LIPOEDEMA MODUS
SHOCKWAVE THERAPY

Lipedema Modus reduces pain, edema and tenderness caused by lipedema;
It is also a non-invasive treatment method used to support the healing process of diabetic foot wounds.

Lipedema Modus is an innovative device featuring focused shockwave technology used in the treatment of lipedema and diabetic foot wounds. The high-intensity waves, applied to the skin's surface, stimulate deep tissue and support the body's natural healing processes.
It improves circulation, reduces swelling, relieves pain, and strengthens connective tissue elasticity in patients with lipedema. This results in both functional improvement and improved quality of life.
In diabetic foot wounds, it increases blood flow to the wound area, encourages new blood vessel formation, and accelerates healing. It also contributes to skin regeneration by supporting collagen production.

Lipedema Modus Product Features

Impulses up to 4 Hz and 25 steps
Head options that provide shock wave transmission with a penetration depth of 0-84.5 mm
Up to 25 power settings
Portable design allows treatment anytime, anywhere
Ready-made treatment programs and visual, written and video explanation information (Indications and Pathological Applications Guide)
Archive support for the user with the patient record and follow-up menu
Ability to change “Frequency” and “Power” settings during treatment
The parameters set during treatment can be easily viewed on the device screen and changes can be made during treatment.
Maintenance-free feature of the generator and handle unit

FREQUENCY

STAGE

The Lipedema Modus device provides ease of use by allowing you to adjust the "Frequency" and "Level" settings during patient treatment. This feature allows you to adjust the device's frequency and power up to 25 levels, tailored to the individual patient.

Lipedema Modus Handpiece Features

Deep energy delivery to the selected anatomical area
Easy and fast use that does not tire the hand
Easy mobility
Maintenance-free handle design

F-50 BAŞLIK

Penetrasyon Derinlikleri 68.50 mm 28.50 mm 12.00 mm 84.50 mm

Innovations in Lipedema Treatment: Shock Wave Technology with Prof. Dr. Suat Doğancı

Treatment Images

Effectiveness of Shock Wave Therapy

What is Focused Shock Wave Therapy for Lipedema?

Focused shockwave therapy, used in the treatment of lipedema, is a non-invasive method that targets subcutaneous fat, connective tissue, and lymphatic circulation. This therapy uses focused acoustic waves to increase tissue microcirculation, promote lymphatic drainage, and stimulate cellular regeneration.

The mechanical effects of shock waves support angiogenesis (new blood vessel formation) and vasculogenesis (blood vessel development with new cells) in the tissue. This increases blood flow, improves oxygenation, and contributes to the reduction of edema.

While visible relief, pain relief, and improved tissue quality are achieved in areas affected by lipedema, shock waves also stimulate collagen production, helping to tighten the skin. Damaged tissue is repaired, and the healing process is naturally accelerated.

Chronic Skin Ulcer
Diabetic Foot Wound
Lymphedema
Lipedema

Higher Energy Output

Depth of Impact up to 84.5 mm

Fast and Effective Treatments

LIPOEDEMA TREATMENT IN 4 STEPS

PEAK

Before treatment, carefully examine the area with swelling, pain or sores to determine the areas suitable for treatment.

MARK

Mark the area where the shock waves will be targeted to ensure focus on the correct area during treatment.

APPLY GEL

Apply medical gel to the area to be treated to ensure effective transmission of shock waves to the skin and underlying tissues.

APPLY SHOCK WAVES

By placing the device's applicator firmly on the treatment area, shockwaves are delivered to the tissue. In the treatment of lipedema, targeting fatty tissues increases circulation and promotes tissue regeneration.

Clinical Advantages of Lipedema Modus

Powerful shock wave effect that can reach deep tissue
High patient comfort with less pain
Rapid reduction in edema, pain, and stiffness caused by lipedema
Combined use with treatments such as manual therapy, compression and lymph drainage
Improvement in tightening and tissue quality by increasing collagen production under the skin
Maximum effectiveness and safe results with targeted application

LIPEDEMA

LYMPHEDEMA

DIABETIC FOOT ULCERS

CHRONIC SKIN ULCERS

Lipedema is a chronic condition, usually seen in women, characterized by an abnormal accumulation of fat in the lower and upper extremities (especially the legs and hips). This disorder causes swelling, tenderness, and pain due to irregularities in the fatty tissue. The most prominent feature of lipedema is the frequent occurrence of pain and bruising in the fatty tissue under the skin, along with symmetrical swelling. If left untreated, it can lead to limited mobility and psychological distress.

Lipedema Symptoms

The most common symptoms of lipedema are:

Symmetrical swelling in the lower and upper extremities (especially legs and hips).
Pain and tenderness in the fatty tissue under the skin.
Easy bruising from minor trauma.
Swelling that is resistant to diet and exercise.
In advanced stages, hardening of the skin and formation of fibrotic tissue.
Limited mobility and a feeling of fatigue.

ESWT Treatment for Lipedema

Extracorporeal Shockwave Therapy (ESWT) is used as an innovative and effective method in lipedema treatment. The shockwaves target the abnormal fatty tissue caused by lipedema, increasing microcirculation, supporting lymphatic drainage, and reducing pain. This method offers a non-invasive treatment option, improving patients' quality of life.

Research shows that ESWT breaks down fatty tissue in lipedema-affected areas, increasing circulation and supporting cellular metabolism. It has also been noted that shockwaves reduce inflammation and increase skin elasticity.

Advantages of ESWT Treatment for Lipedema

Improves microcirculation, providing better nourishment to subcutaneous tissues.
Supports lymphatic drainage, reducing swelling and edema.
Softens hardened septa in fatty tissue, improving the skin's surface.
Reduces inflammation, relieving pain and tenderness.
Increases skin elasticity, providing regional firming.
Being a non-invasive method, it does not require surgical intervention.
Offers a quick recovery process after treatment and does not interrupt daily activities.

Side Effects of ESWT Treatment for Lipedema

ESWT treatment is generally a safe method and does not cause severe side effects. However, some side effects may occur in some cases:

Slight redness or tenderness in the treatment area.
Temporary bruises or superficial hematoma.
A slight tingling or pain sensation.

These side effects disappear on their own in a short time, and the risk is minimal when the treatment is performed by specialists.

ESWT Treatment Duration and Period

For lipedema treatment, ESWT is generally applied 1-2 times a week, for a total of 6-8 sessions. The treatment duration may vary according to the stage of lipedema, the severity of symptoms, and the patient's needs.

Lymphedema is a chronic swelling condition caused by fluid buildup in the body's tissues due to damage or blockage in the lymphatic system. Although it is usually seen in the arms or legs, it can also affect different areas such as the face, neck, or torso. There are two main types: primary (congenital) and secondary (developing after trauma, surgery, or infection). If left untreated, it can lead to complications such as infection, skin hardening, and limited mobility.

Lymphedema Symptoms

Common symptoms of lymphedema are:

Constant swelling in the affected area.
A heavy or stiff feeling.
Skin tightness and decreased elasticity.
Susceptibility to infection (e.g., cellulitis).
Limited mobility and pain.
In cases of long-term swelling, skin hardening or fibrotic changes.

ESWT Treatment for Lymphedema

Extracorporeal Shockwave Therapy (ESWT) is an innovative and effective method for lymphedema treatment. The shockwaves contribute to a reduction in edema, control of inflammation, and improvement in skin elasticity by increasing lymphatic drainage. It relieves lymphedema symptoms and improves the quality of life for patients.

Research shows that ESWT increases microcirculation in lymphedema-affected tissues, accelerating fluid drainage and regulating tissue metabolism. This method offers a non-surgical solution, providing a safe and effective treatment option.

Advantages of ESWT Treatment for Lymphedema

Improves lymphatic circulation, reducing fluid accumulation and swelling.
Softens fibrotic tissues, increasing skin elasticity.
Increases microcirculation, supporting cellular repair.
Relieves pain and tenderness, reducing inflammation.
Offers a non-invasive treatment that does not require surgical intervention.
Provides a quick recovery without interrupting patients' daily activities.

Side Effects of ESWT Treatment for Lymphedema

ESWT is generally a safe method for lymphedema treatment. However, some mild side effects may occur in some cases:

Temporary redness or tenderness in the treatment area.
Slight superficial bruising or hematoma.
Rarely, a brief tingling or pain sensation.

These side effects usually resolve on their own, and the risk is minimal when the treatment is performed by specialists.

ESWT Treatment Duration and Period

For lymphedema treatment, ESWT is generally applied 1-2 times a week, for a total of 6-8 sessions. The treatment duration may vary depending on the severity and location of the lymphedema and the patient's overall condition.

Diabetic foot ulcers are chronic wounds that are common in diabetic patients and result from nerve damage (neuropathy) and circulatory problems due to uncontrolled high blood sugar. These wounds usually appear on the soles of the feet, toes, or sides of the feet and are prone to infection. If left untreated, they can lead to serious complications such as gangrene, sepsis, and amputation.

Symptoms of Diabetic Foot Ulcers

The most basic symptoms of diabetic foot ulcers are:

Redness, swelling, and pain in the wound area.
Open sores, cracks, or ulcers on the skin.
Bad odor or discharge in infected areas.
Skin discoloration (bluish or darkened tissue).
Numbness or tingling sensation (due to neuropathy).

ESWT Treatment for Diabetic Foot Ulcers

Extracorporeal Shockwave Therapy (ESWT) is a modern and effective method for the treatment of diabetic foot ulcers. Shockwaves accelerate healing by promoting the formation of new blood vessels and increasing blood circulation in the wound area. It also plays an important role in tissue regeneration and reducing inflammation.

Research shows that ESWT increases microcirculation within the tissue, supporting the transport of oxygen and nutrients and creating a favorable environment for wound healing. It is also suggested that it helps reduce bacterial infections that delay wound healing.

Advantages of ESWT Treatment for Diabetic Foot Ulcers

Accelerates wound healing by promoting new blood vessel formation (neoangiogenesis).
Improves oxygen and nutrient transport to the wound tissue by increasing microcirculation.
Optimizes the healing process in the wound area by reducing inflammation.
Supports the regeneration of wound tissue by increasing collagen production.
Offers a non-invasive and painless treatment method that does not require surgery.
Reduces the risk of amputation and improves the quality of life for patients.

Side Effects of ESWT Treatment for Diabetic Foot Ulcers

ESWT treatment is generally safe and has no serious side effects. However, some side effects may occur in some patients:

Slight redness (hyperemia) or swelling in the treatment area.
Temporary superficial hematoma (bruising).
Slight tenderness or pain.

These side effects usually resolve on their own in a short time, and the risk is minimized when the treatment is performed by specialists.

ESWT Treatment Duration and Period

For diabetic foot ulcer treatment, ESWT is generally applied in 3-6 sessions, once every 1-2 weeks. The duration of the treatment is determined by the size and depth of the wound and the patient's general health condition.

Chronic Skin Ulcers

FOCUSED ESWT FEATURES

Extracorporeal Shockwave Therapy (ESWT) is a non-invasive method and is widely used for various musculoskeletal diseases as well as in urology. There are 3 mechanisms for generating shock waves: electrohydraulic, electromagnetic, and piezoelectric.

Electrohydraulic devices generate shock waves through a discharge in a fluid medium due to the high voltage applied to the tips of the electrodes. This shock wave is focused with the help of a reflector. [1]

Electromagnetic shock wave devices operate on the principle of inducing a magnetic field and the shock wave is focused using acoustic lenses.

Piezoelectric ESWT devices, on the other hand, place a large number of piezo crystals inside a sphere, and a rapid electrical discharge is provided. As the crystals contract and expand, a pressure builds up in the water, and a shock wave is produced. Focusing is determined by arranging the crystals in different geometries within the sphere.

Figure 1. Different ESWT Device Mechanisms Used in Pressure and Shock Wave Production [2]

COMPARISON OF ESWT DEVICES

Waveform Characteristics

Electrohydraulic devices produce shock waves with shorter rise times than piezoelectric and electromagnetic devices. The rise time of electrohydraulic devices has been measured at approximately 35 ns, while the rise time of the Modus Focused ESWT device is 31 ns. This allows for faster energy transfer to the targeted area and less signal distortion as it reaches the target. In piezoelectric and electromagnetic devices, since the rise time is longer, more oscillations and distortions are observed in the waves they produce.

This situation can cause the shock wave to reach the treatment area later and with reduced effectiveness. For these reasons, the short rise time in electrohydraulic devices ensures effective treatment in the desired area during shock wave therapy application. [3]

       Figure 2. Pressure-Time Graph obtained from Hydrophone Measurements of an Electrohydraulic Modus Focused ESWT Device
       Figure 3. Comparison of Rise Time for Three Different ESWT Devices,
       EH (Electrohydraulic), EM (Electromagnetic), PE (Piezoelectric)

Figure 3. Comparison of Rise Time for Three Different ESWT Devices,
EH (Electrohydraulic), EM(Electromagnetic), PE(Piezoelectric)

Penetration Depth

The penetration depth of piezoelectric shock waves is generally up to 5 cm and is the device that reaches the lowest treatment depth. The penetration depth of electromagnetic shock waves is around 6 cm, providing a more effective treatment depth than piezoelectric devices [4]. While the penetration depth is higher in electrohydraulic shock wave devices, the maximum penetration depth in the Modus Focused ESWT device can reach up to 8.45 cm. This creates an advantage for both superficial and deep treatments.

Figure 4. Representation of Penetration Depth for the Modus Focused ESWT Device

Treatment Area

Piezoelectric devices have the smallest focal volume, which can make it difficult to target the exact area. Although electromagnetic type devices affect a wider treatment area than piezoelectric devices, they do not have as large a treatment volume as electrohydraulic devices. Electrohydraulic devices are the ones that reach the highest area in the -6 dB focal region. The high energy and strong focusing capability of electrohydraulic technology make it possible to apply treatment to larger areas [5]. Since it has a large focal volume, it has been observed that it provides more energy transfer to the treated area for a specific energy flux density (mJ/mm2), thus shortening the treatment time.

Figure 5: Representation of Focal Width and Treatment Depth for EH, EM, and PE ESWT Devices

[1] [3] [6] Gladys L.Y. Cheing, Hua Chang. :Extracorporeal Shock Wave Therapy, Journal of Orthopaedic and Sports Physical Therapy, 2003
[2] Vinzenz Auersperg, Klemens Trieb.: Extracorporeal shock wave therapy: an update, EFORT Open Reviews, 2020
[4] Saxena, A. and Shou, L., 2019. Combined ESWT & RSW Therapy for Achilles Tendinopathy: A Prospective Study. Muscles, Ligaments & Tendons Journal (MLTJ), 9(4).

Why Modus Focused?

Guaranteed effective shock wave treatment
Aesthetic and technological design
Pathology guide with video monitoring
Different application topics
Maintenance-free generator and handpiece
Low operating costs
Unlimited patient recording capacity
CE quality assurance
2-year manufacturer's warranty
Door delivery guaranteed, including shipping

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LIPOEDEMA MODUS
SHOCKWAVE THERAPY

Lipedema Modus Product Features

FREQUENCY