Guided DolorClast Therapy

Shockwave Therapy is a non-invasive alternative to surgery, steroidal injections and oral medication. 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.

Maximize treatment outcomes

The right technologies ​ with the right energies​ to address 90% of all major musculoskeletal disorders​ with success​.

Transform patient experiences

The ally to provide pain-free experience and restore patients’​ confidence in their recovery.

Boost practice success

The partner in care to boost​ your practice productivity, visibility and profitability

Guided Dolorclast Therapy

How to best engage with your patients during a physiotherapy appointment?

assess&engage

Never assume patients know what to expect!

  • Let them know the course of their GDT protocol in details: tell them about session frequency and the treatment sequence.
    This will help them to reduce their possible anxiety and to ensure their compliance with the treatment. 

Set expectations: they play an important role in the outcomes!

  • Openly discuss and set upfront patient expectations; whether they relate to treatment time, pain release, increase of the range of motion, change in the quality of life, etc. 

Recognize your patients as actors of their recovery

  • Take time to explain them their pathology
  • Using simple words how GDT technologies work and how they are going to help them overcome their pain

Determine your patient's pain chronicity

Evaluating your patient's pain chronicity can help you find the most appropriate treatment protocol and is highly recommended by the Guided DolorClast® Therapy. 

Here is how you can determine your patient's chronicity. 

Treatment decision tree

EMS has designed a treatment decision tree which will help you decide which protocol best suits your patient's pathology, ensuring not only the most optimal results but will also give your patients a deep understanding of the treatment protocol they are going to receive.

Use DolorClast® Laser for:

  • Superficial or deep MSK indications
  • As 1st choice to address acute inflammation 
What are the benefits of laser therapy?

Musculoskeletal injuries are described by patients as highly painful, especially in their acute phase. Unfortunately opioid medication or sedative are still too often prescribed despite the risk of adverse events. To avoid any addictive form of pain management, EMS has developed the DolorClast® High Power Laser to offer a non-invasive, effective yet safe solution to patients suffering from acute phase or those having a low-tolerance threshold of pain.

Shed light to blind pain & regenerate:

No opioids
No sedatives
No pain

How can a laser help in physical therapy?

"905nm - the ideal wavelength for quick pain reduction and lasting healing"

905 nm wavelength supresses acute inflammation

905nm wavelength leads to a reduction of the amount of Prostaglandin E2 (PGE2), which is a key marker of the inflammation. Clinical research2 shows that exposing tissues to such laser light diminishes the acute inflammation thanks to the reduction of PGE2 as fast as 1 hour after the treatment. By mimicking the effect of nonsteroidal anti-inflammatory drugs (NSAIDs), without exposing patients to their side-effects and addiction, 905nm wavelength kicks off  the healing process.  

2 Bjordal, J M et al., 2006

Guided DolorClast Therapy suggests a combination therapy approach:

Apply DolorClast® Radial Shock Waves or Focused Shock Waves:

  • 5 minutes after the end of DolorClast® High Power Laser treatment for excellent combined clinical outcomes, or
  • 1 hour after the end of DolorClast® High Power Laser treatment for excellent optimal clinical outcomes

Which shock wave devices gives the most cavitation?

The pictures below represent the maximum level of cavitation (black dots) generated with different radial shock waves handpieces at maximum pressure settings at 15Hz.1

Cavitation of different shock wave devices

1 NikolausB. M. Császár et al., “Radial Shock Wave Devices Generate Cavitation”, 2015. 

How are shock waves applied?

Guided DolorClast Therapy suggests a combination therapy approach:

Apply DolorClast® Radial Shock Waves:

  • 5 minutes after the end of DolorClast® High Power Laser treatment for excellent combined clinical outcomes, or
  • 1 hour after the end of DolorClast® High Power Laser treatment for excellent optimal clinical outcomes

Use DolorClast® Focused Shock Waves for: 

  • Deep indications
  • Sub-acute or chronic pathologies
  • Deep calcified lesions or myotendinous tears, nonunions fractures or enthesopathies located on the elbow and recalcitrant to heal. ​

Guided DolorClast Therapy is based on the combination of different therapies aiming at relieving pain and healing musculoskeletal injuries. On top of the DolorClast® Laser & Shock Waves treatments, its strength lies as well in a rehabilitation program that speeds up and increases functions recovery. The rehabilitation program shall be set up at the discretion of each practitioner, depending on their habits and the material they own in their practice. 

GDT invites practitioners to involve patients in their treatment routine and be an actor of their recovery. Adding rehabilitation exercises to DolorClast® laser and shock-wave treatments will improve clinical outcomes.

Patient compliance to treatments that last over few weeks is tricky. GDT helps you keeping patients within your practice and improving your overall success. Here are some quick tricks to your patients:

Track treatment succes​

via outcome measurement tools (VAS score and ROM) to reassure your patients.

Schedule the next appointment​

Before patient leaves to establish a treatment pattern.

Don't forget!​

Patients are often your most passionate ambassadors. Their endorsement to the GDT will represent more than any paid campaign for your practice. So engage the discussion with your patients and make sure they FEEL GOOD about their treatment and results.

Patient compliance to treatments that last over few weeks is tricky. GDT helps you keeping patients within your practice and improving your overall success. Here are some quick tricks to your patients: