Professional Documents
Culture Documents
1940
1966
By accident,
Dornier Systems
develop the basic
physical
understanding for the
interaction of
shockwaves with
tissue, materials.
1980
1989
Continued
Application of
ESWT in
Orthopedics
including frozen
shoulder, tennis
elbow, heel spur,
bursitis, jumpers
knee and
achillodynia
1992
Observation of increased
bone density following
lithotripsy treatment leads to
investigation of possible
orthopedic applications.
1989 the first treatments of
non-healing fractures
(pseudarthrosis).
ESWT treatment of
mycardial Infarction
during open heart
surgery
December 2007
2004
2007
Application of ESWT
in Dermatology
including non-healing
wounds, diabetic foot
ulcers, decubital ulcers
and burns.
ESWT Introduction
Acoustic waves are pressure and density fluctuations and
thus are also termed pressure waves ;
Shockwaves are pressure waves with a specific and
characteristic pressure profile :
very short rise times (in the nanosecond range)
high amplitudes ( up to 100 MPa )
short pulse duration ( < 1 microsecond )
Regeneration of vessels,
skin, bone and nerve tissue.
In addition to orthopedic
applications since 1992,
ESWT is nowadays used in
Dermatology.
3 treatments with
Soft Focus ESWT
without anesthesia
Pre-treatment
After 2 weeks
After 4 weeks
After 7 weeks
Pre-treatment
After 2 weeks
After 4 weeks
After 6 weeks
Pre treatment
After 2 weeks
After 5 weeks
After 11 weeks
Pre treatment
After 1 week
After 3 weeks
After 5 weeks
After 6 weeks
Pre treatment
Decubital ulcer
After 6 months
Pre-treatment
Burn wounds
After 6 months
Pre-treatment
After 6 months
Pre-treatment
Pseudarthrosis
Male patient
Age 59
Talus fracture
Pre-treatment
After 3 months
After 5 months
After 1 year
Pseudarthrosis
Female Patient
Age 36
Sub-total
amputation
Replantation
K-Wire
Spongio-plasty
Plating
Ext. Fixator
After 4 years
ESWT application
After 6 months
Pre treatment
After 3
months
Pseudarthrosis
After 6 months
Pre treatment
Pseudarthrosis
Female patient
Age 59
Injury due to a fall
Diabetic
Pre treatment
After 3
months
After 6
months
Pseudarthrosis
Male Patient
Age 46
Motorcycle accident
Tibia fracture
External fixator
After 8 weeks removal of
fixator and cast
After 9 months ESWT
application
After 2
months
After 4
months
Pseudarthrosis
Male Patient
Age 46
Motorcycle accident
Tibia fracture
External fixator
After 8 weeks removal
and cast
After 9 months ESWT
application
CT pre treatment
Study Results
Orthopedics
Achilles tendon
Bursitis
Fasciitis plantaris
Tendinosis calcarea
Non-union (Pseudarthroses)
PPS (Patella tip syndrom)
Epicondylopathia humeri radialis
Epicondylopathia humeri ulnaris
Over a period of 2 years, 409 patients were treated for a
variety of sports related injuries at the sports medicine
clinic in Hellersen.
74% patients
reported positive to very
positive therapeutic results
Study Results
Dermatology
ESWT Indications
Orthopedics
Achilles tendon
Bursitis
Fasciitis Plantaris
Tendinosis calcarea
Pseudarthrosis
PPS
Epicondylopathia humeri radialis
Epicondylopathia humeri ulnaris
Dermatology
Non-healing wounds
Post-traumatic lesions
Ulcers
Decubitus
Burns
ESWT forecast
Da Vinci projects
Dermatology
Orthopedics
Odontology
Neurology
Cardiology
ESWT forecast
Dermatology
Combat Wound Initiative 2007
Dermatology
Orthopedics
Odontology
Neurology
Cardiology
ESWT forecast
Dermatology
Cellulite
Dermatology
Orthopedics
Odontology
Neurology
Cardiology
Adipocellular / Lipolysis
First, very positive results out of running studies
in Korea and Italy
Burns
First, very positive results out of a running study
at the Verbrennungszentrum in Berlin
ESWT forecast
Orthopedics
Dermatology
Orthopedics
Odontology
Neurology
Cardiology
Arthrosis
In a study in Berlin a patients knee was
treated with ESWT
The knee was re-arthroscoped after 1 year.
The cartilage was almost totally recovered.
ESWT forecast
Dentistry
Dermatology
Orthopedics
Bacterial Parodontitis
Odontology
Neurology
Cardiology
ESWT forecast
Neurology
Nerve transplantation
Dermatology
Orthopedics
Odontology
Neurology
At the Ludwig-Boltzmann-Institut in Vienna rats were treated. The sciata nerve was
cut, turned by 180 and reimplanted. After ESWT clear advantages of the treated
animals in comparison with the control group were measured (Step-test, Catwalk,
Plain-test).
Cardiology
Peripheral nerve
system
Spinal cord
Brain
ESWT forecast
Cardiology
Heart surgery
Dermatology
Orthopedics
Odontology
Neurology
Cardiology
ESWT forecast
furthermore
Plants
Dermatology
Orthopedics
Dentistry
Neurology
Cardiology
furthermore