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.
Common 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).
Professional Medical Equipment
Pain Relief Management, Treatment & Therapy
Pain Relief Management & Treatment, Vaccinations, Health Screening, COVID & Allergy Testing, Dermatology Treatments, Minor Surgical Procedures
Pain Relief Management, Treatment & Therapy:
Pain Treatment & Therapy
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 Relief Management
- Migraines & Headaches, Facial Palsy
- Neck Pain
Neckaches/ Spondylosis/ Wry Neck/ Whiplash
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Athletic injuries - Tennis/Golfers Elbow (pain on the outside or inside of your elbow), Patella tendonitis / tendonosis (Jumper’s Knee)
- Ankle & Foot issues
Plantar Fasciitis/ Heel Pain/ Metatarsalgia
- TMJ / Carpal Tunnel Issues
- Back & Shoulder Pain
Back Strain / Slipped Disc / Scoliosis / Sciatica / Spondylosis / Spondylolisthesis / Spondylolysis, Shoulder impingement/Frozen shoulder
- Joint Pain
Arthritis / Cartilage Wear & Tear / Osteoarthritis, Patellofemoral Knee pain (or pain at the front of the knee)
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
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/ Post-Hospitalization Rehabilitation / Physiotherapy-trained Medical staff
Improved Immune system & Strength, Better Mobility & Wellbeing
Obesity control – Exercise & Meal Planning
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.
藤原 崇紀 / Taka Fujiwara
2020年3月よりMDIMC (MD エム・ディー メディカル) にて勤務開始
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Healthy Aging 健康老龄化
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a. Vaccination decreases the risk of co-infection with COVID-19.
b. Vaccination reduces the burden of respiratory illnesses in the healthcare system.
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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.
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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
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· 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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