SHOCKWAVE The only non-invasive

alternative to surgery in
THERAPY treatment of chronic pain.
SHOCKWAVE THERAPY
Are you an orthopaedist, physical and rehabilitation medicine
specialist or physiotherapist? Do you want to treat patients who:

Suffer from chronic pain?

Are not a suitable candidate for surgical intervention?
Are looking for a non-invasive and side-effect free form of pain management?

BTL provides you and your patients with a whole new formula
for chronic pain – SHOCKWAVE THERAPY!
SHOCKWAVE THERAPY
SHOCKWAVE THERAPY is the only non-invasive alternative to surgery
treating both the cause and symptoms of chronic pain.

SHOCKWAVE THERAPY procedure is:

The only procedure that addresses the impaired tissue through deep cell stimulation resulting
in tissue regeneration and healing.
• The first choice in the treatment of chronic pain of the musculoskeletal system, calcifications and
impaired tendons or bone nonunions.
• Expanding your addressable patient population who
— have joint and tendon pain
— are not candidates for surgical intervention
— are looking for a non-invasive treatment alternative, without drugs or local anesthetics
MECHANISM OF ACTION 1st  hock waves spread
S
through the tissue and reach
the impaired area.

Shock waves are transient acoustic waves which have the unique ability
to transmit high energy to painful spots of the myoskeletal system.

• The high energy shock waves were originally used to disintegrate the tissue, such as treatment of kidney stones.
• Over the last 10 years, SHOCKWAVE THERAPY gained its popularity in the treatment of chronic issues of the
musculoskeletal system and is supported by many clinical studies presenting its healing and reparative effects 2nd Shock waves cause cell
on the tissue. stimulation and growth factor
release. Cells proliferate
and differentiate.
Pressure

3rd This results in tissue

regeneration.

Time

Shock waves are characterized by the fast and high rise of positive pressure followed by a longer period of decreasing pressure.
MEDICAL EFFECTS AND INDICATIONS
The most common SHOCKWAVE THERAPY applications are treatment of chronic
musculoskeletal pain resulting from tendinopathies, trigger points, elimination
of calcifications and stimulation of bone nonunions.
BEFORE AFTER SHOCKWAVE THERAPY BEFORE AFTER SHOCKWAVE THERAPY

PATELLAR TENDINOPATHY, COURTESY OF AZAEL A. FLORES SALINAS, M.D. SHOULDER CALCIFICATION, COURTESY OF: BTL

CHRONIC PAIN RELIEF REPAIR OF DAMAGED TISSUE

Due to mechanical stimulation of thick nerve fibres, SHOCKWAVE THERAPY relieves pain The stimulation of impaired tissue releases growth factors responsible for regeneration. Based on this
through Gate Control Theory as well as decreases the level of substance P. This leads to: principle, the SHOCKWAVE THERAPY can be used to:
• increased blood circulation • cause neovascularization for ingrowth of new vessels and improved blood supply in the impaired tissue
• reduction of local ischaemia • trigger fibroblast proliferation and increase collagen synthesis for accelerated tendon regeneration
• disruption of the pain cycle • r elease bone morphogenetic protein (BMP) for mesenchymal cell differentiation and osteogenesis
• long-lasting pain relief in bone nonunions
• stimulate the growth of new lymphatic vessels which aid to reabsorb calcium deposits in the tissue
DIFFERENT SHOCKWAVE THERAPIES A single piezoelectric
crystal

Did you know that FOCUSED and RADIAL SHOCKWAVE THERAPY have the same FOCUSED SHOCKWAVE is based on electroacoustic principles. Inside of the
applicator, there is a complex consisting of the single piezoelectric crystal and
medical effect, but differ from the technical aspect as well as clinical indications? an electroacoustic lens.

The device creates a high voltage which deforms the crystal and creates an
acoustic pressure wave. The wave is then shaped convergently and spreads
High voltage through the patient’s body.

An electroacoustic lens

Projectile

RADIAL SHOCKWAVE is based on pneumatic principles. The energy is

created by transferring compressed air under large pressure from the device
into the applicator.

The energy of the air is translated onto the projectile which is consequently
pushed at high speed against the transmitter at the end of the applicator.
The wave is then shaped divergently and spreads through the patient’s body.

FOCUSED SHOCKWAVE allows for adjustable penetration depth RADIAL SHOCKWAVE allows for changing the character of shocks by using different
with constant maximal intensity. The therapy is suitable for transmitters. However, the maximum intensity is concentrated superficially.
treatment of both superficial and deep-lying tissues. The therapy is suitable for treatment of superficially lying tissues. Transmitter Compressed air
PARAMETERS
FOCUSED SHOCKWAVE THERAPY RADIAL SHOCKWAVE THERAPY
• 
Intensity is expressed by Energy Flux Density (EFD) • Intensity is expressed by pressure and defined in Bars

• 
A typical session applies between 1000-3000 shocks • Typically, a session applies 4000-6000 shocks

• 
The depth of penetration is adjusted according to the impaired tissue by using only 3 coupling pads • The energy distribution, as well as the intensity of the shocks, can be changed by using different transmitters

Penetration depth
30-65 mm

Penetration depth
15-50 mm

Penetration depth
0-35 mm

15 mm steel 9 mm steel 9 mm prolonged Universal 15 mm 15 mm titanium 20 mm vibrating 36 mm vibrating

focused transmitter transmitter for transmitter for steel multifocused transmitter transmitter for transmitter for
for targeted acupuncture deep-lying trigger transmitter for all for deeply located muscles and large muscle
applications points points applications pathologies fascias groups and fascias
THERAPY PROCEDURE
FOCUSED SHOCKWAVE THERAPY RADIAL SHOCKWAVE THERAPY

BEFORE THE THERAPY BEFORE THE THERAPY

Choose a suitable Apply gel on the Apply gel in the Initiate the therapy Choose a suitable Apply gel in the Initiate the
coupling pad lens surface treated area with low intensity transmitter treated area therapy

THERAPY TECHNIQUES THERAPY TECHNIQUES

1st Use the “swiveling” technique

to treat the most painful spot. 2nd Use the “painting” technique to treat
surrounding of the most painful spot. 1st Use the “painting” technique
around the most painful spot. 2nd Use the “swiveling” technique to
treat the most painful spot. 3rd Use the “painting” technique
to treat related areas.
PRODUCT HIGHLIGHTS
FOCUSED SHOCKWAVE THERAPY RADIAL SHOCKWAVE THERAPY
Technology Applicator Technology Therapy
 whole new patented electroacoustic technology
• A • Intelligent applicator with continuous monitoring of shock • The strongest portable radial SHOCKWAVE weighing only 7 kg  ide range of transmitters for different indications
• W
• T
 he only technology offering the highest lifespan of intensity and touch screen display • 2 million shocks lifespan
3 million shocks with constant intensity • Adjusting parameters directly from the applicator display Additional features
 asy maintenance and liquid-free circuit
• E Parameters • P
 resets with therapeutic encyclopaedia
Parameters • S
 witch & Go applicator replacement service
• Pressure up to 5 bars and frequency up to 22 Hz
 he perfect balance between high Energy Flux Density
• T
(0.65 mJ/mm2) and optimal Focal Zone size (5×35 mm) Additional features
Applicator
• T
 he highest frequency range on the market for a wide
• P
 resets with therapeutic encyclopedia
spectrum of indications • E
 rgonomic applicator with easy maintenance

Therapy

• A
 djustable depth of penetration of up to 65 mm by using
only 3 coupling pads

3 2
million shocks million shocks
lifespan lifespan
FOCUSED SHOCKWAVE THERAPY CLINICALLY TESTED IN INDEPENDENT STUDIES

ESWT COMPARED WITH SURGERY SWT FOR CHRONIC PLANTAR ESWT PROMOTES CELL PROLIFERATION
FOR HYPERTROPHIC LONG-BONE FASCIITIS IN RUNNING AND COLLAGEN SYNTHESIS OF PRIMARY
NONUNIONS ATHLETES CULTURED HUMAN TENOCYTES
EXTRACORPOREAL SHOCKWAVE THERAPY COMPARED WITH SHOCKWAVE APPLICATION FOR CHRONIC PLANTAR EXTRACORPOREAL SHOCKWAVE THERAPY PROMOTES CELL
SURGERY FOR HYPERTROPHIC LONG-BONE NONUNIONS FASCIITIS IN RUNNING ATHLETES PROLIFERATION AND COLLAGEN SYNTHESIS OF PRIMARY
CULTURED HUMAN TENOCYTES
Cacchio A, Giordano L, Colafarina O, Rompe JD, Tavernese E, Ioppolo Rompe JD, Decking J, Schoellner C, Nafe B.
F, Flamini S, Spacca G, Santilli V. Vetrano M, d’Alessandro F, Torrisi MR, Ferretti A, Vulpiani MC, Visco V.
Department of Orthopaedics, Johannes Gutenberg University School of Medicine, Mainz, Germany
Department of Physical Medicine and Rehabilitation; Division of Orthopaedic Surgery, Department of Published: Am J Sports Med, 2003, 31(2), 268-275. Faculty of Medicine and Psychology, Sant’Andrea Hospital, Rome, Italy
Surgery, “San Salvatore” Hospital of Vaquila; Physical Medicine and Rehabilitation Centre, Nomentana Published: Knee Surgery, Sports Traumatology, Arthroscopy, 19(12), 2159–2168.
Hospital, Rome; Department of Physical Medicine and Rehabilitation, School of Medicine, “La
Sapienza” University, Rome, Italy
Published: The Journal of Bone & Joint Surgery, 91(11), 2589–2597. HIGHLIGHTS
HIGHLIGHTS
• 1 45 patients with chronic intractable plantar pain.
• T
 endon from patient undergoing arthroscopy.
HIGHLIGHTS • T
 o achieve pain relief.
• T
 o measure the amount of collagen synthesis by tenocytes.
• 1 26 patients with bone nonunions. • 6
 tx with FSWT compared to sham treatment.
• S
 amples receiving single FSWT application compared to
• C
 ompare effect of surgery and FSWT in long-bone • V
 AS
samples without FSWT application.
hypertrophic nonunions. • S
 ignificant pain reduction maintained during
• D
 ye-binding method and collagen quantitation.
• F
 SWT comparing to surgical intervention. 3-month follow-up.
• F
 SWT strongly stimulated in vitro collagen production.
• X
 -ray
• F
 SWT is as effective as a surgery at 3- and 12-month follow-ups.
RADIAL SHOCKWAVE THERAPY CLINICALLY TESTED IN INDEPENDENT STUDIES

ESWT IN THE TREATMENT EFFECT OF RSWT ON PAIN AND CHRONIC PLANTAR FASCIITIS
OF CHRONIC PLANTAR MUSCLE HYPERTONIA IN MULTIPLE TREATED WITH TWO SESSIONS OF
FASCIITIS SCLEROSIS RSWT
EXTRACORPOREAL SHOCKWAVE THERAPY IN THE TREATMENT EFFECT OF RADIAL SHOCKWAVE THERAPY ON PAIN AND CHRONIC PLANTAR FASCIITIS TREATED WITH TWO SESSIONS
OF CHRONIC PLANTAR FASCIITIS MUSCLE HYPERTONIA: A DOUBLE-BLIND STUDY IN PATIENTS OF RADIAL EXTRACORPOREAL SHOCKWAVE THERAPY
WITH MULTIPLE SCLEROSIS
Husseiny M. Ibrahim M, Donatelli R, Schmitz Ch, Hellman M, Buxbaum F.
Marinelli L, Mori L, Solaro C, Ucceli A, Pelosin E, Currà A, Molfetta L,
Rheumatology & Rehabilitation Department, Faculty of Medicine Zagazig University Rocky Mountain University of Health Professions, Orthopeadics, Brooklyn, NY, USA
Abbruzzese G, Trompetto C.
Published: Zagazig University Medical Journal, 2009, 15/1, 73–82. Published: Foot & Ankle International, 2010, 31(5), 391-397.
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health;
University of Genoa
Published: Multiple Sclerosis Journal, 21/2015, 622-629.
HIGHLIGHTS HIGHLIGHTS
• 9 0 patients with chronic plantar fasciitis. • 50 patients with unilateral chronic plantar fasciitis.
HIGHLIGHTS
• Evaluate efficacy of RSWT in chronic plantar fasciitis. • Evaluate efficacy of RSWT in chronic plantar fasciitis.
• 68 patients with multiple sclerosis and painful hypertonia.
• 4 tx of RSWT compared to sham treatment. • 2 RSWT tx compared to sham treatment.
• Evaluate
 efficacy of RSWT in ankle extensor muscles
• VAS • V
 AS
hypertonia.
• R
 SWT is a non-invasive, safe and effective treatment for chronic • VAS was reduced after 4-week, 12-week and 24-week follow-ups.
• 4 RSWT tx compared to sham treatment.
plantar fasciitis.
• VAS and MAS
• RSWT reduces pain and hypertonia without adverse effects.
MAXIMIZE YOUR PATIENTS DATABASE!
To boost your patients’ interest in SHOCKWAVE THERAPY treatment, BTL provides its customers with promotional
materials. These materials include prints (banners, patient brochures) for placement in the waiting room or to hand out,
as well as online materials.

IN-OFFICE BRANDING IN-OFFICE COMMUNICATION MAXIMIZING YOUR PATIENT DATABASE SOCIAL MEDIA STRATEGY WEBSITE PROMOTION CLINICAL TRAINING
Learn how to implement SHOCKWAVE We will provide you with documents that will help BTL will provide you with ready-made e-blast Start promoting SHOCKWAVE THERAPY on your Optimize your practice’s website by promoting Our trainers will help you to become SHOCKWAVE
THERAPY branding in high-traffic areas in your you effectively communicate the treatment to template you can send to inform everybody that social media account including Facebook, Instagram SHOCKWAVE THERAPY to generate leads. THERAPY clinical expert. This is the key to
office by using patient brochures, roll-up banners your patients. Train and support all personnel who you now offer the SHOCKWAVE THERAPY for fully and Twitter from day 1. Let your patients know that successful patient outcomes and satisfaction.
and videos. will be responsible for phone and face-to-face non-invasive and side-effect free pain management you have something new and revolutionary for them!
communication on how to effectively talk about of chronic pain!
SHOCKWAVE THERAPY.
THEIR WORD MATTERS

Krzysztof Kijewski Alvaro Torres de Mérida Stephanie Arias Romano De Santis

Poland Mexico Costa Rica Italy

“It is a non-invasive, safe and efficient method. “The experience we have had with SWT has “Nothing cooler than starting the work day with “I used BTL-6000 FSWT on different frozen
In approximately 10 days, Shockwave therapy been fabulous, the most common cases are the best BTL technology. The Shockwave unit shoulder pathologies, elbows with articular
treatments can reduce pain in extremity motor plantar fasciitis and heel spur, where we had is a specialized treatment in management and block, heel spurs, Achilles tendinopathies, and
function disorders acquired through competitive excellent results. We have treated 65 patients control of chronic muscle and tendon injuries! sports muscle lesions. I had good results since
sports in 84% of cases.” with the conditions that they had had suffered With 100% effectivity and results, along with the first therapies.”
from for 7, 5 and 3 years including pain. a good rehabilitation program! Indications:
They have improved by 90% after the SWT Achilles tendinosis and heel spurs, chronic
treatment.” muscle strains, painful shoulder, tennis elbow,
trigger points and other! In FisioSaludStar we
already have this technology.”

Werner Zehnder Mario William Marín Pando David Garcia Tapia Gernot Seppel
Switzerland Peru The Dominican republic Germany

“I had surprisingly great success in various “I have observed the best results in myofascial “Excellent results with our BTL Shockwave “Focused Shockwave is superior to all other
applications with the BTL Shockwave therapy pain, tendinopathies, plantar fasciitis, in patellar and spuraspinatus tendinopathies, treatment options, and above everything else,
device. Especially with restricted movement of epicondylitis and delayed bone healing in epicondylitis, Achillodynia and plantar fasciitis. non-invasive.”
the shoulder and also with trigger finger.” small bones. The treatment was side-effect Our patients are our best advertisement.”
free and effective in more than 85% of treated
patients.”
THE BEST SOLUTION FOR ANY OF YOUR PATIENTS
TR-THERAPY SUPER INDUCTIVE SYSTEM
cle
us
Constantly hearing from your patients that they are tired and their M Nerve damage can significantly decrease your patients´ quality
muscles feel very stiff? TR-THERAPY: of life. Help them restore nerve function and overcome their pain
with the SUPER INDUCTIVE SYSTEM using the high-intensity
 elieves muscle pain and soreness
• R
electromagnetic field energy.

N
er
• Eliminates muscle fatigue

vo
• Blocked back

u
• Regenerates muscles

ss
• Muscle strengthening

ys
tem
• Fractures
• Recovery after a stroke

Thanks to BTL high-end

technologies, you can selectively
target the tissue and achieve
target different tissues best
therapeutic results.

HIGH INTENSITY LASER SHOCKWAVE THERAPY

Are your patients shortly after surgery or injured? Do you want to help Chronic pain will not limit your patients anymore. Degenerative

Va
them recover faster? Did you know that our HIGH INTENSITY LASER processes in tendons lead to their stiffness which is hard to

sc
and ROBOTIC SCANNING SYSTEM speed up healing through a natural address with manual techniques or stretching. SHOCKWAVE

u la
process of energy transfer on a cellular level called biostimulation? THERAPY provides fast pain relief and mobility restoration

rs
This contributes to healing and tissue regeneration in: through mechanical stimulation in:

ys
te
 cute pain

m
• A • Shoulder pain
• Muscle strain • Tennis elbow
• Joint sprain ne • Runner´s knee
bo
• Muscle injury n& • Achilles tendon
n do
Te
• Heel pain
A SOLUTION FOR ANY OF YOUR PATIENTS NO 2 PATIENTS ARE ALIKE
RADIAL SHOCKWAVE FOCUSED SHOCKWAVE HIGH INTENSITY SUPER INDUCTIVE RADIAL SHOCKWAVE FOCUSED SHOCKWAVE HIGH INTENSITY SUPER INDUCTIVE
EXPLANATION TR-THERAPY INDICATION TR-THERAPY
THERAPY THERAPY LASER SYSTEM THERAPY THERAPY LASER SYSTEM
Energy divergent acoustic wave convergent acoustic wave laser light radiofrequency current electromagnetic field Acute back pain N/A* N/A 1st CHOICE OPTIONAL 2nd CHOICE

superficial mechanical Chronic back pain OPTIONAL OPTIONAL OPTIONAL 1st CHOICE 2nd CHOICE
Mechanism of action deep mechanical stimulation laser biostimulation thermic effect nerve depolarization
stimulation
Degenerative joint disorder 2nd CHOICE 1st CHOICE OPTIONAL OPTIONAL OPTIONAL
Key tissue tendon tendon, bone cellular repair muscle nerve
Joint sprains N/A N/A 1st CHOICE OPTIONAL 2nd CHOICE
elimination of calcifications, joint mobilization
healing start-up in healing of acute injuries muscle spasm relaxation
healing of bone non-unions muscle stimulation and Degenerative disorder of spine N/A N/A 2nd CHOICE OPTIONAL 1st CHOICE
Medical effect superficial tendinopathies, anti-inflammatory effect muscle regeneration
and tendinopathies at relaxation
chronic pain management acute pain management oedema removal Rheumatoid diseases N/A N/A 1st CHOICE OPTIONAL 2nd CHOICE
tendon-bone junction pain management
Calcifications 2nd CHOICE 1st CHOICE OPTIONAL OPTIONAL OPTIONAL
up to 5 cm, adjustable depth of focal
anywhere between Enhancement of fracture healing N/A 2nd CHOICE OPTIONAL N/A 1st CHOICE
Penetration depth maximum intensity zone within range 0–35 mm, up to 10 cm up to 10 cm
electrodes
spread superficially 15–50 mm, 30–65 mm
Bone non-union N/A 1st CHOICE N/A N/A N/A

Application manual manual manual manual operator free Joint blockage N/A N/A OPTIONAL 2nd CHOICE 1st CHOICE

pressure sensation pressure sensation muscle contraction Muscle atrophy N/A N/A N/A 2nd CHOICE 1st CHOICE
Patient perception intense heat intense heat
up to mild discomfort up to mild discomfort or tingling
Muscle hypertonus 2nd CHOICE OPTIONAL OPTIONAL 1st CHOICE OPTIONAL
orthopaedics, PRM, PT, orthopaedics, PRM,
Medical branch orthopaedics, PRM*, PT** orthopaedics, PRM PT, sports medicine Muscle regeneration OPTIONAL OPTIONAL 2nd CHOICE 1st CHOICE OPTIONAL
sports medicine neurology, PT

sensory deficit, Muscle injury N/A N/A 1st CHOICE 2nd CHOICE OPTIONAL
any acute stage, spine area, sensory deficit, head area, metal and
any acute stage, spine
Application limits head area, organs with gas experienced manual electronic implantable
area, head area safety requirements Myofascial syndrome 2nd CHOICE OPTIONAL OPTIONAL 1st CHOICE OPTIONAL
content therapist devices
Spasticity 2nd CHOICE 2nd CHOICE OPTIONAL OPTIONAL 1st CHOICE
cream, single-use
Disposables shell, gel pads, gel none none
electrode (optional) Tendinopathy 1st CHOICE** 1st CHOICE*** OPTIONAL OPTIONAL OPTIONAL

Number of treatments 10 sessions 5 sessions 5–10 sessions 5–10 sessions 5–10 sessions Nerve damage N/A N/A 2nd CHOICE OPTIONAL 1st CHOICE

Application frequency up to twice a week once a week up to daily up to daily up to daily Sports injuries N/A N/A 1st CHOICE 2nd CHOICE OPTIONAL

Treatment duration 10 min 5 min 5–15 min minimally 15 min up 10 min Post-traumatic oedemas N/A N/A 2nd CHOICE 1st CHOICE OPTIONAL

*PRM (Physical and rehabilitation medicine) **PT (Physical therapist) *N/A (Not applicable) ** 1 st choice in superficial tendinopathies ***1 st choice in deep tendinopathies
BTL: OVER 25 YEARS OF INNOVATION OUR COMMITMENT TO YOU

BTL will:

• Provide safe and efficacious solutions of the highest quality

More than 55 offices 1,500 employees More than 2 focused divisions:

• Offer technology with NO costly consumables
around the globe worldwide 300 engineers medical and aesthetics • Continue to offer an affordable upgrade programs

Growing to meet your needs

©2019 BTL Group of Companies. All rights reserved. BTL® is registered trademark in the United States of
1993 Continuous growth worldwide America, the European Union and/or other countries. The products, the methods of manufacture or the use may sales@btlnet.com
be subject to one or more U.S. or foreign patents or pending applications. btlnet.com
BTL-6000_SWT_CAT_Complete-edition_EN100
014-77SWTCOMPLEN100