1、瑞士 Dolorclast ESWT治疗方法,Doyle Huang HongMedical Sales ManagerEMS,序言,The application settings outlined herein (handpiece, applicator, number of treatments, number of impulses per treatment, frequency, air pressure) are non-binding recommendations. They are based on reports by experts in the scientific
2、 literature and at international congresses, respectively. When planning and performing treatments with the Swiss Dolorclast, these recommendations should be considered - as well as the individual experience of the therapist and the individual feedback of the patient, respectively. When performing t
3、reatments of the musculo-skeletal indications presented here, the air pressure of the Swiss Dolorclast should be adjusted so that the patient experiences some dyscomfort at least during the first treatment but does not feel pain. The dyscomfort indicates that the peripheral nervous system is activat
4、ed by the radial shock waves. During the following treatments the patient might not experience dyscomfort anymore, despite the possibility to increase the air pressure.Approximately 80% of all patients report a substantial improvement of the clinical situation (pain) after two treatment sessions. Ac
5、cording to very recent studies, this is a good sign with respect to the prognosis of treatment outcome. Accordingly, it is possible to predict the treatment outcome after two treatment sessions but not before.Patients should not experience dyscomfort, or feel pain, when treated for the indications i
6、nduratio penis plastica, acute and chronic soft tissue wounds, primary and secondary lymphedema, and cellulite. This is because treatment of these indications with radial shock waves does not aim at activating the peripheral nervous system.,适应症,肩关节钙化性肌腱变性/ 肩峰下疼痛综合征 Calcifying tendonitis of the shoul
7、der / subacromial pain syndrome网球肘(肱骨外上髁炎) Tennis elbow (Epicondylitis humeri radialis)大转子疼痛综合征 Greater trochanteric pain syndrome髌尖综合征 Patella tip syndrome胫骨结节骨软骨炎* Osgood-Schlatter disease*胫骨内侧应力综合征 Medial tibial stress syndrome跟腱止点炎 Insertional Achilles tendinopathy慢性midportion阿喀琉斯肌腱 Midportion c
8、hilles tendinopathy趾筋膜炎 Plantar fasciopathy肌筋膜疼痛综合征/ 扳机点治疗 Myofascial pain syndrome / trigger point treatment自发性下腰疼痛 Idiopathic lower back pain / pseudoradicular syndrome帕荣雷氏病 Peyronies disease (Induratio penis plastica)*急慢性软组织损伤（糖尿病足溃疡）* Acute and chronic soft tissue wounds (diabetic foot ulcera)*原
9、发性和继发性淋巴水肿 Primary and secundary lymphedema*脂肪团 Cellulite*,肩关节钙化性肌腱变性,5,肩关节钙化性肌腱变性(1),触诊疼痛区域,(同样使用于肩峰下疼痛综合征),6,标记疼痛区域,(同样使用于肩峰下疼痛综合征),肩关节钙化性肌腱变性(2),7,敷用耦合液,(同样使用于肩峰下疼痛综合征),肩关节钙化性肌腱变性(3),8,用放散型手柄治疗冲击头: 15 mm治疗次数: 3次 （一周间隔）每次治疗的冲击波次数: 2,000 次频率: 5 - 10 Hz压力: 2 - 4 bar参考文献: Magosch et al., 2003 Z Ortho
10、p 141:629-633 (in PubMed),(同样使用于肩峰下疼痛综合征),肩关节钙化性肌腱变性(4),9,(同样使用于肩峰下疼痛综合征),肩关节钙化性肌腱变性(5),用高能量型手柄治疗冲击头: 15 mm治疗次数: 3次 （一周间隔）每次治疗的冲击波次数: 2,000频率: 5 - 10 Hz压力: 1.5 - 3 bar参考文献: Magosch et al., 2003 Z Orthop 141:629-633 (in PubMed),网球肘 (肱骨外上髁炎),11,网球肘(肱骨外上髁炎) (1),触诊疼痛区域,12,标记疼痛区域,网球肘(肱骨外上髁炎)(2),13,敷用耦合液,
11、网球肘(肱骨外上髁炎)(3),14,用放散型手柄治疗冲击头: 15 mm治疗次数: 3次 （一周间隔）每次治疗的冲击波次数: 2,000 次频率: 5 - 10 Hz压力: 1.5 - 3 bar参考文献: Sller, 2003 In: Maier M, Gillesberger F: Abstracts 2003 zur Muskuloskelettalen Stosswellentherapie. Kongressband des 3. Dreilndertreffens der sterreichischen, Schweizer und Deutschen Fachgesellsch
12、aften. Books on Demand, Norderstedt, 2003, pp 121-122.,网球肘(肱骨外上髁炎)(4),大转子疼痛综合征,16,大转子疼痛综合征(1),触诊疼痛区域,17,大转子疼痛综合征(2),标记疼痛区域,18,大转子疼痛综合征(3),敷用耦合液,19,大转子疼痛综合征(4),用放散型手柄治疗冲击头: 15 mm治疗次数: 3次 （一周间隔）每次治疗的冲击波次数: 2,000 次频率: 5 - 10 Hz压力: 3 - 4 bar参考文献: Furia et al., 2009 Am J Sports Med 37:1806-1813; Rompe et
13、 al., 2009 Am J Sports Med 2009;37:1981-1990 (both in PubMed),髌尖综合征,21,髌尖综合征(1),触诊疼痛区域,22,髌尖综合征(2),标记疼痛区域,23,髌尖综合征(3),敷用耦合液,24,髌尖综合征 (4),用放散型手柄治疗冲击头: 15 mm治疗次数: 3次 （一周间隔）每次治疗的冲击波次数: 2,000 次频率: 5 - 10 Hz压力: 2 - 3 bar参考文献: Lohrer et al., 2002 Sportverl Sportschad 16:108-114 (in PubMed),胫骨结节骨软骨炎,26,胫骨结
14、节骨软骨炎(1),触诊疼痛区域,27,胫骨结节骨软骨炎(2),标记疼痛区域,28,胫骨结节骨软骨炎(3),敷用耦合液,29,胫骨结节骨软骨炎(4),用放散型手柄治疗冲击头: 15 mm治疗次数: 3次 （一周间隔）每次治疗的冲击波次数: 2,000-3,000次频率: 5 - 10 Hz压力: 2 - 3 bar参考文献: Titov and Litvinenko (2007) Abstracts 10th International Congress of the International Society for Musculoskeletal Shockwave Therapy, Tor
15、onto, Canada, 2007, pp. 46-47.,Medial tibial stress syndrome,31,Medial tibial stress syndrome (1),Palpation of the painful region,32,Medial tibial stress syndrome (2),Labeling of the painful region,33,Medial tibial stress syndrome (3),Application of coupling gel,34,Medial tibial stress syndrome (4),
16、Treatment with the Radial handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 5 - 10 HzAir pressure: 2.5 - 3 barLiterature: Rompe et al., 2010 Am J Sports Med 38:125-132 (in PubMed),Insertional Achilles tendinopathy,36,Insertional
17、Achilles tendinopathy (1),Palpation of the painful region,37,Insertional Achilles tendinopathy (2),Labeling of the painful region,38,Insertional Achilles tendinopathy (3),Application of coupling gel,39,Insertional Achilles tendinopathy (4),Treatment with the Radial handpieceApplicator: 15 mmNumber o
18、f treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 5 - 10 HzAir pressure: 2.5 - 3 barLiterature: Rompe et al., 2008 J Bone Joint Surg Am 90:52-61 (in PubMed),Midportion Achilles tendinopathy,41,Midportion Achilles tendinopathy (1),Palpation of the painful region,4
19、2,Midportion Achilles tendinopathy (2),Labeling of the painful region,43,Midportion Achilles tendinopathy (3),Application of coupling gel,44,Midportion Achilles tendinopathy (4),Treatment with the Radial handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per tr
20、eatment: 2,000Frequency: 5 - 10 HzAir pressure: 2 - 3 barLiterature: Rompe et al., 2007 Am J Sports Med 35:374-383; Rompe et al., 2009 Am J Sports Med 37:463-470 (both in PubMed),Plantar fasciopathy,46,Plantar fasciopathy (1),Palpation of the painful region,47,Plantar fasciopathy (2),Labeling of the
21、 painful region,48,Plantar fasciopathy (3),Application of coupling gel,49,Plantar fasciopathy (4),Treatment with the Radial handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 5 - 10 HzAir pressure: 2.5 - 4 barLiterature: Gerdesmey
22、er et al., 2008 Am J Sports Med 36:2100-2109; Ibrahim et al., 2010 Foot & Ankle Int 31:391-397 (both in PubMed),50,Plantar fasciopathy (5),Treatment with the Power+ handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 5 - 10 HzAir p
23、ressure: 2 - 3 barLiterature: Gerdesmeyer et al., 2008 Am J Sports Med 36:2100-2109; Ibrahim et al., 2010 Foot & Ankle Int 31:391-397 (both in PubMed),Myofascial pain syndrome / trigger point treatment,52,Myofascial pain syndrome / trigger point treatment (1),(treatment of the piriformis muscle show
24、n as example),Palpation of the painful region,53,Labeling of the painful region,Myofascial pain syndrome / trigger point treatment (2),(treatment of the piriformis muscle shown as example),54,Application of coupling gel,Myofascial pain syndrome / trigger point treatment (3),(treatment of the pirifor
25、mis muscle shown as example),55,Treatment with the Power+ handpieceApplicator: 15 mm TriggerNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 300 1,000 per trigger pointFrequency: 8 - 20 HzAir pressure: 2.5 - 4 barLiterature: Bauermeister, 2003 In: Maier M, Gillesberger
26、F: Abstracts 2003 zur Muskuloskelettalen Stosswellentherapie. Kongressband des 3. Dreilndertreffens der sterreichischen, Schweizer und Deutschen Fachgesellschaften. Books on Demand, Norderstedt, 2003, pp 24-28.,Myofascial pain syndrome / trigger point treatment (4),(treatment of the piriformis muscl
27、e shown as example),Idiopathic lower back pain / pseudoradicular syndrome,57,Idiopathic lower back pain / pseudoradicular syndrome (1),Palpation of the painful region,58,Labeling of the painful region,Idiopathic lower back pain / pseudoradicular syndrome (2),59,Application of coupling gel,Idiopathic
28、 lower back pain / pseudoradicular syndrome (3),60,Treatment with the Radial handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 8 - 20 HzAir pressure: 2 - 3 barLiterature: Bauermeister, 2003 In: Maier M, Gillesberger F: Abstracts
29、2003 zur Muskuloskelettalen Stosswellentherapie. Kongressband des 3. Dreilndertreffens der sterreichischen, Schweizer und Deutschen Fachgesellschaften. Books on Demand, Norderstedt, 2003, pp 29-34.,Idiopathic lower back pain / pseudoradicular syndrome (4),Primary and secondary lymphedema,62,Primary
30、and secondary lymphedema (1),Application of coupling gel(no need for palpation and labeling because the treatment area is visually identified),63,Treatment with the Power+ handpieceApplicator: 36 mm PlanarNumber of treatments: 10 (two treatments per week)Number of impulses per treatment: 200 300 per
31、 cm2 fibrotic skinFrequency: 4 - 10 HzAir pressure: 3 - 4 barLiterature: Michelini et al., 2008 Eur J Lymphol 19:10,Primary and secondary lymphedema (2),高尔夫球肘(肱骨内上髁炎),65,高尔夫球肘(肱骨内上髁炎) (1),Palpation of the painful region,66,高尔夫球肘(肱骨内上髁炎)(2),Labeling of the painful region,67,高尔夫球肘(肱骨内上髁炎)(3),Applicati
32、on of coupling gel,68,高尔夫球肘(肱骨内上髁炎)(4),Treatment with the Radial handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 5 - 10 HzAir pressure: 1.5 - 3 bar,腕管综合征,70,腕管综合征(1),Palpation of the painful region,71,腕管综合征(2),Labeling of the p
33、ainful region,72,腕管综合征(3),Application of coupling gel,73,腕管综合征(4),Treatment with the Radial handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 5 - 10 HzAir pressure: 1.5 2.5 bar,自发性颈椎痛,75,自发性颈椎痛(1),Palpation of the painful region,
34、76,自发性颈椎痛(2),Labeling of the painful region,77,自发性颈椎痛(3),Application of coupling gel,78,自发性颈椎痛(4),Treatment with the Radial handpieceApplicator: 15 mmNumber of treatments: 3 (at weekly intervals)Number of impulses per treatment: 2,000Frequency: 8 - 20 HzAir pressure: 2 - 3 bar,Thank you for your attention!,dhuangems-,
