How does Sonicwave™ therapy work?
If the penis does not become erect periodically, during sleep or through sexual stimulation the blood vessels shrink. SONICWAVE™ therapy physically jolts the cells of the penis causing them to act as though they are injured which stimulates angiogenesis (growth of blood vessels) and neurogenesis (growth of nerves).
What is the energy content of a shock wave?
The energy content of the wave will vary and the propagation of the wave will vary with tissue type. Just like an ultrasound wave, the shock wave consists of a high pressure phase followed by a low pressure (or relaxation) phase. When a shock wave reaches a 'boundary', some of the energy will be reflected and some transmitted.
Does low-energy shock wave therapy ameliorate erectile dysfunction (ED)?
Li H, Matheu MP, Sun F, Wang L, Sanford MT, et al. (2016) Low-energy shock wave therapy ameliorates erectile dysfunction in a pelvic neurovascular injuries rat model. J Sex Med 13(1): 22-32.
How does Sonicwave™ treat erectile dysfunction?
How does SONICWAVE™ treat erectile dysfunction? SONICWAVE™ therapy physically jolts the cells of the penis stimulating the growth of blood vessels and nerves. SONICWAVE™ therapy is comprised of a suite of therapies that are tailored to the patient’s specific medical and psychological state.
What is low energy shockwave therapy?
Extracorporeal Shockwave Therapy (SWT) is a modality used for the treatment of a variety of musculoskeletal conditions, primarily applied to chronic conditions, particularly those affecting medium to large sized tendons and their insertions on bone such as: Plantar Fasciitis.
What are high energy shock waves?
Shock waves are audible high-energy sound waves. In the medical world, shock waves have been used successfully for the treatment of various medical conditions since around 1980. For example, shock waves are used in orthopaedics for the treatment of painful insertional tendinopathies and non-healing bone fractures.
What frequency is used for shockwave therapy?
Conclusions: The results of our study have shown that the optimal frequency during extracorporeal shock wave lithotripsy is 90 shock waves per minute in terms of duration, efficacy, and analgesic and sedative requirement at the same total energy level.
Does low intensity shockwave work?
Low-intensity extracorporeal shock wave therapy is a safe treatment for men with erectile dysfunction and might work to improve, or even cure, ED in some patients. But there remain important unanswered questions, including which patients are ideal candidates and which protocol and devices are best.
Does shockwave therapy Increase Size?
The 30-minute procedure can encourage new blood-vessel growth in patients with poor circulation, diabetes or prostate cancer. Some men also seek this treatment because it can increase the length and girth of a penis. The results last about a year.
What is the difference between shockwave therapy and ultrasound therapy?
While a sound wave/ultrasound can be described as the ripples (sinusoidal waves) created when a small rock is dropped in water, a shock wave is faster and not as smooth. Due to their high intensity and faster nature, the shock waves look more similar to the V-shaped bow wave of a boat.
What frequency is low intensity shockwave?
The settings of the devices used ranged from 300 to 5000 pulses, with an average energy of 0.09 mJ/mm2 (120–300 pulses/min and a frequency of 5–8 Hz) in the sessions provided. The follow-up period ranged from 1 to 12 months after the completion of the LI-ESWT protocol for ED treatment.
What are the different types of shockwave therapy?
There are two types of shockwave therapy: focused shockwave therapy (FSWT) and radial shockwave therapy (RSWT).
Do you get an erection during shockwave therapy?
A healthcare provider moves the device along parts of your penis for about 15 minutes while it emits gentle pulses. No anesthesia is needed. The pulses trigger improved blood flow and tissue remodeling in the penis. Both of these changes can lead to erections sufficient for sex.
How long does it take for shockwave therapy for ED to work?
The typical treatment course is 6 treatments over 6 weeks, and 50-80% of patients will report an improvement in their erections 30 days after they have completed the full treatment cycle. Any of our urologists can advise you on whether shockwave therapy may be right for you.
How often should you do shockwave therapy for ED?
Shoskes and colleagues at Cleveland Clinic administer LISWT once a week for six weeks, although the ideal treatment protocol has yet to be determined. Each treatment session lasts about 15 minutes. No anesthesia is necessary, and for upwards of 95% of patients, the procedure is painless, Dr. Shoskes says.
What are the three types of shock waves?
Shockwaves are classically generated by three different types of energy sources: electrohydraulic, electromagnetic, or piezoelectric.
What type of wave is a shock wave?
It is defined as a compression wave—a sudden spike in pressure followed by a sudden drop in pressure—formed, for example, when the speed of an object (such as a bullet) is faster than the speed at which the surrounding medium (such as air) transmits sound. Figure 5.
What does a shockwave feel like?
Shockwave therapy is a non-invasive, non-surgical treatment, but you might feel a little pain or discomfort in the treatment area during the procedure. Most patients say it feels like small pulses against the skin.
How fast is a shockwave in mph?
about 784 miles per hourAt 50 seconds after the explosion, when the fireball is no longer visible, the blast wave has traveled about 12 miles. It is then traveling at about 784 miles per hour, which is slightly faster than the speed of sound at sea level....Overpressure.Peak overpressureMaximum Wind Speed10 psi294 mph5 psi163 mph2 psi70 mph2 more rows
What is a shockwave?
A shockwave is, put simply, an acoustic wave, as is a means of transmitting energy. A clinically useful shockwave is effectively a controlled explosion (Ogden et al 2001), and when it enters the tissues, it will be reflected, refracted, transmitted and dissipated like any other energy form.
What are the physiological effects of pressure wave?
The pressure wave causes direct effects (as one would expect) and also 'indirect' effects associated with the subsequent low pressure part of the cycle (often referred too as the tensile phase), and during this phase, cavitation will occur (as with therapeutic ultrasound).
What is a focussed wave?
The focussed waves are essential for 'surgical' interventions, but given their destructive nature, they are less appropriate for therapeutic uses . Focussed waves are sometimes also referred to as 'hard' shockwaves, the radial or dispersive wave sometimes called a 'soft' shockwave (another twist in the terminology).
What are some examples of shock waves?
Obvious examples of shock waves are the sonic boom from an aircraft, thunder or the sound following an explosion . A shockwave is, put simply, an acoustic wave, as is a means of transmitting energy.
How many sessions of physiotherapy for recalcitrant lesions?
Some evidence for a single session BUT only for High level treatment – using local anaesthesia – not physiotherapy. Most clinical research has used between 3 – 5 sessions at low energy levels (typical therapy application), suggested up to 7 may be needed in the more recalcitrant lesions.
What is the International Society for Electrophysical Agents in Physical Therapy?
The International Society for Electrophysical Agents in Physical Therapy (ISEAPT) is a formal subgroup of the World Congress Physical Therapy (WCPT) and is the leading International organisation concerned primarily with Electro Physical Agents. The Electro Physical Agents and Diagnostic Ultrasound ...
Why are waves focused?
The waves are focused in order to achieve the effects in a volume limited zone of tissue, though the focus does not actually come to a 'point' in therapy devices - more like a zone or small volume typically several mm across (2 - 8mm), and thus the destructive effects are eliminated.
What is a SONICWAVE?
SONICWAVE™ therapies are scientifically validated approaches for treating blood flow and nerve reflexes. They are a relatively new approach for pelvic rehabilitation. SONICWAVE™ is most effective when used as part of a multimodal treatment. It is available at clinics under the supervision of specially trained medical doctors.
What is low energy shock wave?
Low energy shock waves have been used for many years to treat damaged muscles, tendons, bones and nerves. The treatment is used to treat plantar fasciitis, tendonitis (such as the achilles tendon), knee problems, golfers’ elbow, tennis elbow and bone fractures that aren’t healing.
How many times has ESWL been used?
Extracorporeal shock wave lithotripsy (ESWL), as it is called, has been used over 100 million times. The side effects of high energy extracorporeal shock waves are well documented and for the most part are similar to the effects of minor physical trauma, that tissues fully recover from.
Destruction of tissue
The destruction of cells through spalling, (Delius, 2000, Lokhandwalla & Sturtevant, 2000, Eisenmenger, 2001, Xi & Zhong, 2001, Zhu et al., 2002), spall crack formation (Tan, 2008, Yankelevsky & Avnon, 1998) or tension (Eisenmenger, 2001) normally requires higher shock pressure and slower speeds.
Tissue Healing
Berta et al. (2009) showed low to medium energy shockwave treatment induces much less cell destruction and more stimulation of cell proliferation. Wang et al. (2001, 2002) and Martini et al. (2003) found the same thing. Whether fibroblasts lived or died was influenced most by the number of shots much more than by energy level.
Pain
Maier et al. (2003) showed that after shockwave pain initially increases (for the first 6 hours after shockwave application). This comes from an increase in release of substance P (through C fibre and A-deltau0001 fibre depolarisation) and the subsequent inflammatory response from that release.
Abstract
The impact of energy flux density (EFD) used on low-intensity shockwave therapy (LiST) for erectile dysfunction (ED) has not been explored. Our aim was to compare EFD 0.05 versus 0.10 mJ/mm 2 regarding efficacy and safety of 12-treatment sessions when applied two or three times per week.
Introduction
Efficacy and safety of low-intensity shockwave therapy (LiST) for erectile dysfunction (ED) has been reported previously [ 1, 2, 3, 4 ].
Materials and methods
The study is a prospective, randomized, four parallel-arm, open-label study and was performed at the Andrology outpatient clinic of an academic hospital. The study was conducted according to Good Clinical Practices and the Declaration of Helsinki.
Results
A total of 132 patients were screened and 97 were eligible according to the inclusion criteria. Of the 97 patients enrolled to the study, 89 of them completed the 6-month FU visit (Fig. 1 ). There was no statistically significant difference in baseline patient demographics and disease severity between the groups (Table 1 ).
Safety
Safety of the method was assessed by performing personal interview before and after each LiST session and at the FU visits. Patients were asked to report any side effect they might have experienced during the session or at the time interval between sessions or FU visits.
Discussion
Previously available nonsurgical ED treatment options produce only temporary symptomatic relief [ 10 ]. LiST is the first treatment modality proposed to modify the underlying pathophysiology in men with organic ED [ 11 ].
Funding
This study was made possible by an investigator-initiated research grant from Dornier MedTech Systems, GmbH (Wessling, Germany)
How does shock wave affect tissue?
Biology. The transmission of a shock wave or of a pressure wave leads to effects on the tissue. The transformation of the physical energy into a biological response is similar to a cascade process. First the cell skeletal annexes are activated, which leads to the release of mRNA from the cell nuclei.
What is ESWT used for?
If, for example, ESWT is used in the treatment of tendons or bones, one must take appropriate precautions to ensure that stress after treatment does not compromise the healing process.
Is ESWT safe?
Extracorporeal shock wave therapy (ESWT) is a safe therapy and there are only a few side effects known (such as pain during ESWT and minor haematomata), but no severe complications are to be expected if it is performed as recommended. Contraindications are severe coagulopathy for high-energy ESWT, and ESWT with focus on ...
Do radial devices produce pressure pulses?
The fact is, however, that radial devices do not produce pressure pulses that resemble the characteristic properties of the classic shock wave: the rising time and the maximal pressure of radial pressure waves are much lower (Fig. 2). Open in a separate window. Fig. 2.
Can ESWT cause haematomata?
We regard the fact that the treatment itself is unpleasant or painful as a side effect, not a complication. ESWT can cause redness and superficial haematomata on the skin, due to the pain during ESWT. The patient might develop a vago-vasal reaction and become dizzy, and deeper injuries of the skin are not unknown.
What is the shape of a shock wave called?
The shape of the shock wave is called a Mach cone and the opening angle of the cone is given by: Sin(q) = Vsound/Vsource. Each kind of wave has it own example of shock waves and Mach cones. Water waves: The easiest waves to visualize are water waves.
Which waves are easier to visualize?
The easiest waves to visualize are water waves. In this case, you just need to drive a boat faster than the speed of water waves, which is not hard to do: The Mach cone is even better in a controlled experiment: Sound waves: Sound waves are harder to visualize, but they are easy to hear.
What happens when the wind blows 20 miles/hour?
If the wind starts blowing at 20 miles/hour, you are no longer stationary – you are actually moving at 20 miles/hour with respect to the air. If a car is traveling at 20 miles/hour in the same direction that the wind is blowing, the car is actually not moving with respect to the air.
Is the Doppler shift of light different than other waves?
One final note: the Doppler shift of light is a little different than for other waves. Why this is is not well understood, but it has to do with frames of reference. Above, we noted that there is a difference between a moving source and a moving observer and motion has defined relative to the medium.
A Brief History
Principles of Production
Characteristics
Physiological Effects and Mechanisms of Action
Energy Levels For Detrimental Effects
- High energy shockwave (considered to be over 0.6 mJ/mm2) have been shown to have detrimental effects in soft tissues, though it is proposed that this is not a dose that would normally be employed in therapy, and is likely to require at least some form of local analgesia to be able to tolerate the treatment! There is some evidence that energy densit...
Adverse Effects
Treatment Dose Issues
Shock Number
Number of Treatment Sessions
Shockwave - Research Evidence