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MODUS FOCUSED PORTABLE
SHOCKWAVE THERAPY
Deep is a non-invasive treatment method used for chronic musculoskeletal system problems.
Modus F Portable is equipped with a focusing mechanism that directs each shock to a specific point in the body. Special applicators are used to adapt the energy depth, and the focused shock waves deliver all their energy into the tissue, targeting deeper tissues more precisely. Thanks to these features, it effectively treats localized pain points, chronic insertional tendinopathies, bone stress injuries, and deep trigger points. Additionally, patients who cannot tolerate radial treatments for acute injuries can benefit from focused shock wave therapy.
This therapy method, using shock waves, is widely preferred in various fields such as orthopedics, physical therapy, veterinary medicine, neurology, urology, cardiology, sports medicine, dermatology, and aesthetics.
Modus F Portable operates on a non-invasive principle, eliminating the need for anesthesia or surgical intervention. Patients can comfortably resume their daily activities after the session, making the treatment process more convenient.
Modus F Portable Product Features
- Applicator options with penetration depth ranging from 0 to 95 mm, reaching different tissue depths
- 25-level power adjustment for precision and control
- Portability offers treatment possibilities anywhere and anytime
- Pre-set treatment programs include visual, written, and video-supported guides
- Patient registration and tracking menu provide comprehensive archiving support
- Ability to adjust frequency and power settings during treatment
- Easy visualization of parameters on the device screen
- Maintenance-free design ensures long-lasting use of the generator and applicator unit
- Color touch screen provides ease of use
- Ergonomic design ensures light and comfortable usage
- 50% quieter operation offers comfortable use for both patient and specialist
It offers users a superior experience with its modern wide screen and advanced software.
FREQUENCY
LEVEL
Modus Focused ESWT Device provides you ease of use with its feature of changing FREQUENCY and LEVEL settings during patient treatment. You can adjust the frequency and power of the device up to 25 levels according to the patient with this feature.
Modus F Portable Applicator Features
- Deep energy transmission to the selected anatomical region
- Easy and quick use without tiring the hand
- On/Off button
- Easy maneuverability
- Maintenance-free applicator
- Easily interchangeable applicator options according to use
Effectiveness Of Shock Wave Therapy
“As shock waves pass through different tissues, some of their energy is transmitted to the tissue and some is reflected. Micro-level changes are seen according to the physical properties of the tissue.” (Sems, Dimeff & Ianotti JP., 2006).
With shock wave therapy, the therapeutic result is easily achieved by transmitting more energy to the tissue.
GIVES MORE ENERGY FURTHER
-
UltraFocus (UF): The applicator with the highest focus energy.
Penetration Depths64,25 mm
22,75 mm
10,25 mm
-
DeepForce (DF): The applicator with high focus energy and deeper penetration.
Penetration Depths71,45 mm
29,95 mm
16,45 mm
-
PenetraMax (PM): The applicator with deeper penetration and a larger treatment area.
Penetration Depths79,00 mm
54,00 mm
31,00 mm
Open the Doors to Innovations in Healthcare with Dr. Martin Mamo!
What is Focused Shockwave Therapy?
Clinical Advantages of Treatment
- Higher Energy Output
- Generally better tolerated with a higher comfort level
- May offer faster results for some indications
- Can be used with other treatments
- Reaches deeper structures
With Modus Focused ESWT Shockwave, chiropractors have the opportunity to shorten treatment times, treat more patients and improve treatment practices.
MAIN INDICATIONS FOR THE SYSTEM
- Myofascial Trigger Points
- Carpal Tunnel Syndrome
- Plantar Fasciitis
- Calcified Tendonitis Of Shoulders
- Bursitisstrochanterica
- Epin Calcanei
- Patellar Type Syndrome
- Tibialsyndrome
- Tennis Andean Golfer's Elbow
- Achillodynia
- Bone And Stress Fractures
- Delayed Bone Nonunion/Bone Healing
- Knee And Joint Arthritis / Medial Knee OA
- Osteitis Pubis - Groin Pain
- Hip Avascular Necrosis
- Carpal Tunnel Syndrome
- Wound Healing And Other Dermatological And Aesthetic Indications
Higher Energy Output
High Energy Depth
Fast and Effective Treatments
PAIN TREATMENT IN 4 STEPS
- 1. MEDICAL EXAMINATION
Find the painful area. - 2. SIGN
Mark the painful area. - 3. APPLY GEL
Apply the gel to combine the shock waves with the tissue. - 4. APPLY SHOCK WAVES
While transmitting the s to the painful area with our
Radial or Focused Device, apply the applicator
firmly to the painful area on the skin.
Chronic myofascial pain is pain in one muscle or more than one muscle group and is a longer-lasting type of pain that can affect the connective tissue (fascia).
This syndrome typically occurs after overuse of the muscles. In this case, pressure on sensitive points (trigger points) in the muscles causes pain in the muscle and sometimes in seemingly unrelated parts of the body.
Symptoms of Myofascial Pains
The most basic symptom of myofascial pain syndrome is tissue stiffness in the area of pain. Stiffness along with stiffness, pain or tenderness in the areas where myofascial pain occurs are common symptoms. Other effects of myofascial pain in patients are as follows;
- Muscle tightness and burning,
- Restriction or fatigue in joint movements,
- Head, back, neck, chest, waist, shoulder and sciatic pain.
ESWT Treatment in Myofascial Pain Syndrome
It is thought that ESWT is effective by creating ischemia in tight bands and trigger points, breaking the cycle that causes continuous spasm in the muscles and providing revascularization. It is also suggested that by stimulating the brain stem with serotoninergic activation from the dorsal root, it increases the inhibitory control of the descending pathways and causes hyperstimulation analgesia. Thus, it is stated that the release of free radicals, which provide analgesic effects, changes the chemical structure of the cell environment.
Advantages of ESWT Treatment in Myofascial Pain Syndrome
In one study, it was observed that in a group of patients with upper trapezius muscle myofascial pain syndrome treated with ESWT, recovery was as successful as recovery from injection or transcutaneous electrical neural stimulation treatments. It has also been stated that this modality can be used in the diagnosis of myofascial pain as well as in the treatment.
Are there any side effects of ESWT treatment in Myofascial Pain Syndrome, and if so, what are they?
ESWT is generally a safe application. With the right application, systemic side effects are almost non-existent. The most common adverse effects are skin hyperemia and superficial hematomas. Other undesirable effects are regional pain, numbness and tingling after treatment.
What is ESWT Treatment duration and period?
In myofascial pain syndrome, ESWT is effective for relieving pain after treatment four times in two weeks. However, the frequency of treatment may vary according to the region of pain, its severity and the age group where the disease is seen.
What is pseudoradicular pain?
Pseudoradicular pain does not radiate below the knee and is usually local proximal pain that does not affect the nerve roots. Pseudoradicular pain is also called referred pain. This means that the pain is perceived in a different place from the actual starting point. In many cases of pseudoradicular low back pain, it is impossible to find the underlying disease.
ESWT Treatment in Pseudoradicular Low Back Pain
Radial shock wave is an extremely effective alternative treatment for pseudoradicular low back pain and is a type of treatment that is usually applied in 6-month periods.
Advantages of ESWT Treatment in Pseudoradicular Low Back Pain
The use of ESWT in patients experiencing Pseudoradicular Low Back Pain or pseudoradicular pain in other regions produces significant and measurable reductions in pain at 1 month follow-up and disability at 3 months follow-up.
Are there any side effects of ESWT treatment in pseudoradicular low back pain, and if so, what are they?
- Pain and discomfort during and after treatment (anesthesia is not required)
- Slight redness in the treated area
- Swelling and numbness of the tissue in the treatment area
- Side effects seen in the patient usually disappear within the first 36 hours after treatment.
What is the ESWT Treatment duration and period?
A single treatment usually takes 15 to 20 minutes. According to the side effects seen after treatment, the patient usually receives treatment 3 to 5 times within a few weeks.
What is tendon inflammation?
Inflammation of the tissue that connects muscles and bones is called tendonitis. The tendon is responsible for opening and closing the joints in our body, that is, to move them. Forcing the tendon with excessive force or repeating the same movement repeatedly can cause tendon inflammation.
Focused ESWT therapy provides a powerful solution for four basic categories of muscle and tendon disorders. The aim of treatment is to create a support process that strengthens the body by triggering its own healing process.
Focused ESWT treatment in Tendon Inflammation Discomfort
Focused ESWT therapy has long been used to treat tendon diseases and tendon entry problems. In this treatment, when a shock wave is applied, it takes advantage of the body's activation of growth factors in the adjacent tissues, allowing the wound to heal. With this method, shock waves should be understood as sound waves propagating into the tissue with a specific target. Short sound pulses with a very high energy density are sent in a targeted manner to specific tissue areas, where an optimal depth effect can be achieved.
How Long Does Shock Wave Therapy Take? How Often Should It Be Applied?
Focused shock wave therapy, a widely used method, should be administered at intervals of five to seven days. Generally, 3 or 5 sessions are recommended for patients. According to the patient, the number of shock waves thrown in a single session may change the total number of sessions to be performed.
Does focused ESWT treatment have any side effects in tendonitis? If yes, what are they?
The healing process of the treatment is extremely fast and there are no complications other than minor redness or bruising. After the application, the improvement of pain or ache is not long-term side effects.
What Awaits You After Focused ESWT Treatment, What Are the Advantages?
It is possible to say that the effects are felt much more easily after the second session. After the sessions are completed, the pain is significantly reduced and almost disappears from the third month. The duration of the shock wave therapy may vary according to the muscle structure and skin sensitivity of everyone.
ADVANTAGES OF MODUS FOCUSED
Wider focal zone
Higher maximum energy
Faster treatment times
Less treatments required
Easier to use effectively
FOCUSED ESWT CHARACTERISTICS
Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive method and is widely used in urology as well as in various musculoskeletal diseases. There are 3 mechanisms for generating shock waves: electrohydraulic, electromagnetic, and piezoelectric.
In electrohydraulic devices, shock waves are formed as a result of the discharge of the electrode in a liquid medium due to the high voltage applied to its ends. This shock wave is focused with the help of a reflector. [1]
The working principle of electromagnetic shock wave devices is based on the induction of a magnetic field, and the shock wave is focused using acoustic lenses.
In piezoelectric ESWT devices, a large number of piezo crystals are placed inside a sphere and a rapid electrical discharge is provided. As the crystals contract and expand, a pressure is created in the water and a shock wave is produced. Focusing is determined by the geometric arrangement of the crystals inside the sphere.
igure 1. Different types of generating pressure waves and shock waves are produced by the diverse devices for ESWT [2]
ESWT DEVICE COMPARISON
Waveform Specifications
Electrohydraulic devices produce shock waves with shorter rise times than piezoelectric and electromagnetic devices. The rise times of electrohydraulic devices have been measured as approximately 35 ns, while the rise time for the Modus Focused ESWT device is 31 ns. This allows the energy to be transferred to the targeted area more quickly and the signal is less distorted while reaching the target. Since the rise time in piezoelectric and electromagnetic devices is longer, oscillations and distortions are observed more in the waves produced by these devices.For these reasons, the short rise time in electrohydraulic devices provides effective treatment to the desired area in shock wave therapy application. [3]
Figure 2. Pressure- Time Wave of Modus Focused ESWT based on hydrophone measurements
Figure 3. Rise Time Comparison of three ESWT Mechanisms, EH (Electrohydraulic), EM(Electromagnetic), PE(Piezoelectric)
Penetration Depth
The penetration depth of the piezoelectric shock wave is usually 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 is up to 8.45 cm. This situation creates an advantage for both near-surface and deep treatments.
Figure 4. Penetration Depth Representation of Modus Focused ESWT
Treatment Zone
Piezoelectric devices have the smallest focal volume, which can make it difficult to precisely target the correct area. Although electromagnetic type devices affect a larger treatment zone than piezoelectric type devices, they do not have as large a treatment volume as electrohydraulic devices. The devices that reach the highest area in the -6 dB focal region are electrohydraulic devices. The high energy and strong focusing feature of electrohydraulic technology makes it possible to apply treatment to larger areas [5]. Since it has a large focal volume, it has been observed that it shortens the treatment time by providing more energy transfer to the treated area for a given energy flow density (mj/mm2).
Figure 5: Focal Zones and Treatment Depth of 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).
