Patient Information



Medispec’s Extracorporeal Shock Wave Therapy (ESWT) system – Orthospec – is the ultimate solution for chronic orthopedic indications. The Orthospec was developed after extensive theoretical expertise and practical experience in the field of shock wave therapy, as one of its masterpieces and one of the most significant devices in the orthopedic field.

Frequently Asked Questions

What are the side effects of the orthopedic SWT?

There are no complications or side effects reported and no records of complications in the professional literature over more than 50,000 patients treated worldwide. The only noticeable side effect is redness, which disappears within maximum 1 week.

Are there after effects on the hard tissues of the bone that occur during shock wave treatment of calcification or other diseases, which show up years after shock wave therapy?

There has been no written information in the past ten years of medical bibliography to indicate the above occurrence. The probability for such occurrence is low because the pressure produced by the orthopedic treatment and its effect on the treated area is smaller than when using a urological reflector. This is due to the fact that the focal area, where energy is accumulated, is bigger when using the orthopedic reflector than when using the Urological one. Thus the pressure per area unit is smaller when administering shock wave treatment with an orthopedic reflector.
The number of shocks per calcification treatment varies between 1000 and 1500 shocks. The probability of damage to the bone is low. In order to damage the bone structure it is necessary to use stronger and more frequent shock waves. One example of this is the treatment of non-union fractures which requires 5000 shocks at a much higher pressure in order to stimulate bone tissue growth without destroying the integrity of the bone structure.

Should SWT be performed before or after a cortisone injection?

SWT can be performed before administering a cortisone injection. SWT treatment does not exclude the use of other kinds of treatments, which can be performed afterwards. Cortisone injections carry a high risk of side effects and should not be given more than 2-3 times.
SWT is effective in the most difficult cases, where cortisone injections have not been able to produce therapeutic results. It is advisable to combine SWT with physiotherapy; the combination is highly effective.

How long does it take for the pain to disappear?

In most cases the pain disappears after a short period of time, about one week after the use of SWT.
There are some cases where it is necessary to perform additional SWT, however less than 10% of patients require a second session.

What is the maximum number of treatments given to a patient?

The maximum number of treatments given to a patient is three with a minimum interval of one month between treatments.

What is the rate of decalcification or pain relief at the treated site?

Successful treatment is based on a 6-week healing period for Heel Spur, Tennis and Golf Elbow, with an 8-week period for Calcification and 3 months for non-union fractures.

In which cases is the use of SWT contraindicated?

The use of SWT is not recommended on areas that are already affected with other medical problems such as cancer or infections. SWT is not effective in cases of tears in the tendon since the pain is not due to calcification.

What is the rate of success of SWT?

In cases where conservative treatments have failed, SWT has obtained more than 70-80% success rate.

How can the doctor be certain that he treats the calcified area if he does not use an Imaging System?

The doctor can rely on the X-Ray image (by which the patient was diagnosed), which indicates the area of calcification, in order to determine how the patient should be positioned in regards to the membrane.
However, the orthopedic reflector enables a large therapy zone.

Does Medispec LTD. have the certificates that allow for the use of Shock Waves in Orthopedic Applications?

Medispec LTD complies with the international quality standards ISO 9001 and CE mark.

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203 Perry Parkway, Suite #6 Gaithersburg, 20877-2169 Maryland, USA

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