I Love Shockwave

Shockwave for spasticity was once "not in the guideline." Pediatric physiotherapist Thijs Janssen, MSc, helped change that in the Netherlands and trained more than 400 physiotherapists along the way. He and Uran Berisha talk through who responds, how long it lasts, and where shockwave fits next to botulinum toxin.In this episodeWhich spasticity responds, and which does notOne session vs three: how long the effect lastsShockwave and botulinum toxin, alone or combinedRadial vs focused, including for ED and Peyronie's diseaseGrowth plate caution in childrenWhy a protocol is not a doseWatch the full video right here on Spotify.Thijs Janssenhttps://www.inpulsa.nlhttps://www.linkedin.com/in/thijs-janssen-7658b627/I Love Shockwavehttps://iloveshockwave.comhttps://iloveshockwave.com/courseshttps://iloveshockwave.com/mentorship/communityChapters00:00 Intro01:29 How a knee injury led Thijs to shockwave03:36 Finding the research on cerebral palsy and stroke04:03 The 10 million euro estimate05:37 Why rehab centres hesitate: guidelines and reputation08:12 Which spasticity responds to shockwave09:57 How many sessions, and how long the effect lasts10:37 Combining shockwave with botulinum toxin11:26 Radial pressure wave or focused shockwave?12:19 Do children tolerate the treatment?13:57 Starting out: the first device15:28 Training 400 physios and going out of business17:51 Why radial is the wrong tool for ED and Peyronie's19:36 Results for Peyronie's pain and vascular ED22:04 Where to learn Thijs's spasticity course23:49 Neuromodulation, Mollii suits, and NESA25:31 Inside Unpain Clinic: correct dysfunction, stimulate regeneration29:08 Pricing a shockwave session30:07 Why Dutch physios use shockwave more than anyone32:16 No regulation, no training: the North American problem34:16 Growth plates: the one caution with children36:46 Bad advice: treating through clothing, oil in the applicator38:14 The Dutch physio association and knee osteoarthritis40:12 "There's no evidence": the argument that won't go away44:48 Bone healing, non-unions, and a radial head fracture47:00 Uran's son and a metatarsal fracture49:19 Brand wars and the fifty factors behind a dose53:45 How Uran teaches shockwave56:51 The shockwave device collecting dust58:34 Who pays for shockwave: Canada vs the Netherlands1:00:06 From the first study to everyday care1:03:46 What would speed up adoption in North America1:08:35 Post-surgical scars and C-sections1:13:34 When to start after a C-section, and episiotomy scars1:14:56 What's next: organs and abdominal adhesions1:17:15 Wrap-up

Dr. Wolfgang Schaden is considered the godfather of shockwave therapy. He founded the first international shockwave society, contributed to hundreds of studies, and helped turn a technology he once dismissed as "voodoo" into a field with more than 100 clinical indications.In this conversation, Uran Berisha sits down with Dr. Schaden to trace the full arc: the 1995 trial where 26 of his 50 worst non-union fracture cases healed unexpectedly, the broken machine that accidentally proved his own theory wrong, and the discovery that shockwave does not destroy tissue but signals the body to regenerate itself. They get into stem cells, wound healing, prevention for athletes, the future of shockwave in heart, brain, and diabetes care, and why so many surgeons still "fix the bone and then pray it heals."A rare look at where shockwave came from, and where one of its founders believes it is going next.

Most clinicians hear about shockwave, buy a machine, skim the manual, and hope for the best. In this episode, Uran sits down with Dr. Lacina, who has 12 years of real-world shockwave experience, to unpack what she thought she knew back then versus what she actually knows now.They break down why some clinics see “nothing changed after 10 sessions” while others get massive range-of-motion and pain improvements in as little as 2–5 treatments. You’ll hear the real differences between radial and focal shockwave, why device quality and training matter more than marketing claims, and how shockwave has changed the way she treats everything from rotator cuff tendinopathy and frozen shoulder to plantar fascia, ankles, TMJ, spine, and scar tissue.If you’re a chiropractor, physio, RMT, or other clinician who’s curious about shockwave (or quietly skeptical), this conversation will show you what “shockwave done right” actually looks like in a modern practice: faster results, less practitioner fatigue, and more confidence treating complex cases.In this episode:What 12 years of daily shockwave use taught a chiropractorRadial vs focal: comfort, depth, and where each actually fitsWhy “treat the painful spot only” fails… and what to do insteadHow proper training and protocols turn a machine into a real assetPatient stories: when shockwave didn’t work elsewhere but did in their clinicThe ethical obligation to stop “winging it” with powerful tools

The Surgeon Who Stopped Operating: Prof. Dr. Karsten Knobloch On 20 Years Of ShockwaveProf. Dr. Karsten Knobloch is board certified in five surgical disciplines. General surgery. Plastic and aesthetic surgery. Hand surgery. Emergency medicine. Sports medicine. And yet, he rarely operates anymore.In this episode of the ⁠I Love Shockwave podcast,⁠ Uran Berisha sits down with one of Europe's most credentialed regenerative clinicians to unpack two decades of clinical discovery. How he chose focused shockwave over radial in 2006 almost by accident. Why he now treats nearly every surgical patient with shockwave before and after the operation. How he combines ESWT, EMTT, lasers, and ultrasound guided injections to produce results most practitioners do not believe are possible. And why the next ten years of musculoskeletal, neurological, and aesthetic care will be built on regenerative tools, not scalpels.Inside this conversation:Why a fully trained surgeon chose to put the scalpel downTiming shockwave before and after surgery for fewer complicationsWhat EMTT actually does at the cell membraneCombining shockwave with PRP, stem cells, hyaluronic acid, and peptidesTPS for Alzheimer's, Parkinson's, and concussion recoveryShockwave in aesthetics, including botulinum and filler complicationsWhy pro sports teams still lag behind the scienceWhat to look for when buying your first or next shockwave deviceHow shockwave reconstructed Dr. Knobloch's entire personal lifeEssential listening for any practitioner who owns a shockwave device, is thinking about buying one, or is building a regenerative practice.🌐 ⁠iloveshockwave.com⁠📚 Medical Shockwave Institute#Shockwave #ESWT #EMTT #RegenerativeMedicine #ILoveShockwave

Most clinics do not fail because of poor treatment.They fail because of poor business structure.On this episode of the Medical Shockwave Institute Podcast, Uran Berisha sits down with Jillian Heck, CEO of Unpain Clinic Franchising, to expose the hard truths behind running a healthcare clinic.From surviving a clinic that was almost dying during the pandemic to rebuilding it into a scalable system with a goal of 100 locations by 2030, this episode breaks down what actually makes a clinic sustainable, profitable, and built to grow.You will hear:• Why being great at shockwave therapy does not guarantee a successful clinic• The owner operator trap that leads to burnout• The pricing mistakes that quietly destroy profitability• The hidden costs of outsourcing marketing without understanding it• Why you cannot duplicate yourself and what to build instead• How systems, structure, and culture allow a clinic to survive and scaleIf you are a shockwave practitioner, physiotherapist, chiropractor, or healthcare provider who wants to upscale your clinic, increase profitability, and remove the chaos from operations, Unpain Clinic Franchising was built as the solution.Because you cannot help people if you go out of business.