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Since we first received hands-on training at the Storz Medical headquarters in Switzerland in 2011 —by Storz Medical’s globally recognized team of shock wave pioneers—leaders in every Storz innovation for decades — we have remained deeply committed to advancing shockwave therapy across the Caribbean. What began as a small initiative has evolved into a region-wide effort led by a collaborative team of 9 certified technicians and over 100 expert clinicians (including doctors, physiotherapists, chiropractors, and physiatrists) working in seven countries. Understanding shockwave therapy isn’t just about memorizing protocols — it’s about applying them, refining them, and growing alongside the evolving technology. That’s exactly what our network does ev

ery day. Together, we continue to treat patients hands-on — not only to help them heal but to incorporate new transmitter heads and devices as they are released annually. This ensures we stay at the forefront of clinically effective practice and that our training reflects the most up-to-date knowledge and results in the field. Our team’s approach blends structured online education with intensive hands-on training, designed to ensure every new user becomes not just competent but confident — ideally surpassing even our own benchmarks. We encourage every clinician to think beyond textbook protocols, because the most effective treatments often require tailored, real-world solutions. Importantly, our regional network regularly collaborates on complex cases and unique clinical scenarios — such as adapting protocols for patients on dialysis or managing contraindications in sensitive populations. This shared insight helps us constantly refine our approach and support each other in delivering safe, effective care across a wide range of patient presentations. Some clinics may initially view other practices acquiring Storz shockwave systems as competition. In reality, the opposite is true. History — both globally and locally — shows that when a new Storz system arrives in a market, awareness rapidly grows among both patients and clinicians that shockwave therapy simply works. As patient outcomes improve, demand rises — and clinics still relying on less effective or outdated technologies are often left behind. Rather than fragmenting the field, the growth of Storz-equipped clinics actually builds a stronger standard of care and raises the level of clinical expertise through shared learning, case discussions, and participation in regional congresses. In fact, we’ve found that the more clinicians using SWT, the better the results and the faster the adoption curve — benefiting everyone, most importantly the patients. We believe in staying connected and growing together. We welcome your input and would genuinely appreciate any success stories or clinical insights you’d like to share. Our strength as a network lies in the power of numbers and ongoing collaboration — it’s how we all continue to learn, improve, and deliver the best possible outcomes for our patients. In the spirit of collaboration, below is a recent testimonial and clinical outcome, that highlights what is possible when advanced technology meets real-world experience. Warm regards, Ken Brown on behalf of the entire SWT Therapy Group team www.swtorthopaedics.com

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Storz Medical is a pioneering force in medical technology, known for its groundbreaking advancements in shockwave therapy and other non-invasive treatment solutions. While regulatory approval in individual countries is essential, Storz global reach extends far beyond any single market. Its global reach is a testament to its commitment to innovation, efficacy, and patient care worldwide.

Storz Global Reach

One of the most remarkable aspects of Storz Medical is its ability to navigate and comply with multiple regulatory frameworks, ensuring that its cutting-edge medical technologies are available to healthcare professionals and patients worldwide. Storz global reach spans across major global markets, including:

1. Other Countries (China, India, and Beyond)

• Storz Medical serves an estimated 3.18 billion people, accounting for 74% of the global population.
• These countries include large, rapidly developing healthcare markets such as China, India, Brazil, and Russia, where demand for non-invasive medical solutions is rising.
• Expansion in these markets demonstrates Storz Medical’s ability to adapt to varying healthcare regulations, medical needs, and economic conditions.

2. CE Marking (European Economic Area + Recognizing Countries)

• The CE marking is a vital certification that allows medical devices to be marketed across the European Economic Area (EEA) and other recognizing regions.
• With this approval, Storz Medical reaches a total of 775 million people (or 18.1% of the global population).
• Countries benefiting from CE-marked Storz Medical products include Germany, France, the UK, Italy, Spain, and other EEA nations, ensuring access to high-quality medical technologies in some of the world’s most developed healthcare systems.

3. FDA Approval (United States)

• The U.S. Food and Drug Administration (FDA) plays a crucial role in approving medical devices for use in the United States.
• FDA approval covers 339 million people, representing 7.9% of the global population.
• While essential for the U.S. market, FDA approval is just one part of Storz Medical’s comprehensive regulatory strategy.

Why Storz Global Reach Matters 

The importance of a global presence in the medical device industry cannot be overstated. Companies that successfully expand into multiple markets offer several advantages:

1. Greater Access to Innovative Treatments

By operating in numerous countries, Storz Medical ensures that patients and healthcare providers across the world have access to cutting-edge, non-invasive treatment solutions. Many regions suffer from a lack of advanced medical technology, and Storz Medical’s expansion helps bridge that gap.

2. Diversification of Revenue Streams

A broad market reach helps companies maintain financial stability and growth, even when certain regions experience economic downturns or regulatory challenges. Storz Medical’s diverse international footprint allows it to continue thriving despite fluctuations in individual markets.

3. Regulatory Excellence and Adaptability

Navigating different regulatory landscapes is a complex process, but Storz Medical’s ability to meet international safety and efficacy standards proves its commitment to patient safety and medical innovation. Adhering to FDA, CE, and other international regulations solidifies its reputation as a reliable medical technology provider.

4. Leadership in Medical Innovation

Expanding into multiple regions enables Storz Medical to continuously innovate, using data and feedback from a broad range of healthcare professionals worldwide. The company’s presence in diverse healthcare systems drives advancements in medical technology that benefit patients everywhere.

Storz Medical’s Impact on Global Healthcare

Storz Medical’s technology is revolutionizing several fields of medicine, including:

1. Orthopedic and Sports Medicine

• Shockwave therapy is widely used to treat musculoskeletal conditions, including tendon injuries, plantar fasciitis, and chronic pain syndromes.
• The company’s technology is helping athletes and active individuals recover faster and more effectively.

2. Urology and Men’s Health

• Storz Medical’s innovations in low-intensity shockwave therapy (LiSWT) have transformed the treatment of erectile dysfunction (ED) and other urological conditions.
• These treatments are now available in clinics worldwide, thanks to the company’s extensive global reach.

3. Aesthetic and Dermatology Treatments

• Non-invasive therapies for cellulite reduction, skin tightening, and body contouring are gaining popularity across different markets.
• Storz Medical’s presence in Europe, North America, and Asia ensures that patients worldwide benefit from the latest aesthetic medical advancements.

4. Neurological and Rehabilitation Therapies

• Shockwave therapy is showing promise in neurological rehabilitation, including stroke recovery and nerve regeneration.
• The company’s ability to integrate new research findings into its devices makes these treatments more widely accessible.

Looking to the Future: Expansion and Innovation

Storz global reach continues to grow by expanding its research and development efforts and entering new international markets. The future of medical technology depends on global collaboration, and Storz Medical is at the forefront of this movement.

As new regulatory approvals are obtained, more patients will benefit from its cutting-edge treatments. The company’s commitment to safety, effectiveness, and patient-centered care ensures that its impact will continue to grow worldwide.

Conclusion: A Global Leader in Medical Technology

While FDA approval is crucial for the U.S. market, it represents only a small fraction of Storz global reach and impact. The company’s ability to meet diverse regulatory standards across multiple continents highlights its position as a trusted global leader in medical technology.

Whether in Asia, Europe, North America, or beyond, Storz Medical’s innovations are changing lives and redefining non-invasive medical treatments. Its global reach, backed by rigorous regulatory compliance and cutting-edge technology, cements its status as a pioneer in the medical device industry.

Discover More About Storz Medical

Explore how Storz Medical’s international presence is transforming healthcare. Contact us today to learn more about our innovative treatments and global impact.

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A Groundbreaking Partnership: Everbrook LTD & The SWT Therapy Group

We are excited to announce a transformative partnership between Everbrook LTD and The SWT Therapy Group. This collaboration marks a major step forward in advancing non-invasive medical technologies in the Caribbean. Our shared mission is to revolutionize healthcare by making cutting-edge treatments more accessible to patients across the region. Together, we are introducing the revolutionary Storz Neurolith and other advanced technologies from Storz Medical to clinics throughout the Caribbean—a commitment we have proudly upheld since 2011.

The Visionaries Behind the Partnership

The driving forces behind Everbrook LTD, Dr. Francene Gayle and Dr. Steve Lawrence, bring expertise and passion for reshaping Caribbean healthcare.

• Dr. Francene Gayle, Chief Medical Officer at Andrews Memorial Hospital in Kingston, is a distinguished Stroke Neurologist and Healthcare Quality Consultant. Her career has focused on improving patient care and integrating groundbreaking medical technologies into standard practice.
• Dr. Steve Lawrence, a Multidisciplinary Transformation Specialist, brings international experience and a focus on systemic change in healthcare. Together, they form a formidable team dedicated to leading this initiative with vision and commitment.

Both professionals recently returned to Jamaica after years of practice in Canada and Bermuda. Their global experience, combined with deep knowledge of local healthcare challenges, positions them to drive this transformative journey. They understand the critical need for advanced, non-invasive medical solutions to improve patient outcomes and elevate the standard of care across the region.

Months of Collaboration and International Training

This partnership was built through months of collaboration between Dr. Gayle and Ken Brown, CEO of The SWT Therapy Group. Their discussions led to a pivotal Transcranial Pulse Stimulation Symposium in Germany last October, where they aligned on a shared vision for non-invasive medical technology in the Caribbean.

A key milestone occurred on January 16, 2025, in Neuss, Germany, where the team completed advanced training in Transcranial Pulse Stimulation. Under the guidance of:

• Prof. Dr. Sprick, Head of the Neurostimulation Centre at Alexis/Josef Hospital
• Dr. Ali Reza Gunes, Senior Physician

They mastered the Neurolith device, ensuring they can deliver best-in-class clinical practices to the Caribbean healthcare community.

This high-level training signifies an important leap forward for healthcare innovation in the region. By equipping local specialists with the knowledge and skills to implement these technologies effectively, the partnership ensures a sustainable impact on patient care.

Leading Non-Invasive Brain Stimulation in the Region

One of the most exciting aspects of this partnership is Dr. Gayle’s leadership in training clinicians for new Neurolith clinic installations across the Caribbean. These clinics will serve as innovation hubs, equipping healthcare professionals with the skills to deliver life-changing treatments.

The Storz Medical Neurolith device represents a breakthrough in non-invasive brain stimulation technology. It offers hope to patients with neurological conditions who previously had limited treatment options. By leveraging this technology, patients with conditions such as stroke-related cognitive decline, depression, and neurodegenerative disorders can now benefit from an effective and non-invasive alternative.

Dr. Gayle’s expertise ensures the highest standards of training and implementation, elevating healthcare quality and empowering clinicians to embrace cutting-edge treatments that are advancing non-invasive medical technologies in the Caribbean.

Transforming Healthcare Accessibility and Patient Outcomes

This collaboration is more than a partnership—it is a bold step toward improving healthcare access in the Caribbean. By introducing advanced, non-invasive medical technologies, we are addressing critical gaps in the region’s healthcare system.

Benefits of This Initiative:

✅ For Patients: Greater access to state-of-the-art treatments for stroke recovery and neurological disorders.

✅ For Clinicians: Opportunities to stay at the forefront of medical innovation through specialized training.

✅ For Healthcare Systems: Improved patient outcomes, reduced reliance on invasive procedures, and an elevated standard of care.

By advancing non-invasive medical technologies in the Caribbean, this initiative represents our commitment to improving lives while empowering healthcare practitioners with advanced medical solutions.

Expanding the Reach of Non-Invasive Therapies

Beyond Transcranial Pulse Stimulation, Everbrook LTD and The SWT Therapy Group are exploring additional non-invasive therapeutic applications to enhance pain management, sports rehabilitation, and neurodegenerative disease treatment. Future initiatives include:

• Extracorporeal Shock Wave Therapy (ESWT) for pain relief and muscle recovery.
• Focused Shockwave Therapy for treating musculoskeletal conditions.
• Expanding access to neuromodulation techniques for treating cognitive impairments.

As these innovations take root, the Caribbean healthcare landscape will undergo a significant transformation, providing more effective, safer, and less invasive treatment options.

A Bold New Chapter for the Caribbean

At Everbrook LTD and The SWT Therapy Group, we believe innovation should have no boundaries. This partnership showcases what is possible when visionaries unite for a common purpose. By harnessing the power of non-invasive medical technologies, we aim to redefine healthcare in the Caribbean and create a brighter future for all.

This is just the beginning. Stay tuned for more updates as we bring this vision to life. Together, we are shaping the future of healthcare—one groundbreaking step at a time!

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A New Era in Non-Invasive Medical Treatment and Neurological Treatment In The Caribbean

The medical landscape is evolving rapidly, and non-invasive treatment options are at the forefront of innovation. As the exclusive distributor of Storz Medical products in the Caribbean, SWT Therapy Group is committed to bringing cutting-edge, Swiss-engineered medical technologies to healthcare professionals and patients across the region.

From shock wave therapy (ESWT) for pain management to Transcranial Pulse Stimulation (TPS) for Alzheimer’s treatment, Storz Medical continues to set the gold standard for non-invasive therapeutic solutions. Let’s explore the breakthrough technologies redefining neurological treatment in the Caribbean.

DUOLITH SD1 »ultra«: A Modular Approach to Shock Wave Therapy

The DUOLITH SD1 »ultra« is a game-changer in the world of radial and focused shock wave therapy (ESWT). Designed to meet the increasing demands of modern medical practices, this modular system integrates multiple therapeutic applications into a single, highly efficient device.

Key Features of DUOLITH SD1 »ultra«

• Radial and Focused Shock Wave Therapy (ESWT): A powerful combination for treating musculoskeletal conditions, chronic pain, and soft tissue injuries.
• Complementary Vibration and Vacuum Therapy: Enhancing treatment outcomes and improving patient comfort.
• Integrated Diagnostic Ultrasound Imaging: Allows for precision targeting of treatment areas.
• Modular System: Adaptable to the evolving needs of medical professionals and clinics.

By integrating focused and radial shock wave therapy, the DUOLITH SD1 »ultra« delivers optimal treatment solutions for conditions like tendinitis, plantar fasciitis, and chronic musculoskeletal pain. It’s a powerful addition to any orthopedic, sports medicine, or physiotherapy practice in the Caribbean, reinforcing advancements in neurological treatment in the Caribbean.

🎥 See it in action: Watch the DUOLITH SD1 »ultra« in use

What is EMTT? The Future of Pain Management

Electromagnetic Transduction Therapy (EMTT) is a revolutionary new treatment that facilitates healing at a cellular level. It’s a drug-free, non-invasive therapy that has been proven to alleviate pain, reduce inflammation, and normalize cell function.

How EMTT Works

• EMTT enables the efficient exchange of potassium, sodium, and calcium ions between cells, helping to restore damaged tissues and accelerate healing.
• The Magnetolith EMTT device by Storz Medical uses a high-frequency electromagnetic field, similar to MRI technology, to stimulate tissue regeneration.
• A water-cooled applicator ensures comfort and precision, allowing for targeted therapy in areas of pain and inflammation.

Why Choose EMTT?

• Fast and effective: Many patients experience noticeable pain relief after just a few sessions.
• Completely non-invasive: No injections, no medications, and no downtime.
• Versatile applications: Ideal for treating chronic pain, osteoarthritis, sports injuries, and tendon disorders.

🎥 Learn more about EMTT therapy: Watch the video

Transcranial Pulse Stimulation: A Breakthrough in Alzheimer’s Treatment

Neurodegenerative diseases, such as Alzheimer’s and dementia, pose a significant challenge for healthcare providers worldwide. Transcranial Pulse Stimulation (TPS) is a new, drug-free treatment for Alzheimer’s disease, offering hope to patients and caregivers alike.

How TPS Works

• The Storz Neurolith device delivers short acoustic pulses with an ultrasound frequency range, enabling focused stimulation of the brain at a depth of up to 8 cm.
• This non-invasive, outpatient treatment can significantly improve cognitive function in individuals with mild to moderate Alzheimer’s disease.
• In clinical studies, just six 30-minute sessions over two weeks have resulted in an improvement of up to 10 points on the CERAD scale, which measures cognitive function.

Why Choose TPS for Alzheimer’s?

• Drug-free treatment with no significant side effects.
• Clinically proven to improve memory and cognitive function.
• Completely non-invasive, requiring no surgery or anesthesia.

🎥 Discover more about NeuroLith for Alzheimer’s treatment: Watch the video

Transforming Healthcare in the Caribbean with Storz Medical

As the exclusive distributor of Storz Medical technologies in the Caribbean since 2011, SWT Therapy Group is dedicated to equipping healthcare professionals with the best non-invasive medical solutions available. Neurological treatment in the Caribbean is rapidly evolving, and our innovative solutions are playing a key role in this transformation.

Why Partner with SWT Therapy Group?

• We provide Swiss-engineered, gold-standard medical technology.
• Our devices are trusted by specialists worldwide for their unparalleled efficacy.
• We offer comprehensive training and support to ensure clinics and practitioners maximize the benefits of these technologies.

If you are a healthcare provider in the Caribbean looking to expand your treatment options and offer cutting-edge non-invasive therapies, it’s time to join our winning team. Neurological treatment in the Caribbean is advancing, and now is the perfect time to be at the forefront of this medical revolution.

🌍 Explore our full range of Storz Medical products and solutions here: http://swtorthopaedics.com/orthopaedics/

📩 Contact us today: ken@swtorthopaedics.com

Together, we are redefining neurological treatment in the Caribbean—one innovation at a time!

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A Groundbreaking Partnership: Everbrook LTD & The SWT Therapy Group

We are excited to announce a transformative partnership between Everbrook LTD and The SWT Therapy Group. This collaboration marks a major step forward in advancing non-invasive medical technologies in the Caribbean. Our shared mission is to revolutionize healthcare by making cutting-edge treatments more accessible to patients across the region. Together, we are introducing the revolutionary Storz Neurolith and other advanced technologies from Storz Medical to clinics throughout the Caribbean—a commitment we have proudly upheld since 2011.

The Visionaries Behind the Partnership

The driving forces behind Everbrook LTD, Dr. Francene Gayle and Dr. Steve Lawrence, bring expertise and passion for reshaping Caribbean healthcare.

Dr. Francene Gayle, Chief Medical Officer at Andrews Memorial Hospital in Kingston, is a distinguished Stroke Neurologist and Healthcare Quality Consultant. Her career has focused on improving patient care and integrating groundbreaking medical technologies into standard practice.

Dr. Steve Lawrence, a Multidisciplinary Transformation Specialist, brings international experience and a focus on systemic change in healthcare. Together, they form a formidable team dedicated to leading this initiative with vision and commitment.

Both professionals recently returned to Jamaica after years of practice in Canada and Bermuda. Their global experience, combined with deep knowledge of local healthcare challenges, positions them to drive this transformative journey.

Months of Collaboration and International Training

This partnership was built through months of collaboration between Dr. Gayle and Ken Brown, CEO of The SWT Therapy Group. Their discussions led to a pivotal Transcranial Pulse Stimulation Symposium in Germany last October, where they aligned on a shared vision for non-invasive medical technology in the Caribbean.

A key milestone occurred on January 16, 2025, in Neuss, Germany, where the team completed advanced training in Transcranial Pulse Stimulation. Under the guidance of Prof. Dr. Dr. Sprick, Head of the Neurostimulation Centre at Alexis/Josef Hospital, and senior physician Dr. Ali Reza Gunes, they mastered the Neurolith device. This training ensures they can deliver best-in-class clinical practices to the Caribbean healthcare community.

Leading Non-Invasive Brain Stimulation in the Region

One of the most exciting aspects of this partnership is Dr. Gayle’s leadership in training clinicians for new Neurolith clinic installations across the Caribbean. These clinics will serve as innovation hubs, equipping healthcare professionals with the skills to deliver life-changing treatments.

The Neurolith device represents a breakthrough in non-invasive brain stimulation technology. It offers hope to patients with neurological conditions who previously had limited treatment options. Dr. Gayle’s expertise ensures the highest standards of training and implementation, elevating healthcare quality and empowering clinicians to embrace cutting-edge treatments.

Transforming Healthcare Accessibility and Patient Outcomes

This collaboration is more than a partnership—it is a bold step toward improving healthcare access in the Caribbean. By introducing advanced non-invasive technologies like the Storz Neurolith, we are addressing critical gaps in the region’s healthcare system.

• For Patients: Greater access to state-of-the-art treatments for stroke recovery and neurological disorders.
• For Clinicians: Opportunities to stay at the forefront of medical innovation through specialized training.
• For Healthcare Systems: Improved patient outcomes and reduced reliance on invasive procedures, raising the standard of care.

This initiative represents our commitment to improving lives while empowering healthcare practitioners with advanced medical solutions.

A Bold New Chapter for the Caribbean

At Everbrook LTD and The SWT Therapy Group, we believe innovation should have no boundaries. This partnership showcases what is possible when visionaries unite for a common purpose. By harnessing the power of non-invasive medical technologies, we aim to redefine healthcare in the Caribbean and create a brighter future for all.

Stay tuned for more updates as we bring this vision to life. Together, we are shaping the future of healthcare—one groundbreaking step at a time!

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Storz Global Reach

Storz Medical’s impact extends far beyond any single regulatory body:

• Other Countries (e.g., China, India): Serves 3.18 billion people (74% of the global population).
• CE Marking (EEA + Recognizing Countries): Reaches 775 million people (18.1% globally).
• FDA (United States): Covers 339 million people (7.9% of the global population).

While FDA approval is vital in the U.S., it represents a small fraction of the global population. Storz Medical’s unparalleled international reach showcases its proven safety, efficacy, and innovation across diverse regulatory frameworks, cementing its position as a global leader.

Discover how Storz Medical transforms healthcare worldwide.

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by Dr. Bruce Wallerstein MD.

SWT Therapy Group, Dominican Republic

Alzheimer’s disease and its related dementia like conditions destroys lives for the old and the young as well. Those who have it, the worst, though not always knowing they have it. For the younger people, those attempting to help them, physically, emotionally, and even financially, they suffer with it as well.

There has never been a cure. There have been attempts at ameliorative medications, but in reality, no substantive program or treatment has been successful, even marginally.

Since the late 70’s an into the early 80’s when the world started to take a medical notice of Alzheimer’s disease, not much has really been accomplished. Interestingly the disease was first diagnosed and recognized by Alois Alzheimer in 1908, who was a German psychiatrist. the first diagnosis was made on a woman who was 53 years old, relatively young, even by those years’ standards. But today it is destroying generations and the prediction is to increase 4 fold in the next 25 years. It is not going away, no vaccines are being produced nor are there other viable treatment options in the fold.

But now there is a new program rapidly expanding globally.   A new process and not from some startup company who has no experience in the medical field. No, this approach is from  Storz Medical from Switzerland who has been very much in evidence with sister companies since the mid 40’s . They are a giant in the creation and proliferation of countless different pieces of medical equipment which have revolutionized the field of physical therapeutics and various noninvasive treatments from lithotripsy to shoulder therapy to diabetic treatments to name a few.  The company’s expertise, research and design capabilities and extensive experience bring it to now look at a new application to work on an area which is overtaking a significant segment of the world’s population.

Covid has devastated Caribbean economies and families alike over the past two years. Medical clinics/hospitals in Caribbean countries cannot afford the NEUROLITH technology to successfully treat Alzheimer’s patients. .  Our plan is to donate the equipment to a clinic, and the train doctors (geriatricians or neurologists) at no cost to the clinic.

SWT Therapy is spearheading the fundraising efforts to give patients in the Caribbean suffering from Alzheimer’s access to this life-changing therapy.  In the event that insufficient funds are not raised to achieve objectives by our deadline of August 25, 2022, all funds will be donated to the Jamaican Alzheimer’s Association.

First, a clinic in Jamaica will service surrounding Caribbean countries. The next step is a mobile clinic to provide access to these life-redeeming treatments to an even wider area.

Storz Neurolith has developed a novel treatment for an old disease. They are transferring technology from their bone therapy programs to cerebral therapies and looking to ward off a disease process which we all fear in our futures.

THE NEUROLITH     https://vimeo.com/383305783/eda9189385

For more information visit www.swtorthopaedics.com Neurology tab

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Focused Shockwaves (Hard shock) – Smaller focal point for greater accuracy and greater treatment depth.

• Deep reach up to 12cm dependent on the attachments used
• Precise energy delivery to the exact area
• Fast impulse
• High energy density

Focused shockwaves are able to penetrate deeper into the tissues and provides all of its power at the designated depth. Focused shockwaves are generated electromagnetically through a cylindrical coil creating opposing magnetic fields when current is applied. This causes a submerged membrane to move and generate a pressure wave in the surrounding fluid medium. These propagate through the medium without any loss in energy with a small focal zone. At the site of actual wave generation the amount of energy dispersed is minimal. This limits damage at the skin and to underlying soft tissues.

The focusing mechanism directs each shock to a defined point within the body. The location within the body is adjusted by altering the energy output of the machine or by adjusting the focusing mechanism. A stand off applicator can be used to adapt the depth of energy. Treatments that require targeting tissue at a deeper level such as tissue close to bone, calcifications, or delayed unions and non unions benefit from focused shockwaves. Patients who are unable to tolerate radial treatments for acute injuries will also benefit from focused shockwave therapy.

Radial Pressure Wave / Shockwaves (Soft shock) – Larger treatment area of superficial indications

• Superficial 3-4 cm treatment depth
• Spreads to treat larger areas
• Slow impulse
• Low energy density

The radial shockwave comprises three parts – Ultrasonic pulse, audio acoustic pulse and the relatively slow shear wave.

Radial pressure waves have their greatest energy at its source and weakens the farther it travels. Radial waves are generated by means of a pneumatic system. Using compressed air, a projectile is accelerated to a high-speed then suddenly decelerated by a transmitter, which is held to the area being treated. The generated kinetic energy is than transmitted to the tissue from where it propagates outwards aspherically as a radial wave into the tissue. The transmitter surface constitutes the highest pressure and highest energy density.

The pressure waves lose power the deeper they enter the body. For treatments where the targeted tissue is superficial, radial pressure waves will give patients good results, such as plantar fasciitis, tennis elbow or the Achilles tendon. The Storz radial systems offer a wide range of transmitters, including fascia and spine applicators, which allows for both local treatments and the treatment of broad superficial areas. Muscle chains can be treated functionally in the course of the chain. Pressure waves mobilize the tissue layers, which in turn breaks up adhesions and trigger points. The shifting of the tissue layers brings about myofascial release, which is the prerequisite for fascia therapy.

What are the biological Effects of Focused Shockwave and Radial Pressure Waves?

Focused shock wave AND radial pressure waves:

• Increase of cell wall permeability
• Stimulation of Microcirculation (Blood, Lymph)
• Release of Substance P Neurotransmitter responsible for pain modulation.
• It is a powerful vasodilator, causing considerable hypotension

Focused shock waves ONLY:

• Cavitation Release of nitric oxide (increased cell metabolism, neoangogenesis, anti-inflammatory effect)
• Stimulation of growth factors

Focused shockwave indications

F-SW is used for the treatment of but not limited to:

• Acute injuries in elite athletes
• Knee & Joint arthritis
• Bone and Stress Fractures
• Shin Splints
• Osteitis Pubis -Groin Pain
• Insertional Achilles Pain
• Tibialis Posterior Tendon Syndrome
• Medial Tibial Stress Syndrome
• Haglund’s Deformity
• Peroneal Tendon
• Tibbialis posterior ankle sprain
• Tendinopathies and Enthesopathies
• Urological indications (ED) Male Impotence or Erectile Dysfunction / Chronic Pelvic Pain / Peyronie’s
• Delayed bone-non unions/bone healing
• Wound Healing and other dermatological and aesthetic indications

Diagnostic imaging is sometimes used to exactly localize the point of energy concentration. The STORZ devices can be purchased with an Ultrasound diagnostic module (black/white or color). Alternatively continuous patient feedback is used during the treatment to locate the ‘pain’ spot.

Focused shockwave indications

In more recent years the use of both modalities on a patient has become the gold standard for many advanced shockwave providers; treating the superficial and shallower structures with radial pressure waves and then targeting the source of the injury with focused shockwaves. Those clinics who are combining radial and focused shockwave are seeing fantastic results.

“I have 2 clinics that use Shockwave, one has focused and radial devices and the other only radial. Despite the clinic with only radial being a multi disciplinary clinic treating elite professional athletes, including premier league footballers and having luxurious surroundings, I feel totally insufficient there because the focused device is at my other clinic. I know I can offer better treatments when having the focused device, it’s just not the same with only radial, I end up advising all the patients to go to the other clinic for better results no matter what part f the body. Focus can treat things that radial can’t and combined the two modalities are even better!”.
Stuart Brown, Podiatrist, Midlands Shockwave & www.edclinics.co.uk

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I am thrilled to share an inspiring testimonial that truly speaks volumes about the transformative power of cutting-edge medical technology. Meet T. Taylor from Miami, Florida, whose journey from persistent shoulder issues to rediscovering an active lifestyle is nothing short of remarkable.

STORZ SHOCK WAVE TREATMENTS RESTORED MY ACTIVE LIFESTYLE

For the past four years, T. Taylor has been competing in national-level tennis tournaments, facing escalating shoulder challenges that led to two surgeries, a stem cell injection, 4 PRP injections, extensive physical therapy, and the daily use of a Class 1V laser. Despite these efforts, persistent pain at the origin of the deltoid remained, hindering T. Taylor’s ability to fully enjoy the sport.

A recent ultrasound revealed significant scar tissue and calcification, prompting the surgeon to consider cortisone and needling techniques. However, before proceeding, T. Taylor explored alternatives and discovered the groundbreaking Shock Wave Therapy (ESWT). After extensive research, the market leader, Storz, stood out, and a pivotal connection was made with Ken Brown, the highly knowledgeable principal at www.swtorthopaedics.com.

Ken provided T. Taylor with a custom-designed shock wave treatment program and continued to offer invaluable advice throughout the journey. Fast forward just two months, and the results are nothing short of astonishing – T. Taylor is now 99% pain-free! The despair of wondering if serving on the tennis court would ever be possible has transformed into a triumphant return to the game.

But the success story doesn’t end there. T. Taylor is now tackling acute hip flexor tendonitis with the same groundbreaking approach and is nearing a pain-free state. The elation felt is beyond words, and the credit goes to Shockwave Therapy and Ken Brown, whose tactful treatment protocol achieved remarkable results.

Such is the impact of this breakthrough that T. Taylor’s physical therapy clinic in Miami, one of the largest in the country, has been so impressed by the results that they are now offering ESWT in their practice, proudly equipped with Storz technology.

Explore the future of pain relief and recovery with Shock Wave Therapy!

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