treatment, the precisely defined focus allows trigger points to be located exactly. Because the penetration depth is variable, even trigger points deep in muscle tissue can be located and treated precisely, greatly increasing treatment efficiency.

The FP4 planar therapy source of the PiezoWave device significantly extends the treatment range of ESWT/TPST, so large myofascial syndromes close to the skin surface can be treated successfully. Combining the FP4 planar therapy source with the F10 G4 focused therapy source also makes it possible to treat many orthopedic indications.

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Extracorporeal shockwave lithotripsy

Extracorporeal shockwave lithotripsy is a common treatment for kidney, ureteral and bladder stones. Pressure waves generated outside the body are applied to the patient through a transducer and focused through skin and tissue onto the stone, breaking it into sand-like particles. The fragments can then pass easily out of the body with the urine.


Piezoelectric technology

When a high-voltage pulse is applied, piezoelectric elements in a spherical dome expand rapidly and simultaneously by a few micrometers, generating a pressure pulse. The elements are aligned precisely on the therapy focus, and the precise focusing of the pulses forms a shockwave at the focus.

Richard Wolf piezoelectric shockwave technology is currently the only shockwave method that uses "direct focusing" without an additional reflector. This makes the therapy source compact and ergonomic and the focal zone precise and clearly defined. It is quiet, almost painless and produces high acoustic pressure at the focus.

Focal zone

The focus size for lithotripsy must meet a variety of requirements. On the one hand, the focus must be small and compact to break up stones, even hard ones, effectively while protecting the surrounding tissue. On the other hand, it must be large enough to break up large stones or stone fragments. In addition, cyclical changes in stone position caused by breathing often call for a larger therapy focus.

The PiezoLith 3000 Plus offers a choice of three different focal zones for individual treatment – a feature unique in the world that can even be switched during treatment. This unique flexibility comes from the way piezoelectric shockwaves are generated.

Large-area energy coupling reduces the energy density at the skin surface, greatly reducing pain. The precisely defined focal zone allows precise treatment while protecting the surrounding tissue.


Localization and guidance


Localization and guidance can be performed with ultrasound or X-ray. The therapy source of the new PiezoLith 3000 Plus works with all kinds of X-ray equipment, keeping the X-ray C-arm mobile and all lithotripsy components modular.

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Extracorporeal shockwave therapy in urology

ESWT and ED

Linear focused piezoelectric shockwaves can treat vasculogenic erectile dysfunction.

Linear focused shockwaves combined with a practical piezoelectric therapy source allow fast, complete treatment of the entire corpus cavernosum for the first time.

This largely ensures an even energy output, and treatment takes just a few minutes. The procedure is called LSTC-ED (Linear Shockwave Tissue Coverage – Erectile Dysfunction).

Registered users can view shockwave therapy for erectile dysfunction here

Register here

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ELvation Medical GmbH


ELvation Medical GmbH is Richard Wolf's exclusive authorized ESWL/ESWT sales and after-sales service team, providing purchasing and after-sales service for piezoelectric shockwave systems.

www.elvation.de
Questions?We are ready to help!
ELvation Medical GmbH
+49 7231 563656
info@elvation.de
https://www.elvation.de