Sports ​​Medicine ​and ​Orthopedics

The TRT/MTS OrthoGold 100 ESWT device is FDA approved as Class 2 (minimal risk), intended for relief of pain, increase of blood flow and reduce inflammation. 

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Acoustic stimulation and tropism on skeletal muscles: Tissue resilience & regeneration in sports and ageing - (Director Kompass Health Associates, Centre for Regenerative Health, Sports Performance & Research – Auckland, New Zealand; Director Shockwave & Isokinetic Centre – Melbourne, Australia; Sr. Surgeon & Adj. Prof. AUVA-Trauma Centre & Ludwig Boltzmann Institute of Experimental & Clinical Traumatology – Vienna, Austria;  Director Kinematics Centre – Victoria, Australia; Research Assistant BHSc.(Health Sciences) PG Dip. (Psychology) MHSc. University of Auckland, New Zealand; Sr. Lecturer,  Podiatric Surgery Dept., Auckland University of Technology, New Zealand.) - ECM components are considered essential mediators  in the niche for the maintenance of stem cell identity, expression, and activation. It simultaneously provides the niche structural integrity, and physically separates the stem cell pool from other tissue resident cells. Stem cells sense & respond to the composition, porosity & stiffness of the ECM directly interacting with it via integrin focal adhesions.   More..

Sports medicine practitioners embrace benefits of extracorporeal shock wave therapy  - (Mayo Clinic) - Extracorporeal shock wave therapy (ESWT) is a noninvasive treatment that involves delivery of shock waves to injured soft tissue to reduce pain and promote healing. According to Jonathan T. Finnoff, D.O., medical director for Mayo Clinic Sports Medicine at Mayo Clinic Square in Minneapolis, ESWT is a viable option to consider for many patients who present with chronic tendinopathy that hasn't responded to more-conservative treatments. Often difficult to treat, chronic tendinopathy is characterized by localized pain and pathological changes to a tendon. The condition affects athletes and nonathletes alike. More..

Athletic therapy - (MTS Science) - In modern society today, sport activity is becoming increasingly important. Reasons include more free time, increasing health awareness and a shifting biological age limit for sporty activities. Amateur sportsmen but especially high performance athletes are progressively affected by sport injuries.
The extracorporeal generated shock wave therapy (ESWT) is the golden standard worldwide to treat urolithiasis. Nowadays, its curative effect is used for many other indications like musculoskeletal diseases, e.g. calcaneal spur, calcified shoulder, patella-tip syndrome,  pseudoarthrosis and even bone fractures.  More..

Shockwave therapy for chronic proximal plantar fasciitis: a meta-analysis. - Plantar fasciitis (PF) is the most common reason for heel pain. The efficacy of extracorporeal shock wave therapy (ESWT) as an ideal alternative to conservative treatments and surgery is controversial, and almost all previous articles compared general ESWT with placebo without indicating the kind of shock wave. We undertook a meta-analysis to compare the efficacy of general ESWT, focused shock wave (FSW), and radial shock wave (RSW) with placebo, to assess their effectiveness in chronic PF.  More.

Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: A meta-analysis of RCTs. - OBJECTIVE:To evaluate the effect and safety of extracorporeal shockwave therapy (ESWT) on chronic pelvic pain syndrome (CPPS)/chronic abacterial prostatitis after failure of most other modalities of treatment, the maintenance of the treatment effect for up to one year post treatment and whether the patients are in need for further sessions.  More..

Long term efficacy of extracorporeal shock wave therapy [ESWT] for treatment of refractory chronic abacterial prostatitis. - To evaluate the effect and safety of extracorporeal shockwave therapy (ESWT) on chronic pelvic pain syndrome (CPPS)/chronic abacterial prostatitis after failure of most other modalities of treatment, the maintenance of the treatment effect for up to one year post treatment and whether the patients are in need for further sessions. More..

The efficacy of shock wave therapy in patients with knee osteoarthritis and popliteal cyamella.  - This randomized, controlled study was performed to compare the effects of extracorporeal shockwave therapy (ESWT) and ultrasound on the rehabilitation of knee osteoarthritis with popliteal cyamella. One hundred and twenty patients with bilateral moderate knee osteoarthritis (Altman III) and popliteal cyamella were selected and randomly assigned to four groups (GI-GIV). Patients in Groups I-III received isokinetic muscular strengthening exercises three times weekly for 8 weeks.  More..

Extracorporeal shock wave therapy in patients with tennis elbow and painful heel. - The aim of this study was to evaluate the effect of extracorporal shock wave therapy (ESWT) in tennis elbow and painful heel. Nineteen patients with tennis elbow and 44 patients with painful heel in which conservative treatment had failed underwent ESWT. Both groups received 3000 shock waves of 0.12 mJ/mm2 three times at weekly intervals. After a follow-up of 5 and 6 months respectively, pain measured on a visual analogue scale (VAS) decreased significantly in both groups. The success rate (excellent and good results) was 63% in tennis elbows and 70% in painful heels. ESWT seems to be a useful conservative alternative in the treatment of both conditions.  More..

The effects of extracorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis - The purpose of this study was to identify the effects of extracorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis. [Subjects and Methods] Twenty patients with degenerative knee arthritis were divided into a conservative physical therapy group (n=10) and an extracorporeal shock wave therapy group (n=10).   More..

 You Asked: What’s the Best Way to Treat Plantar Fasciitis? - Often described as a throbbing pain that strikes the meat of the heel and radiates outward, plantar fasciitis is one of the most common foot conditions in the U.S. Roughly 2 million Americans suffer from it, and it can last anywhere from a few weeks to several months at a stretch. In some cases, it can even be a chronic ailment.  More..

​AUVA letter‒ Successful treatment of delayed and non-union fractures

​Influence of medical shock waves on healthy muscle tissue - Competitive sport requires each athlete to be at peak performance at all times. This is often a challenging task to manage, as overuse and fatigue syndromes often impede performance. For over a decade shockwave therapy (SWT) have been utilised successfully to manage sports injuries. 1 Our investigation aimed to determine the effects of SWT on muscle tissue of healthy subjects.  More..

 ​Acoustic stimulation and tropism on skeletal muscles: Tissue resilience & regeneration in sports and ageing - Director Kompass Health Associates, Centre for Regenerative Health, Sports Performance & Research – Auckland, New Zealand; 2Director Shockwave & Isokinetic Centre – Melbourne, Australia; 3Sr. Surgeon & Adj. Prof. AUVA-Trauma Centre & Ludwig Boltzmann Institute of Experimental & Clinical Traumatology – Vienna, Austria; 4 Director Kinematics Centre – Victoria, Australia; 5Research Assistant BHSc.(Health Sciences) PG Dip. (Psychology) MHSc. University of Auckland, New Zealand; 6Sr. Lecturer, Podiatric Surgery Dept., Auckland University of Technology, New Zealand.  More.

​Extracorporeal shockwave therapy (ESWT) ‒ First choice treatment of fracture non-unions - Fracture non-unions are still a challenging problem in orthopedics. The treatment of non-unions remains highly individualized, complex, and demanding. In most countries the surgical approach with debridement of the non-union gap, anatomical reduction and appropriate osteosynthesis along with autologous bone grafting is considered as the standard of care. One of the very first non-urologic applications of extracorporeal shockwave treatment (ESWT) concerned non-healing fractures. Since the early 1990ties the knowledge of the working mechanism has increased enormously. The purpose of this review article is to demonstrate by peer-reviewed literature in conjunction with our own experiences that ESWT can be an efficient, non-invasive, almost complication-free and cost effective alternative to surgical treatment of non-healing fractures.  More..

Biological mechanism of shockwave in bone - Shockwave is a rapid, short duration acoustic wave that carries energy and can propagate through tissue medium. This kind of physical force can be a mechanical stimulus that induces biological effects in living tissue. Extracorporeal shockwave therapy (ESWT) acts as a mechanical stimulus which promotes biological healing processes through a mechanotransduction. The biological effects of ESWT are reported such as tissue regeneration, wound healing, angiogenesis, bone remodeling, and anti-inflammation. Until now, however, little is known about the basic mechanism of action of this type of therapy. This article describes the molecular mechanism on the current status of ESWT with pre-clinical and clinical applications for treating disorders in bone  More..

​Extracorporeal shock wave therapy for nonunion of the tibia - Delayed and nonunion of the tibia are not uncommon in orthopaedic practice. Multiple methods of treatment have been developed with variable results. The objective of this study was to define disease-specific and treatment-related factors of prognostic significance in patients undergoing shock wave therapy for tibia nonunion More..

​A neural model for chronic pain and pain relief by extracorporeal shock wave treatment - The paper develops a new theory of chronic pain and pain relief by extracorporeal shock wave treatment. Chronic pain without underlying anatomical disorder is looked at as a pathological control function of memory. Conditioned reXexes are considered to be engraved memory traces linking sensory input of aVerent signals with motor response of eVerent signals.   More..

​Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder - We prospectively studied extracorporeal shock wave therapy (ESWT) for calcific tendinitis of the shoulder in 46 consecutive patients. All patients were randomly divided into 2 groups: treatment and control. The 33 patients in the treatment group received 2 courses of ESWT at the energy density of 0.55 mJ/mm2 (1000 impulses).   More...

 ​Temporal and spatial expression of BMP-2 in sub-chondral bone of necrotic femoral heads in rabbits by use of extracorporeal shock waves - Extracorporeal shock wave treatment has been used successfully for the treatment of avascular necrosis of the femoral head. The pathway of biological events by which this is accomplished has not been fully elucidated. BMP-2 is a key mediator of bone development and repair, and is uniquely required for bone formation. We therefore examined the effect of extracorporeal shock waves.  More..

​Evaluation of extracorporeal shock wave therapy for osteoarthritis - Lameness, and more specifically, joint disease, causes significant loss of use of athletic horses and has a large economic impact on the horse industry. Despite numerous medical treatments, novel treatments are needed. Recent experimental evidence and anecdotal clinical impressions of extracorporeal shockwave therapy (ESWT) for the treatment of osteoarthritis (OA) have been reported.13 Unpublished clinical studies in dogs have shown promising results, as have anecdotal reports on treating shoulder, pastern, and coffin joint OA in horses. This information led to the completion of the current study comparing ESWT to Adequanma and sham treatments in horses  More..

​Zapping chronic tendon pain - Cleveland Clinic Study  More..

​Shock wave therapy may be a viable treatment option for nonunion fractures - Orthopedics Today Article More..