How it Works?
A shock wave is a single acoustic pulse characterized by a rapid rise to a high peak pressure followed by a rapid drop to below ambient pressure. They are delivered to the affected area from the point of contact at the skin surface.
The Swiss DolorClast® Method uses single acoustic pressure waves to treat musculoskeletal and dermatological pathologies. It offers two technologies – propagation of radial and/or focused shock waves — to optimize treatment results.
By delivering a mechanical stress to injured tissues, Shock Waves enable:
|Main Short-Term Effects||Depletion of presynaptic substance P in C nerve fibers1||Improved blood circulation3|
|Main Long-Term Effects||Blockade of neurogenic inflammation1 Improved tendons gliding ability2||Activation of mesenchymal stem cells4 New bone formation5|
1 Maier et al., 2003. 2 Zhang et al., 2011. 3 Application of shock waves usually results in reddening of the skin, which indicates increased blood supply. 4 Hofmann et al., J Trauma 2008. 5 Radial ESWT: Gollwitzer et al., 2013; ESWT: Tischer et al., 2008, among many others.
Compressed air accelerates a projectile which strikes a fixed applicator.
The kinetic energy is converted into a shock wave delivered to the target tissue through the skin.
These shock waves are conveyed radially for broad treatment areas.
“This treatment helped me to be able to take part in the World Cup races… and prepared me for the Olympics in Vancouver”
Aksel Lund Svindal
Alpine Skier, 42 Gold Medals Won In The World Cup Races
Swiss DolorClast® Smart20
The Smart Choice In Radial Shock Wave Therapy
Radio Shockwaves in a New Format, compact, lightweight and versatile. The new Swiss DolorClast smart now makes radial shock wave therapy even smarter. Enhanced versatility and mobility, improved treatment results and better economics combine to offer effective radial shock wave therapy at a uniquely affordable price.
Effective and easy
- Freely selectable impulse frequencies
- Compact design and easy handling
- Pneumatically generated shock wave
- Broad spectrum of indications
- Controlled application (indicator for applied pressure)
- Working pressure up to 4 bar
- Innovative touch panel
Swiss DolorClast® Master
The Solution In Radial Shock Wave Therapy
Designed for easy-to-run sessions, the Swiss DolorClast® Master features 17 ready-to-treat protocols with preset recommended settings, and up to 200 logs for tailored treatment protocols.
- Accurate manual settings, pressure ramp-up and energy density display.
- Air pressure Vs Energy Flux Density (EFD) converter.
Integrating a comprehensive therapeutic guide, the device gives access to anatomical and clinical definitions, list of published clinical studies, contra-indications and risks.
Stores patients files with automatic treatment history and offers a Visual Analog Scale solution to track pain reduction throughout the treatment.
Swiss DolorClast® Classic
The Original Radial Shock Wave Device
In a class of its own
The original radial Shock Wave device that set new standards in treatments of tendinopathies and calcifications since 1999. Fast-track treatments thanks to free selection of frequency, air pressure and impulses:
- First Shock Wave device worldwide being used for the treatment of trigger points in 2001
- The only Radial Shock Wave device on the market with FDA approval for plantar fasciopathy
- Plug-and-treat system
- Variable operating frequency (1-20 Hz)
- Preset impulse rate
- Automatic impulse counter
- Applied-pressure indicator for controlled application
- Autoclavable parts for more safety
Swiss DolorClast® Evo Blue Handpiece
The Only Constant Energy Shock Waves Hand-Piece On The Market
The new EVO BLUE handpiece with over 1 Million pulses delivers constant Energy Flux Density (EFD) output throughout the entire spectrum of frequency which enables to treat 6 times larger areas in the same amount of time with a 36 mm applicator at 4 bar, compared to a 15 mm applicator at 2 bar.
New applicator design based on Finite Element Analysis* – for ideal Shock Wave transmission
High-precision smart-lock piston with patented valve system – for unprecedented energy flux densities at all frequencies.
Latest innovation from the inventor of Radial Shock Wave therapy (RSWT®) – the Original Swiss DolorClast® Method
Easy and faster
Easy handpiece revision by quick replacement of smart-lock piston – much faster, more precise and safer than (self-) assembly of single spare parts
Swiss DolorClast® Power+
The Highest Energy Flux Density
A modified design, an adjusted travel distance, the size of projectile and new applicators account for higher energy flux density. The Power+ handpiece extends the range of applications due to higher energy and greater depth of penetration.
- Variable energy flux density (0.01-0.55 mJ/mm2)
- Greater depth of penetration (up to 45 mm)
- Integrated impulse counter and impulse trigger
- 36 mm planar applicator for surface treatment
- Focus applicator for directed shock wave application
- Easy to use and compatible with all Swiss DolorClast devices
Red Hot Chilli Peppers
Cause & Effect
Red chili peppers contain capsaicin. At first this substance overwhelms the so-called C nerve fibers responsible for transmitting pain but then disables them for an extended period of time. Everybody knows the feeling – first, the mouth is on fire, then it feels completely numb.
Research has indicated that shock wave therapy works the same way.1 When activated, the C nerve fibers release a specific substance (substance P) in the tissue as well as in the spinal cord. This substance is responsible for causing slight discomfort during and after shock wave treatment. However, with prolonged activation, C nerve fibers become incapable for some time of releasing substance P and causing pain2
Less substance P in the tissue leads to reduced pain, but there is more: less substance P also causes so-called neurogenic inflammation to decline3
A decline in neurogenic inflammation may in turn foster healing – together with the release of growth factors and the activation of stem cells in the treated tissue4
1 Maier et al., Clin Orthop Relat Res 2003; (406):237–245.
2 In addition, shock waves activate the so-called Aδ nerve fibers (sensory afferent nerve fibers from the periphery) via receptors in the tissue.
According to Melzack and Wall’s gate control theory (Science 1965; 150:971–979) these activated Aδ fibers then suppress the conduction of pain in the second-order neuron of the sensory pathway in the dorsal horn of the spinal cord.
3 The release of substance P, CGRP (calcitonin gene-related peptide) and other inflammation mediators from afferent nerve fibers is generally referred to as “neurogenic inflammation” (Richardson and Vasko, J Pharmacol Exp Ther 2002; 302:839–845). It is also linked to the pathogenesis of tendinopathies such as tennis elbow and plantar fasciitis (Roetert et al., Clin Sports Med 1995; 14:47–57; LeMelle et al., Clin Podiatr Med Surg 1990; 7:385–389).Shock wave treatment causes a drop in substance P and CGRP in the tissue (Maier et al., 2003; Takahashi et al., Auton Neurosci 2003; 107:81–84).
4 Shock waves in the treated tissue lead to a stronger expression of growth factors such as BMP (bone morphogenetic protein), eNOS (endothelial nitric oxide synthase), VEGF (vascular endothelial growth factor) and PCNA (proliferating cell nuclear antigen) as well as to an activation of stem cells (Wang CJ, ISMST Newsletter 2006, Vol. 1, Issue 1; Hofmann et al., J Trauma 2008; 65:1402–1410).