Level of Energy – While most equipments’ applicator transmits a high level of energy (in some of them up to 80 Watts), Medispec’s Thermaspec uses a relatively low temperature while maintaining the application’s temperature level (applied energy). Minimum Risk for the Rectum – In the equipment cooling systems, the Temperature Sensors (“Thermocouples”) are only EVALUATING the temperature […]
Patient is diagnosed with symptomatic Benign Prostatic Hyperplasia based on detailed medical history, physical examination, including a urinalysis, and the assessment of renal function, Uroflowmetry, and Post-Void Residual urine measurements (PVR). Patient has defined lower and upper size limits of the prostate (set by sponsor’s expectation of therapy) The AUA symptom Index value should be […]
If a patient has an existing condition involving the below, then he/she is ineligible for Thermaspec treatment. Neurogenic bladder Bladder Calculi Pacemaker, Arrhythmia T.I (recent) Metal implant in the urethra Anti-coagulant treatment Symptoms of prostate cancer Urethral stricture Urination problem of patient caused by something besides benign prostate hyperplasia Untreated infection on urine path Kidney […]
A cardiologist will decide if you can have ESWL.
What are the risks in using ESWL specifically with pediatric patients – young children or babies who have kidney stones (from infant to 2 years old)?
ESWL is a good treatment option for children because it allows for minimization of anesthesia and radiation exposure. Also, children have less flank pain than adults with kidney stones in general, because they pass the stones easier. Children 2 years and younger expel stones better than adults.
Yes, ESWL is highly effective for treating ureter stones. More than one session may be needed to completely remove the stone.
It is possible that the kidney stone may not be completely removed. You may experience bruising, grazing, or blistering of the skin where the shockwaves have passed through.
The patient may experience: Urine in the blood Some pain as you pass the pieces of kidney stones
Lingeman and Newman indicate 95% stone-free rate for stones <1cm and 87% for stones 1-2 cm (1990). According to one studyin the Oman Medical Journal, the stone-free success rate of lithotripsy is 74% for kidney stones and 88% for ureter stones (2013).
A couple of hours after the procedure, you may be able to go home. Make sure someone can take you home. There are medicines available to ease any pain or discomfort you may have. The doctor treating you will consider how well your kidney is functioning before prescribing any medicines, as certain medicines can cause […]
The treatment itself takes about 30-45 minutes. You will most likely wear a hospital gown and undergo the procedure in a hospital setting. You may not be awake for the procedure. The acoustic waves travel into the body, breaking up the stones into very small pieces.
The treatment is not painful, especially if your doctor puts you under a light or local anesthesia.
Physical exam by a doctor or specialist, urologist X-ray , ultrasound , or CT scan to determine the thickness, depth, and location of the stone(s) The doctor needs the x-ray to be completely up-to-date before the procedure. He/she will need to review the position and type of stone being treated to ensure the most effective […]
Aside from clinical considerations, is ESWL a more cost-effective treatment for kidney stones than laser?
Dr. Ran Katz, Head of Urology at Ziv Medical Center and Bar-Ilan University, says yes. Stone per stone, laser and other treatments generally require follow-up procedures that are not necessary with ESWL.
Why choose Lithotripsy over other stone procedures such as Percutaneous Nephrolithotomy (PCNL) or Ureterorenoscopy (URS)?
ESWL requires: Few to no follow-up procedures 1-day hospital or ambulatory Effective for children & infants Less pain than other procedures Less UTIs Local or no anesthetics required Lower ER admission rate Shorter treatment time Lower to zero exposure to x-rays (since ultrasound is an option)
Combination of drinking insufficient water & having a modern high-sodium diet Genetic tendency to create stones Kidney stones are created when minerals and salts in urine crystalize, combine together, and form stones. They can cause pain and even infection when they block the urinary tract system.
People with bleeding disorders, infections, severe skeletal abnormalities, or who are morbidly obese are usually not good candidates. Pregnant women with stones are not treated with ESWL. Also, if your kidneys have any abnormalities, your doctor may decide you should have a different treatment.
Patients who have a kidney stone(s) smaller than 2 centimeters or 1 inch are generally the best candidates for ESWL a.k.a. lithotripsy.
Lithotripsy is also known as Extracorporeal Shock Wave Lithotripsy (ESWL) The Greek roots of this word lithotripsy are “litho” meaning stone, and “tripsy” meaning crushed. Extracorporeal means outside of the body, and a shockwave is a pressure wave created by high-energy acoustic waves. These waves can be generated either by hydraulic or electromagnetic power. Lithotripsy […]
Medical journals and publications on EDSWT report no side-effects. Occasionally, a patient can experience mild discomfort during the treatment.
Improve blood flow Regenerate nerve activity Increase VGF Create collateral blood vessels
Improved sexual function Less pain or no pain Feel more confident and comfortable during intercourse After the procedure, you may be able to go home or back to work right away without waiting. When you need a follow-up appointment, the doctor or nurse will tell you before you go home.
The treatment itself takes about 30 minutes. You will most likely wear a hospital gown and undergo the procedure in a doctor’s office or clinical setting. As acoustic waves are generated and traveling into the body, you will hear a clicking sound.
The treatment is not reported painful by clinicians or medical journals. If concerned, your doctor can give you a light or local anesthesia.
A patient will undergo a physical exam by a doctor or specialist, urologist. Your medical doctor will most likely run some other tests to rule out other conditions before suggesting this line of treatment.
This women’s health treatment has many benefits, including: Easy, fast, effective No medications No surgery No hospital No anesthetics required Short treatment time Low-investment, cost-effective
Women who are pregnant or are trying to become pregnant As a precaution, women who are already taking blood thinners must consult with their doctors prior to treatment.
Typically, patients who receive LilyCare treatment are women with conditions that cause discomfort or pain during intercourse, such as: Female sexual dysfunctions: Dyspareunia Diminished vaginal lubrication Diminished sexual arousal and difficulty achieving orgasm Urological disorders: Vulvar Vestibulitis Syndrome (Provoked Vestibulodynia Disorder) Chronic Pelvic Pain Syndrome (CPPS) Stress Urinary Incontinence (SUI) Sexual dysfunction in diabetic women
LilyCare is the revolutionary solution to intimate health issues, a therapeutic treatment for fast, non-medication and non-invasive pain relief and improvement of common female sexual dysfunctions and urological disorders. Typically, a patient may undergo 5-6 treatment sessions of 20 minutes each session.
These are the most common sports injuries that need attention in order to heal properly. Some can be treated at home and some require a trip to the doctor. Abrasions Injuries that result from a fall on a hard surface that causes outer layers of skin to rub off. Achilles Tendon Rupture The exact […]
The purpose is to “unstick” the fibers of a muscle while releasing deeply-held patterns of tension, removing toxins, while relaxing and soothing the muscle. It is both corrective and therapeutic.
It feels good and it is beneficial to your health. When muscles are stressed, they block oxygen and nutrients, leading to inflammation that builds up toxins in the muscle tissue. A deep-tissue massage helps loosen muscle tissues, release toxins from muscles and get blood and oxygen circulating properly. Because many toxins are released, it’s important […]
Deep tissue massage is a massage technique that focuses on the deeper layers of muscle tissue. It aims to release the chronic patterns of tension in the body through slow strokes and deep finger pressure on the contracted areas, either following or going across the fiber’s of the muscles, tendons and fascia. Deep tissue massage […]
The purpose of trigger point therapy is to eliminate pain and to re-educate the muscles into pain-free habits. After several treatments, the swelling and stiffness of neuromuscular pain is reduced, range of motion is increased, tension is relieved, and circulation, flexibility and coordination are improved.
Trigger points have several causes. Some common causes are: birth trauma, an injury sustained in a fall or accident, poor posture, or overexertion.
Trigger points are areas of tenderness in a muscle. There are two basic types of trigger points: active and latent. Active trigger points cause muscular pain and will refer pain and tenderness to another area of the body when pressure is applied. Latent trigger points only exhibit pain when compressed, they do not refer pain […]
Trigger point therapy is a bodywork technique that involves the applying of pressure to tender muscle tissue in order to relieve pain and dysfunction in other parts of the body. Sometimes massage and trigger point therapy are performed together. Trigger point therapy is also called myofascial trigger point therapy. It was developed by Dr. Janet […]
Medispec has long been an innovator and leader in the field of medical shockwave device applications. Find out more: Become a Partner | Medispec
Medispec was established more than 25 years ago by a team of medical professionals and engineers.
Medispec has developed Multi-Wave – a special proprietary wave set, engineered for optimal healing.
In cases with no significant change in patient angina, how is it possible to ensure therapy was provided as it does not have an immediate effect?
One should distinguish between technical and operational malfunction and unfavorable patient characteristics when analyzing the results. In order to reduce the chance for a malfunction, the user has to make sure the following: The shockwaves are generating sound when triggered. No presence of air bubble inside the SWA. The SWA was used within its guaranteed […]
How can I know if the improvement in perfusion is the result of the therapeutic stimulated angiogenesis or due to the natural angiogenesis process in ischemic tissues?
Several results could confirm that the effect is true therapy and not “placebo” effect. ESMR improved myocardial perfusion only in the region where SW’s were applied. Ischemic areas not treated stayed ischemic. Patients treated have chronic stable angina class III or IV without change prior to treatment. In vivo controlled studies confirm the significant increase […]
Yes. There is a reduction of at least 85% in the weekly intake of nitrates after treatment.
No, but if needed, it is recommended to monitor cardiac enzymes and controlled ECG. All showed negative in the studies performed.
Yes. Shock waves could be delivered as long as there is a clinical need for collaterals development.
No. There were no reports of side effects during, immediately after or post treatment. There was no pain associated and no signs of local hemorrhage. Vital parameters, cardiac enzymes and ECG were unchanged. In addition, there was no indication of arrhythmias and new wall motion abnormalities.
The patient sometimes feels a tickling sensation in the chest during treatment. Some patients feel dizziness. All these effects pass immediate or shortly after the treatment is stopped.
Yes. There is no need to move the ultra-sound probe during treatment. Shock waves can be delivered safely with real-time view of the treatment site.
The Cardiospec is equipped with two modes for delivering shock waves. Automatic mode and Manual mode. When the patient has a history of ventricle extrasystole, the Cardiospec should be in Manual mode, thus, delivery of shockwaves using the Remote control by the user. When the E.C.G. monitor shows an extrasystole then the user should delay […]
No. The delivery of shock waves is synchronized with the patient’s R-wave. During this period, the heart is in its refractory phase, thus, another action potential cannot be produced eliminating the risk for arrhythmia. The synchronization serves another purpose as well, as a means for precision in delivery of treatment as the heart will be […]
This protocol was chosen in order to maximize the effect of shock waves on the development of collaterals. Collaterals develop usually within 2-3 weeks, which is the reason for the chosen intervals between treatments. In addition, animal studies found that maximal expression of angiogenic factors occur after 4 weeks. Also, clinical data, evaluating therapy on […]
Patients should be at the maximum tolerable dose of two or more antianginal drugs for at least 6 weeks prior to treatment. Also, anti-coagulation medication should be monitored.
As soon as the patient is stabilized (including hemodynamic stability), it is possible to start shockwave therapy.
Yes. It is possible, as shock waves are delivered during the R-wave. Also, safety tests have demonstrated no effect of shock-waves on the function of the pacemakers.
Yes. It is possible if the patient has a proven ischemic zone.
I have heard that the shock wave applicator (lithotripter) in the urology department is noisy and there is a need to wear ear protection. Is it required during cardiac applications?
No. Unlike urologic applications, Cardiac shock wave therapy requires less powerful shock waves (1/10th of Lithotripsy). For that reason the Cardiospec is fitted with a smaller generator, producing less intense electrical sparks thus generating significantly less noise. There is no need to wear ear protection during treatment.
No. Although no side effects were reported so far, patients at high risk (poor hemodynamic conditions) are recommended to stay in the hospital for monitoring following the treatment.
The candidates of this treatment are usually taking anti-aggregates on a regular basis. There is no treatment limitation in patients treated with Aspirin or Clopidgrel. The treating physician should take into consideration the bleeding tendency resulting from their intake and might consider changing anticoagulant regimen prior to shock wave treatment to prevent local hematoma. In […]
Patients with the following conditions (selected list): Patients with intracardiac Thrombus Patients with malignancy at the area of treatment Pulmonary disease (emphysema) that blocks the acoustic window Pregnancy
Patients with documented myocardial ischemia not eligible for “conventional” treatment such as PCI or CABG or has Refractory Angina (Incomplete revascularization, CABG/PTCA failure, Disease progression in native coronary arteries, inadequate treatment of concomitant diseases (eg, hypertension), Microvascular dysfunction). Patient should have angina or angina equivalent symptoms prior to therapy. Therapy had higher success rate the […]
The Cardiospec should be used by an echocardiography specialist. This could be a cardiologist or an echo technician supervised by the cardiologist who determined the course of treatment. All users should undergo training by Medispec or its local authorized representative to operate the Cardiospec.