Shockwave is an acoustic wave which carries high energy to painful spots and myoskeletal tissues with subacute, subchronic and chronic conditions. The energy promotes regeneration and reparative processes of the bones, tendons and other soft tissues.
Nutrient blood flow is necessary to start and maintain the repair processes of damaged tissue structure. The application of acoustic waves creates capillary microruptures in tendon and bone. Due to microruptures the expression of growth factors such as eNOS, VEGF, PCNS and BMP is significantly increased. As a result of these processes arterioles are remodeled, stimulated to grow and new ones are formed. The new blood vessels improve blood supply and oxygenation of the treated area and support faster healing of both the tendon and the bone.
Chronic inflammation occurs when the inflammatory response is not completely halted. It can damage healthy tissue and results in chronic pain. Mast cells are one of the key components of the inflammatory process. Their activity may be increased by using pervasive acoustic waves. Mast cell activation is followed by the production of chemokines and cytokines. These pro-inflammatory compounds first enhance the inflammatory process and in the next step help restore normal healing and regenerative processes.
The production of a sufficient amount of collagen is a necessary precondition for the repair processes of the damaged myoskeletal and ligamentous structures. Shockwave therapy accelerates procollagen synthesis. The therapy forces the newly created collagen fibers into a longitudinal structure which makes the newly formed tendon fibers denser and stiffer and creates a firmer structure.
Calcium build-up is most often a result of micro-tears or other trauma to a tendon. Acoustic waves break up the existing calcifications. Shockwave therapy starts the biochemical decalcification of the calcium build-up of a toothpaste-like consistency and treats the tendon. The granular particles of calcium are then removed by the lymphatic system.
Musculoskeletal problems - Pain Management
Shockwave therapy has shown to effectively treat the following conditions:
· Feet - Heel spurs, Plantar fasciitis, Achilles tendonitis
· Elbow – Tennis and Golfers elbow
· Shoulder - Calcific tendinosis of Rotator cuff
· Knee - Patellar tendonitis
· Hip – Bursitis
· Lower leg - Shin splints
· Upper leg - Iliotibial band friction syndrome
· Back pain - Lumbar and cervical spine regions and chronic muscular pain
Back Pain and Your Brain: William S. Marras at TEDxOhioStateUniversity
Ph.D., CPE. William S. Marras holds the Honda Endowed Chair in the Department of Integrated Systems Engineering at the Ohio State University. He serves as the director of the Biodynamics Laboratory and is in the process of developing the Spine Research Institute at The Ohio State University. Dr. Marras also holds joint appointments in the Departments of Orthopaedic Surgery, Physical Medicine & Rehabilitation, as well as Biomedical Engineering.
His research is centered on musculoskeletal causal pathway investigations including occupational biomechanical epidemiologic studies, laboratory biomechanics studies, mathematical modeling, and clinical studies of the spine. His findings have been published in over 200 peer reviewed journal articles and numerous books and book chapters including a recent book entitled "The Working Back: A Systems View." Professor Marras was the past Chair of the Board on Human Systems Integration at the National Research Council (NRC). He is currently Editor-in-Chief of Human Factors, Deputy Editor of Spine, and has been elected to the National Academy of Engineering (the National Academies).
Pain Relief Management & Treatment, FSS, Vaccinations, Health Screening, COVID & Allergy Testing, Dermatology Treatments, Minor Surgical Procedures
Pain Management & Treatment
Non-invasive, Non-pharmacological Pain Management, Treatment for Radiculopathies (Nerve pain), Decreases Disease, Illness, Pains & Aches
Spinal Manipulation - Joints Issues
Shoulder – Frozen Shoulder/ Rotator Cuff Tear/ Impingement Syndrome, Elbow – Tennis Elbow/ Golf Elbow, Hip / Knee – Anterior Knee Pain/ Runner’s Knee/ Meniscus Injury/ Ligament Injury
Pain Management - Migraines & Headaches
Headaches/ Migraine/ Facial Palsy
Pain Management - Neck Pain
Neckaches/ Spondylosis/ Wry Neck/ Whiplash
Pain Management - Sports Injuries / Rib Issues
Athletic injuries - Tennis/Golfers Elbow(pain on the outside or inside of your elbow), Patella tendonitis/tendonosis (Jumpers Knee)
Pain Management - Ankle & Foot issues
Plantar Fasciitis/ Heel Pain/ Metatarsalgia
Pain Management - TMJ / Carpal Tunnel Issues
Pain Management - Back & Shoulder Pain
Back Strain/ Slipped Disc/ Scoliosis/ Sciatica/ Spondylosis/ Spondylolisthesis/ Spondylolysis, Shoulder impingement/Frozen shoulder
Better Posture & Movement
Posture issue – Scoliosis, Ligament – Sprains/ ACL Laxity/ Ankle Sprain, Muscle – Strains/ ITB Tightness/ Hamstring Tear Tendons – Tendonitis/ Repetitive Strain Injury/ Tendinopathy
Increased Wellness & Quality of Life
Joint Pain – Arthritis/ Cartilage Wear & Tear/ Osteoarthritis, Patellofemoral Knee pain (or pain at the front of the knee)
Improving Breathing / Sleep / Energy
Better Health, Happiness & Well-being Stress Management, Increased circulation, Reduced pain, Faster rehabilitation from injury, Increased lymphatic flow, Breaks up muscular scar tissue, Reduced lactic acid build up, Tissue Regeneration, Soft & Active tissue release
Fibromyalgia / Vertigo Management
Decrease anxiety, depression & prescription drug use
Post Operation/ Hospitalization
Improved Immune system & Strength Better life & Mobility
Obesity – Exercise & Meal Planning
DMS Professional Deep Muscle Stimulator Massager, Oceanus Shockwave Therapy - Physiotherapy, Rehabilitation, Orthopedics & Sports medicine
Non-invasive Pain management Treatment during Pregnancy
Effective Non-pharmacological way to alleviate pain from Sciatica. When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg.
Health Assessment & Screening Packages
Sinopharm COVID-19 & Latest Influenza Vaccines (Protects against Flu and H1N1 Viruses) / Pre-Departure COVID-19 PCR Swab & Serology Tests for Travellers, Supervised Antigen Rapid Test (ART) done from your home, Pre-Event COVID Testing and Serology Testing to Certify Vaccination status. Make your Appointment at Tel: 6694 1661
Flu Subsidy Scheme eligible for Singaporeans & PRs (Pay subsidized rate of $10 for Consultation and Treatment) & Merdeka Generation /Pioneer Generation seniors (Pay subsidized $5) for patients with Acute Respiratory Infections (ARIs).
Sinopharm COVID-19 Vaccine in Singapore
Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).
To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.
If you would like to receive the Sinopharm vaccine or booster, please make your appointment at MD Int'l Medical Centre at Tel: 6694 1661.
Effects of COVID-19 on the Brain
COVID Symptoms to watch out for:
SARS-CoV-2 Virus Infection of Human Organ Tissues through Cell ACE-2 Receptors:
Ministry of Health Recommendation :
For recovered persons who had not completed a primary series before infection:
COVID-19 SARS-CoV-2 Virus Information
Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).
Part of MOH's Swab & Go Home programme. Our clinic can carry out the COVID-19 Swab test for anyone who meets the MOH medical criteria. All individuals aged 13 and above, diagnosed with ARI will be COVID Swab-tested. Cost of Swab test to be borne by Ministry of Health Singapore.
Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).
Asymptomatic patients may not display no symptoms of illness. Vulnerable people should get vaccinated against Influenza as the stop gap until the COVID vaccine is found. The Flu vaccine would protect susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.
- Latest Influenza Vaccine
The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. In the event that a person displays flu-like symptoms after the Flu vaccination, both Flu and H1N1 may be excluded in his diagnosis, and treatment can be sought quickly should the patient have contracted COVID-19.
Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.
Healthy Diets for Optimal Health
MD International Medical Centre
Medical Services available :
Public Health Preparedness Clinic
National University Health System Primary Care Network
Singapore Ministry of Health Chronic Disease Management Programme (CDMP)
The information provided in this website is for knowledge purposes only. It does not constitute medical advice.
Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.
MD International (Singapore) Pte Ltd
9 Taman Serasi #01-11, Botanic Gardens View
Tel : 65-6694-1661 Fax : 65-6694 1771
Email : firstname.lastname@example.org
Monday to Friday: 9am-12.30pm / 2pm-6.30pm Saturday: 9.30am-1pm
*Last registration is 30mins before the closing time
Closed on Sundays & Public Holidays
- Cashless service with most International Insurance companies and Insurance Medical cards are accepted
- Japanese & Mandarin-speaking Doctors and Medical staff
Please contact us at Tel: 6694 1661 to make an appointment.
Please make an appointment for the following at Tel: 6694 1661:
* Supervised COVID ART Test / Pre-Event Test
* Pre-Departure PCR Swab Test / Serology Testing
MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)
The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association
Physiotherapy-trained NBCE The National Board of Chiropractic Examiners
YAMAGATA Chihiro 山懸千尋
· Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis
· Tendon Sheath Injection
· Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst
· Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body
· Liquid Nitrogen Therapy
· Treatment of Plantar Warts / Calluses / Corns / Ganglions
· Splinters under nails
· Olecranon and Pre-patellar Bursitis
· Ear syringing
· Embedded earring stud
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