The Shockwave Therapy Podcast

James speaks with Storz chief engineer all things Magnetolith (Their high energy PEMF device) and their recently launched Next Generation Radial device with ground breaking new technology.   https://www.vennhealthcare.com/icon-redefining-radial-shockwave-therapy/  https://www.storzmedical.com/en/disciplines/emtt-products-for-musculoskeletal-disorders/   Follow us on Facebook: facebook.com/theabbeyfieldsclinic Follow us on Instagram: Instagram.com/theabbeyfieldsclinic Follow us on YouTube: / @theabbeyfieldsclinic6286 The post Episode 18 – ‘Next gen’ Radial Shockwave from Storz Medical with Volker Westerholt appeared first on The Abbeyfields Clinic.

Our guest this week is Dr. Stefan Buntrock , Consultant Urologist with post graduate qualifications in Sexual Medicine and Sports Medicine. He has a busy private practice in Göttingen, Germany specialising in men’s health conditions alongside standard urology care. He also owns and generates amazing content for the ever-popular Youtube channel – www.youtube.com/@UroChannel1A which covers everything from Peyronnies to CPPS in a bite size, easy to understand format for patient education. I thoroughly recommend it to all those working in this field. Stefan talks us through his experience in Men’s Health, and how adopting ESWT transformed the way he deals with CPPS and ED, in particular. He has also recently added to his significant professional repertoire by providing education for therapists / clinicians through the excellent online portal – https://shockwavetherapist.com/shockwave-therapy-formens-health-conditions   Follow us on Twitter: twitter.com/TheAbbeyfields Follow us on Facebook: facebook.com/theabbeyfieldsclinic Follow us on Instagram: Instagram.com/theabbeyfieldsclinic Follow us on YouTube: https://www.youtube.com/channel/UCk93PyEIoG_IH3kyKR9kmGQ   Episode Transcription James (00:02): Welcome to the Ed Clinics podcast. My name is James Woledge. I’ll be your host for this series where we’ll be discussing everything to do with shockwave therapy and men’s health conditions. That’s everything from erectile dysfunction through to chronic pelvic pain syndrome, Peyronie’s disease, hard flacid syndrome amongst others. We’ll be talking to a host of experts from around the world to shed some light on these complex conditions. And we’ll also be talking to patients that have been through treatment journeys themselves, so you can get a greater understanding of how we can help a broad range of people with these conditions. So without further ado, enjoy this episode. Thanks for coming over. The last, I think probably couple of months before Thomas got hold of me, I was like, this guy’s everywhere. You had nearly like 250,000 on your YouTube channel, which I now tell patients about because I am not just saying this because you’re on my podcast, but they are, they’re like perfect little bite-sized bits that we tell patients about nitric oxide. That one that you did the eight sort of tactics for that, Stefan (01:04): That’s really James (01:04): Just exactly what patients are after. Yeah, I think that’s really good. And then I sort of digging around, usually I get patients to, sorry, I’ve been in clinical day guests to talk about themselves, but I can’t help but talk about him like Right, doctor? Doctor. Oh yeah, now I understand. So he’s got PhD, Scandinavian languages consultant, urologist, surgeon, sexologists, which we don’t have for those in the UK listening, we have urologists specialise in sexual medicine or andrologist. And then you have sports medicine qualifications as well. So two PhDs, sports med speak, several languages, a YouTube sensation that makes you pretty unique. Right. Stefan (01:47): Next month I’m going up for the exam for nutritional medicine. I’m kind of nervous. James (01:56): Yeah, that’s impressive. Yeah, right. I don’t even want to go into the machinations of your mind, but clearly you are not one for sitting around and just resting at peace. Stefan (02:04): No, I mean I’m just a regular guy, so if you’re interested in stuff and you look around and you easily get interest in this and that and suddenly a few decades later you have accumulated a lot of stuff. James (02:21): Yeah, it’s making me feel pretty bad because I might be a bit older than you. I’m 50 and you’ve managed to produce all of those things by the, how old are you? Do you mind me asking? Stefan (02:30): I’m so sorry. I’m 57. James (02:32): Oh, you’re looking pretty good. I’ll give you that. Stefan (02:34): Thanks. James (02:35): So you currently have private practise in the middle of Germany? Stefan (02:39): Yes. James (02:40): Alright, and is that just you or do you work with a team of others or that’s your thing? Stefan (02:44): No, it’s just me. I made the experience that I’m quite good at doing things on myself, so I get lots of things done and the best thing about working alone is that you can make all your decisions yourself and you take credit for all the good things that you decided, but you also take the beating for all the bad things that came out of it. I don’t have to discuss any topics with anybody concerning my YouTube channel, so I just come up with a topic and then I just do it. James (03:19): And I think I heard on another podcast that I listened to you on that you’ve done 110 videos just pretty much around the penis or men’s health, Stefan (03:30): Something like that. It’s around the penis. James (03:33): Wow. Stefan (03:33): And when I started, I never thought one could do so many videos, so many different videos about the penis. But it turns out it’s a pretty interesting organ and there are lots of nuances that you can explore in the penis. And I was most fascinated, I think about the fibro skeleton of the penis. Many species, they have a bone inside and we don’t. So the penis in principle feels soft, but it isn’t because it’s some of the miracles of nature. So when the penis feels with blood, it suddenly becomes rigid because of this fibro skeleton that expands (04:17): Because (04:18): Of the pressure inside the penis. And I think this is just fabulous structure. If you look at it with all these pillars and connected to the odour surface, it’s very fascinating. James (04:29): It makes some of the words that are used around the penis somewhat difficult because as you will probably get, you still have patients thinking there’s a bone in there because of course there is still a diagnosis of a fractured penis. And so when people hear fractured penis, they think, well, there must be a bone in there to fracture. And you go, well actually no, it’s a fibro skeleton. That actually is the fracture in effect, the collagenous stuff that does it not a bone. Yeah, it’s definitely got some interesting anatomy as I’ve discovered over the last five or six years looking into this now, I mean you spend all of your life doing men’s health. I mean for us in the UK I’m part of a group of clinics called ed clinics.co uk. So we are a physiotherapist osteopaths. There are some medics involved in that as well. And it probably makes up only maybe 10, 15% of our working day. The rest is still for me, musculoskeletal, which is how I got into shockwave over 10 years ago. And your journey’s been slightly longer than that, about 15 years ago maybe, that you started Stefan (05:30): Seeing something like that? So I started out as a regular urologist, you go to med school and then in my time we had something which was called A IP, which is asked in practicum. So after I was done with med school, I had one year and a half that I was kind of a doctor for German standards, but I wasn’t fully licenced. They abandoned that. But back in the day they had it where I looked around in all kinds of specialties. So I was in gynaecology and cardiology, internal medicine. I think I also did some geriatrics stuff. And then I ended up in urology. And as every urologist I had a surgical training and it’s basically cancer. When you work in a hospital, most of the stuff that you see is about cancer. So I always regarded myself being an oncologist in a way, but relatively early in my career I thought, well, what we’re doing is maybe not the best of things because we’re leaving aside the sexual aspects. (06:39): And as you mentioned, I’ve also studied literature and if you look around and look at the world, sex is one of the main promoters of actions for people. So whenever there’s anything you can be pretty sure sex is involved. And if you read novels, it’s everywhere in the novels. So I was actually, when I was getting out of med school, I wasn’t quite sure if I wanted to become a doctor. So I was interested in becoming a consultant and I had a job interview at the Boston Consulting Group that was over 20 years ago. Then they were asking us, so the first branch was they opened in Boston and then they opened in Tokyo and they were asking us, so why do you think it was Tokyo? So everybody was speculating about the economy and it being so important. I was so stupid I didn’t speak up because I immediately thought, well, because there was some kind of woman in Tokyo that was the solution. (07:47): So he had a girlfriend in Tokyo, so he opened a new branch in Tokyo. So there’s sexual motives everywhere and this is what I thought was so important. So we rip out the prostates and for that matter also the bladders. And then we say, here you go, you will live for many decades, but we don’t care about your sex life because it’s your private life and farewell, this is how we do it and this is how we still do it today. And because of that, I got interested in sexual medicine and I started to do all this stuff with PD five inhibitors. But then I came to a point where I thought, well, it can’t be everything. So I was interested in becoming a sexologist and this is the psychologic part of things. So I learned sex therapy at the cite University hospital in Berlin. That was a course that went over many years, I think two years. And then I studied because you had to handle all these cases. It wasn’t just going into a course, you had to make your homework and have patients, see patients get supervised, do therapies, get supervision on the therapies was quite complicated and how it all started, James (09:03): Right? I mean, that’s a hell of a journey. You can’t say that you lack commitment in this journey. I mean goes without saying. This podcast is principally set up. It was originally set up about five, six years ago for practitioners using shockwave. But actually as I’ve discovered, there are a lot of people that are now, particularly in men’s health, there’s some very well

This episode we are talking to Stuart Brown, Podiatrist and Shockwave Educator. We are discussing the latest in Shockwave therapy for plantar fasciitis and how best to optimise your outcomes. Stuart Brown trains all over Europe in many Shockwave disciplines. He regularly supports other Shockwave users utilising many years of experience, and also treats around 20 patients per day including elite athletes and footballers with lower limb treatments. Episode links: https://bjsm.bmj.com/content/bjsports/55/19/1106.full.pdf Venn Healthcare Shockwave Courses: https://www.vennhealthcare.com/learning-shockwave-therapy-courses/   Follow us on Twitter: twitter.com/TheAbbeyfields Follow us on Facebook: facebook.com/theabbeyfieldsclinic Follow us on Instagram: Instagram.com/theabbeyfieldsclinic Follow us on YouTube: https://www.youtube.com/channel/UCk93PyEIoG_IH3kyKR9kmGQ The post Episode 16. Shockwave update on Plantar Fasciitis and how to optimise your outcomes appeared first on The Abbeyfields Clinic.

Michael Strøm www.msinsight.dk Shockwave Specialist in urology and orthopaedics. International lecturer with a successful Sonography and Shockwave based clinic in Copenhagen. MSK Clinician and sexologist specialising in Men’s health. Michael shares with us his unrivalled experience and passion for using Ultrasound imaging to guide Shockwave interventions for MSK and Men’s health conditions such as ED and Peyronies. He sees a large number of Peyronies patients and has started to use ultrasound to identify plaque ‘hardness’ and use this to guide energy settings, often at levels significantly higher than usually applied. He is seeing significantly better results on curvature and function as a result. He is a passionate advocate of multimodal treatments and holistic approaches to these complex and life changing conditions. Hematology and erectile dysfunction Cardiology and erectile dysfunction Follow us on Twitter: twitter.com/TheAbbeyfields Follow us on Facebook: facebook.com/theabbeyfieldsclinic Follow us on Instagram: Instagram.com/theabbeyfieldsclinic Website: www.theabbeyfieldsclinic.co.uk The post Episode 15 – Shockwave Therapy, Ultrasound Scanning and Men’s Health with Michael Strøm appeared first on The Abbeyfields Clinic.

Joanne Milios (@prostatejojo) is an internationally leading Men’s Health Physiotherapist based in Perth, Western Australia. She has over 15 years’ experience of working solely in Men’s Health and has treated thousands of men’s health patients. In addition to her clinical work, she has set up a Prostate Charity in Western Australia “Prost! Exercise Club 4 Prostate Cancer. This is a non-for-profit organisation that runs exercise groups for Prostate cancer survivors in a club environment that has a football club feel to it. Her PhD focused on Physiotherapy post Prostate cancer and in particular the validity of Non-Invasive assessment techniques to include Diagnostic Ultrasound Imaging. Her RCT on a more functional approach to pelvic floor rehab post prostate rehab has become a key paper in influencing change in clinical practice. She has been using Storz Focused Shockwave in her clinic for over 2 years on a range of conditions, and feels it has once more shifted her clinical practice to deliver better outcomes. She is vastly experienced at male pelvic pain, hard flaccid syndrome, Peyronie’s disease and conditions that few clinicians see on a regular basis. Jo is a vocal and visible advocate for more physios & health professionals to get involved with Men’s health and is a driving force for more men to be able to receive better care. Gerard Greene is one of the few physiotherapists who specialise in male pelvic health in the UK. He combines working in his new London clinic with working in his busy Birmingham clinic. He has taught around the world on the subjects of Hard Flaccid Syndrome, CPPS, ED and Urinary Incontinence. He is a keen advocate for men with pelvic health problems to get better help and for more clinicians to work in these areas. He is also proud to be an Assist Prof of Physiotherapy at Coventry University As discussed in the podcast here are the links to the course the course that Dr Milios and Gerard are hosting as well as their websites. https://www.eventbrite.co.uk/e/dr-jo-milios-advanced-male-pelvic-health-including-focused-shockwave-tickets-272579952977?aff=efbneb https://www.londonmenshealth.physio http://www.menshealthphysiotherapy.com.au Follow us on Twitter: twitter.com/TheAbbeyfields Follow us on Facebook: facebook.com/theabbeyfieldsclinic Follow us on Instagram: Instagram.com/theabbeyfieldsclinic Website: www.theabbeyfieldsclinic.co.uk The post Episode 14 – Men’s Health; incorporating Focused Shockwave into ED, Peyronies and CPPS with Dr Jo Milios and Gerard Greene appeared first on The Abbeyfields Clinic.

Our guest this week is Drew Klein, owner of a specialist Shockwave Clinic in Ottawa Canada – https://focuswaveclinic.com.  He works alongside Hugo Aguirre, a Vascular Surgeon in delivering Focused Shockwave to patients with Erectile Dysfunction (ED), Peyronies and Chronic Pelvic Pain. Given the rapidly growing interest in ED treatments I thought it useful to get a perspective from someone who has developed and delivered a shockwave specific clinic. Drew isn’t clinically trained but has over 20 year’s experience in finance and technology which provides him with an ideal skill set to build a successful clinic/brand. We discuss all things ED and Peyronies as well as our views on focused vs radial SW in ED treatment.   Follow us on Twitter: twitter.com/TheAbbeyfields Follow us on Facebook: facebook.com/theabbeyfieldsclinic Follow us on Instagram: Instagram.com/theabbeyfieldsclinic Website: www.theabbeyfieldsclinic.co.uk The post Episode 13 – Incorporating shockwave treatment for ED. A clinic owners perspective in Canada appeared first on The Abbeyfields Clinic.

We are joined today by Physiotherapist and clinical specialist Chris Myers to help us navigate the field of Ultrasound Imaging to support the management of tendinopathy and identify appropriate candidates for Shockwave. Chris is a highly experienced physiotherapist, osteopath, MSK sonographer and independent prescriber with over 20 years’ experience working in elite sport, private practice and in the NHS. He currently splits his time between Complete Physio, elite sport and lecturing.  He is an honorary lecturer at Queen Mary, University of London and a visiting lecturer at University College London (UCL) and Canterbury University. Chris also runs one of the UK’s leading providers of ultrasound education; SMUG, the Sports Medicine Ultrasound Group. https://complete-physio.co.uk/team/chris-myers/ Follow us on Twitter: twitter.com/TheAbbeyfields Follow us on Facebook: facebook.com/theabbeyfieldsclinic Follow us on Instagram: Instagram.com/theabbeyfieldsclinic Website: www.theabbeyfieldsclinic.co.uk The post Episode 12 – Ultrasound Scanning with Shockwave Therapy appeared first on The Abbeyfields Clinic.

My guest this week is Professor Karsten Knobloch , a board-certified plastic, aesthetic, and hand/general surgeon. He is a member of a number of societies, such as the American Society of Plastic Surgeons (ASPS), the American College of Surgeons (ACS), the German Plastic, Reconstructive and Aesthetic Surgery Society (DGPRAEC) and others. He is also the current president of the German society for extracorporeal shockwave therapy (DIGEST). He will help guide us through the use of, and research base for shockwave therapy in various bone pathologies such as Non-union fractures and Shin splints (MTSS). Links discussed in the podcast: Bone Healing 2009 Moretti Biological mechanism of shockwave in bone – ScienceDirect The post Episode 11 – Shockwave for Bone Pathologies with Dr. Karsten Knobloch appeared first on The Abbeyfields Clinic.

This week, I am joined by 2 Physios on the podcast, Yves de Vos and Benoy Mathew. Both of whom are founder members of EDClinics.co.uk which is a collaborative network of clinics specialising in this area. They are enthusiastic advocates of treating vasculogenic ED with Focused Shockwave. They bring clarity and understanding to an otherwise complex specialist area. Listen to Episode 10 – Shockwave Treatment for Erectile Dysfunction The post Episode 10 – Shockwave Treatment for Erectile Dysfunction. Mechanisms and evidence appeared first on The Abbeyfields Clinic.

My guest this week is Ove Indergaard and he joins us to discuss Shockwave Therapy for Tennis Elbow. Ove grew up in Norway before moving to the UK to train as a Physiotherapist, graduating with a BSc (hons) in Physiotherapy from the University of Bradford (1999) before completing an MSc in Sports and Exercise Injury Management at Leeds Metropolitan University (2003). He has extensive experience working in Elite sport, working with the GB Judo team and England Badminton, amongst others Ove is also one of the few Physios to achieve the Association of Chartered Physiotherapists in Sports and Exercises Medicine ‘Gold Accreditation’ Ove’s focus is to provide cutting edge quality care to through research and advanced technologies. He holds numerous certifications including membership of the Society of Musculoskeletal Medicine, Functional Range Release and Conditioning, Anatomy in Motion. He is an experienced specialist in, and educator in Shockwave Therapy. Listen to Episode 9 : Shockwave for Tennis Elbow with Ove Indergaard The post Episode 9 – Shockwave for Tennis Elbow with Ove Indergaard appeared first on The Abbeyfields Clinic.

My guest this week is German Professor and Physician Dr Karsten Knobloch.  He joins us to discuss all things ISMST and the 2020 conference, together with Safety concerns in adolescents, relevant energy levels, and how we might standardise levels to allow for better research and comparisons amongst trials. We will also discuss Storz’s new product, the Magnetolith – Extracorporeal Magnetotransduction Therapy (EMTT®) and how he uses it alongside his Radial and Focused devices in private practice. storzmedical.com/en/disciplines/orthopaedics/product- overview/magnetolith.html Listen to Episode 8 : Safety & Energy levels in Shockwave Therapy and the new Storz Magnetolith The post Episode 8 – Safety & Energy levels in Shockwave Therapy and the new Storz Magnetolith appeared first on The Abbeyfields Clinic.

In episode 7 of the Shockwave Therapy Podcast we invite Dr Tomás Nedelk. He joins us to discuss Shockwave Therapy for Lumbar Spine Pain. Dr Tomás Nedelka is a Consultant Neurologist From the Czech Republic who has been using Shockwave over the last 10 years for a variety of MSK conditions, particularly in chronic spinal pain.  He is currently the 1st Vice President of the International Society for Medical Shockwave Treatment and published a paper in 2014 comparing effectiveness of interventions – including shockwave – for chronic lumbar facet pain (article attached) This podcast, discusses his approach to this common clinical problem alongside his recent work using focused shockwave for LBP and potential safety concerns for treating the upper cervical spine.  For Dr Nedelka’s research paper on the use of Shockwave in Chronic Facet based pain please click here. Listen to Episode 7 : Shockwave Therapy for Lumbar Spine Pain The post Episode 7 – Shockwave Therapy for Lumbar Spine Pain with Dr Tomas Nedelka appeared first on The Abbeyfields Clinic.

In episode 6 of the shockwave therapy podcast we invite Dr Carlo Di Maio. He joins us to discuss Shockwave Therapy for Myofascial Pain. Dr Carlo Di Maio, an Orthopaedic Surgeon from Germany who has been using Shockwave since 2002 alongside an integrated approach involving manual medicine, injection therapies and rehabilitation. His experience and ‘number of patients treated’ is likely unsurpassed, as his enthusiasm and gift for explaining complex issues in a digestible way. This podcast has something for everyone in the practical examples outlined by Carlo. Dr. Carlo Di Maio is a Medical Specialist in Orthopaedics with additional qualifications in sports medicine, physical therapy, manual therapy, acupuncture and Osteopathy.  He studied medicine in Essen and became a practicing Physician – Trauma Surgery in Mülheim an der Ruhr. Switching to Orthopaedics in 1998 with further training in manual and sports medicine. In 1999 Takes position as Senior Physician, Head of a department for diseases of the spinal column. Began using Focused Shockwave in 2002. From May 2011 Head of continuing education courses in use of shock wave treatment of myofascial conditions. 2014-2015 co-development of the fascial shockwave system Peri-Actor and the atlas applicator in 2018. Co-Author of “Fascia Treatment with Shockwaves” https://www.storzmedical.com/en/news-press/entry/new-practice-handbook-fascia-treatment-with-shock-waves.html Episode 6 : Shockwave Therapy for Myofascial Pain The post Episode 6 – Shockwave Therapy for Myofascial Pain with Orthopaedic Surgeon Dr Carlo Di Maio appeared first on The Abbeyfields Clinic.

In episode 5 of the Shockwave Therapy Podcast we invite Benoy Mathew, MSc, MCSP. He joins us to discuss Hip Tendinopathies. Benoy Mathew qualified as a physiotherapist in 1998 and currently works as an Advanced Practice Physio within the NHS (Croydon University Hospital) and in private practice at Mayfair. He specialises in treating complex hip and groin pathologies and running injuries. Benoy has been using shockwave for the last 7 years and now teaches multiple courses, across the globe and more than 2000 participants have attended his courses in the last 8 years. In this episode, James and Benoy discuss the use of Shockwave in hip tendon disorders, particularly in GTPS. Listen to Episode 5 – Hip Tendinopathies The post Episode 5 – Hip Tendinopathies with guest expert Benoy Mathew, MSc, MCSP appeared first on The Abbeyfields Clinic.

Stuart Brown trains all over Europe in many Shockwave disciplines with some of the top specialists in Germany.  He regularly supports other Shockwave users utilising many years of experience, treating around 20 patients a day including elite athletes and footballers, with lower limb issues. This episode discusses the role of focussed shockwave in particular. How it can be additive to Radial Pressure wave and as a stand-alone treatment for specific conditions including Erectile Dysfunction and Foot Arthropathies. The post Episode 4 – Focused Shockwave in Practice with guest expert Stuart Brown, Podiatrist and Shockwave Educator. appeared first on The Abbeyfields Clinic.

Andrew Davidson is a Senior Physiotherapist in the Homerton Physiotherapy Outpatient Department. Specialising in chronic and complex musculoskeletal pain, with a particular interest in the management of persistent tendinopathies. He works in clinical research writing up publications and presenting data at conferences alongside lecturing in the NHS and private sectors. Andrew is co-director of Qualifiedphysio, a company that provides education and training for allied health professionals. He also provides CPD support for a major Shockwave equipment provider. In this episode James and Andrew discuss the when and why of Shockwave Therapy in clinical practice. The post Episode 3 – Navigating the when and why of shockwave therapy in clinical practice with Senior NHS Physiotherapist Andrew Davidson. appeared first on The Abbeyfields Clinic.

Shockwave Mechanisms, Terminology and Evidence base with Physiotherapist and Educator Cliff Eaton. The post The Shockwave Therapy Podcast – Episode 2 Shockwave Mechanisms, Terminology and Evidence base with Physiotherapist and Educator Cliff Eaton. appeared first on The Abbeyfields Clinic.

From mechanisms of action, to decision making and business modelling. Physiotherapist, educator and author Paul Hobrough talks us through his take on this emerging technology.   The post Overview of Shockwave therapy in daily practice with guest expert Paul Hobrough appeared first on The Abbeyfields Clinic.