Shockwave Therapy & EMTT

Shockwave Therapy – General & Orthopedics

We are the only clinic in the lower mainland, including Vancouver, offering both Radial & Focused Shockwave Therapy. Over 80% of patients treated have experienced a significant reduction in pain or are completely pain-free.

What is Shockwave Therapy?

Shockwave therapy is a secure, non-invasive treatment mostly used for people with problems with their muscles, tendons, and joints. Additionally, it is used to support better circulation and the creation of new blood vessels (neo-vascularization) in situations including cardiovascular disease, Raynaud’s disease, and erectile dysfunction.

The method of treatment is applying shockwaves, which are sound waves with strong pressure pulses, to sore or painful locations. With the aid of a gel that has been applied to your skin, the pulsations can enter your body and interact with tissue, speeding up tissue regeneration (including bone, tendon, and ligament formation), stimulating the growth of new blood vessels and cartilage, improving circulation, relieving pain, and restoring your mobility.

According to research, shockwave treatment is very efficient in treating orthopaedic and musculoskeletal disorders by triggering the body’s own natural healing process. The targeted defective tissue is broken down by the energy waves employed, and blood flow is increased. In response, the body speeds up local metabolism and produces fresh, healthy tissue.

What is the difference between Radial & Focused Shockwave?

They essentially employ different methods of shockwave propagation into tissue, which results in various specializations dependent on tissue depth & type. While Focused Shockwave can penetrate deeper and more specifically stimulate deep joints (shoulders, spine (back, neck), hips, and knees), Radial Shockwave is best for more superficial connective tissue in the extremities (trigger points, tendons, and ligaments in the elbows, hands, ankles, and feet). Additionally, Focused Shockwave has a stronger induction of growth factors, increased stimulation of the development of new blood vessels, and a stronger analgesic and anti-inflammatory impact.

What Can Be Treated by Shockwave Therapy?

Studies have shown that shockwave therapy is 76% – 91% effective (Journal of Orthopaedic Surgery and Research, 2012), with low and negligible complications, for the following musculoskeletal conditions and injuries:

  • Tendinopathies & Tendinitis (calcific tendinopathy, chronic tendinopathies) (91% improvement in Calcific Tendonitis – Journal of American Medical Association 2003)
  • Elbow problems: Medial (Golfer’s) and Lateral (Tennis) Epicondylitis (77% improvement for Tennis Elbow – The Journal of Orthopedics 2005)
  • Shoulder problems: Rotator Cuff Injuries, Frozen Shoulder, Shoulder Impingement
  • Foot pain: plantar fasciitis, Achilles tendonitis, calcaneal (heel) spurs, and arch pain (90% improvement for Plantar Fascitis – Journal of Orthopaedic Research 2005)
  • Bone spurs and calcifications
  • Bursitis (shoulder, elbow, hip, and knee)
  • Knee and leg problems (arthritis, Jumper’s knee, patella-femoral syndrome, medial tibial stress syndrome, shin splints, hamstring strains)
  • Hip pain, arthritis & sacral iliac (SI) joint issues
  • Neck pain, stiffness and reduced range of motion (Cervical syndrome)
  • Facial Release & releasing myofascial adhesions
  • Myofascial Dysfunction
  • Trigger Points
  • Repetitive stress injuries
  • Soft Tissue Strains
  • Stress fractures / Non-union fractures
  • Osgood-Schlater
  • Morton’s neuroma
  • Scar tissue treatment
  • General: reducing pain, improving muscle function, and healing

Shockwave therapy is a non-surgical option with results that, in some cases, can be as effective as surgery and should be considered when other treatment options have failed or the condition continues to return.

What are the benefits of shockwave therapy?

Shockwave therapy has been known to:

  • Reduce pain quickly
  • Reduce inflammation (& reverse chronic inflammation)
  • Enhance circulation by stimulating the formation of new blood vessels
  • Induce collagen production
  • Break down and dissolve calcium deposits or calcifications
  • Release trigger points
  • Accelerate healing
  • And all of that within 3-5 sessions, without medication, surgery or side effects

How many treatments will I need?

The research backed protocols outline that most conditions will require 3-5 sessions of shockwave therapy. An additional 2 sessions may be required if the condition is very chronic.

Does the treatment itself, hurt?

Although the process of treatment might be unpleasant, it is often accepted. Most folks are able to justify and get through the tough 15 minutes. Many patients report that their discomfort is reduced or gone entirely right away following therapy. Skin breakdown, edoema, and bruises are possible side effects.

Due to the body’s inflammatory response to the shockwave pulses, there can be some discomfort or throbbing for one to two hours following the therapy session. This is typical and represents your body’s attempt to mend and regenerate the affected tissue. After 1-2 days, this soreness normally goes away.

Focused Shockwave Therapy for Erectile Dysfunction in Surrey & White Rock

Focused Shockwave Therapy for Erectile Dysfunction in Surrey & White Rock

A regenerative solution for restoring natural erectile function

Focused shockwave therapy (Li-ESWT) is an advanced, non-invasive treatment for erectile dysfunction (ED) that targets the root cause—poor penile blood flow. At our Surrey / White Rock clinic, we use focused shockwave technology to help men regain stronger, more natural erections without relying solely on medication.

 

What Makes This Different from Traditional ED Treatment?

Most conventional treatments for erectile dysfunction—such as medications—temporarily improve blood flow.

Focused shockwave therapy is different.

It works by stimulating tissue repair and vascular regeneration, helping to restore the body’s natural erectile function over time.

How Focused Shockwave Therapy Works

Focused acoustic waves are delivered directly into erectile tissue, triggering a regenerative response:

  • Formation of new blood vessels (neovascularization)
  • Improved endothelial (vascular) function
  • Activation of growth factors and stem cell signaling
  • Increased penile blood flow and responsiveness

This makes it one of the most promising options for vasculogenic ED, the most common form of erectile dysfunction.

Why Choose Focused Shockwave Therapy (Not Radial)?

Not all shockwave treatments are the same.

At our Surrey clinic, we use focused shockwave therapy, which:

  • Penetrates deeper into erectile tissue
  • Delivers precise, high-energy waves to targeted areas
  • Is the most studied form of shockwave therapy for ED

In contrast, radial (acoustic wave) devices provide more superficial, lower-energy stimulation and are generally less supported by clinical evidence for erectile dysfunction.

Evidence-Based Results

Clinical studies on low-intensity focused shockwave therapy show:

  • Significant improvements in erectile function (IIEF scores)
  • Enhanced response to medications like sildenafil (Viagra)
  • Potential for longer-lasting results, even after treatment ends
  • Strong safety profile with minimal side effects

Many men experience improved erection quality and reduced reliance on medication.

Who Is This For?

Shockwave therapy is ideal for men in Surrey and White Rock who:

  • Have mild to moderate erectile dysfunction
  • Notice reduced firmness or reliability
  • Want to reduce dependence on ED medications
  • Prefer a natural, regenerative treatment approach

It is especially effective when ED is related to circulation, aging, or cardiometabolic factors.

What to Expect

  • Non-invasive, in-office treatments
  • No needles, no downtime
  • Sessions last approximately 15–25 minutes
  • A series of treatments is recommended for optimal results

Most patients find the treatment comfortable, with only mild sensations during therapy.

A Root-Cause Approach to ED in Surrey

At our clinic, shockwave therapy is part of a comprehensive, integrative ED treatment plan, which may include:

  • Cardiovascular and metabolic optimization
  • Hormonal assessment (e.g., testosterone)
  • Nitric oxide and mitochondrial support
  • Lifestyle strategies to improve vascular health

This approach ensures that results are not only achieved—but sustained long-term.

Book a Consultation

If you are looking for shockwave therapy for erectile dysfunction in Surrey or White Rock, we offer personalized assessments to determine if this treatment is right for you.

Restore confidence. Improve performance. Address the root cause.

http://www.menshealth.com/health/new-viagra

Cost of Treatment:

$1500 / 5x Dual Shockwave (Focused & Radial) treatments                $2800 / 10x Dual Shockwave treatments

$950 / 5x Radial Shockwave treatments                                               $1800 / 10x Radial Shockwave treatments

Storz Duolith SD1 & MP100

STORZ manufactures our radial and focused shockwave devices by hand in Switzerland. Clinical studies indicate they have a 91% success rate when employed as part of the curriculum at educational institutions. The radial or focused device is taught in the curricula of many academic institutions, including the University of Calgary, University of Toronto, Carlton University, Queens University, CMCC (chiropractic college), Duke University, and Cleveland Clinic. The same equipment is used by several professional sports teams to assist athletes in recovering more quickly. Storz shockwave technology is utilized by players in the NHL, NBA, NFL, MLB, MLS, and ATP tour to aid with recovery.

Studies on Shockwave Therapy for ED Treatment

Research, including double-blind randomized control studies, has shown that LI-ESWT significantly improves penile circulation and erectile performance clinically while having no negative side effects. Approximately 70% of those with ED who have vascular-related ED issues respond well to the medication. For at least a year after therapy, considerable erectile function improvement has been demonstrated in extensive clinical studies.With the help of the therapy, individuals with severe ED—for whose pharmaceuticals had no impact and for whom the only options were vacuum pumps, injections, and implants—can even start responding to PDE5 Inhibitor therapies, including drugs like sildenafil (Viagra), which block PDE5.

When a man has a vascular cause of erectile dysfunction as opposed to a neurogenic reason (prostate surgery, etc.), shock wave treatment is more successful. excessive blood pressure, diabetes, vascular disease, excessive cholesterol, or just lethargic, malfunctioning arteries are common vascular causes of ED. However, vascular and neurogenic ED frequently coexist.

The Journal of Sexual Medicine 2017: Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis

Journal of Urology 2018: Low intensity shock wave treatment for erectile dysfunction: How long does the effect last? 

International Journal of Impotence Research 2019: Clinical trial update on shockwave therapy and future of erectile function restoration

International Journal of Impotence Research.2020: Low-intensity extracorporeal shockwave therapy among urologist practitioners: how the opinion of urologists changed between 2016 and 2019.

Comparison of the efficacy and safety of low intensity extracorporeal shock wave therapy versus on-demand sildenafil for erectile dysfunction

Treating ED After Prostatectomy

Several studies show that low-intensity extracorporeal shockwave therapy may be effective in the treatment of post prostatectomy erectile dysfunction.

Low-intensity extracorporeal shock wave therapy for patients with severe erectile dysfunction due to radical prostatectomy

FROM THE JOURNAL THERAPEUTIC ADVANCES IN UROLOGY:

 “LI-ESWT IS A REVOLUTIONARY TREATMENT OF ED, AND PROBABLY POSSESSES UNPRECEDENTED QUALITIES THAT CAN REHABILITATE ERECTILE TISSUE. THE CLINICAL IMPROVEMENT IN SUBJECTIVE ERECTILE FUNCTION TOGETHER WITH THE SIGNIFICANT IMPROVEMENT IN PENILE HEMODYNAMICS FOLLOWING LI-ESWT CONFIRM THAT LI-ESWT HAS UNIQUE PROPERTIES THAT MAY CREATE A NEW STANDARD OF CARE FOR MEN WITH ED. LI-ESWT IS BOTH FEASIBLE AND TOLERABLE AND WITHOUT ANY ADVERSE OR UNWANTED EFFECTS. ITS MAIN ADVANTAGE IS ITS ABILITY TO IMPROVE AND POTENTIALLY RESTORE ERECTILE FUNCTION IN MEN WITH ED WITHOUT ADDITIONAL PHARMACOTHERAPY.”

 (GRUENWALD ET AL, THERAPEUTIC  ADVANCES IN  UROLOGY . 2013 APR; 5(2): 95–99)

 

For more info please see our Shockwave for ED page here.

EMTT (Extracorporeal Magneto Transduction Therapy)

Extracorporeal Magnetotransduction Therapy (EMTT®) is an exciting new regenerative healing technology from Switzerland for eliminating pain and inflammation, accelerating healing, and reversing tissue degeneration. It is completely non-invasive, painless, and patients report reduced pain after the very first session, and complete recovery after several brief sessions.

EMTT®involves using the Storz Magnetolith, to treat painful areas of the body with high energy magnetic pulses, similar to a MRI machine, to evoke an electrophysical reaction in damaged cells. With a magnetic field strength that exceeds 10mT (millitesla), it is able to reach deeply into the body in a painless way to trigger the body’s innate healing mechanisms, reduce inflammation, pain, and accelerate healing and regeneration at a cellular level.

EMTT® is a risk-free and side-effect-free treatment virtually painless modality. As a patient, you will find the therapy very comfortable: direct skin contact is not necessary, so one is able to remain fully clothed, while the treatment wand is positioned over the area of pain.

It is Health Canada approved for the treatment of musculoskeletal disease of the muscle, bone, joints, nerves, tendons and tissues. It is especially effective in reducing pain in degenerative joint diseases such as osteo or rheumatoid arthritis of the knee, hip, shoulder, degenerative disc disease (lower back pain), tendinopathies, rotator cuff, Achilles tendonitis, sports injuries and helping one recovery post-surgery.

What is EMTT® Treatment?

The past decade has seen a wave of new regenerative technologies that leverage the body’s innate healing mechanisms. Rather than intervening in tissue repair, regenerative technologies work in tandem with cellular metabolism, clearing a path for natural healing. Extracorporeal Magnetic Transduction Therapy is just one of several regenerative treatment options, and is often used in conjunction with other therapies.

EMTT® is a non-invasive, evidence-based procedure developed specifically for the treatment of degenerative joint disorders, acute and chronic pain, and sports injuries.

EMTT® transmits high energy magnetic pulses to targeted tissues at extremely high oscillating frequencies ranging from 100–300 kHz. The waves can penetrate deep tissues up to 18 cm beneath the skin’s surface, to target difficult-to-reach tendons, muscles, bones and nerves.

EMTT® is delivered via a handheld or freestanding applicator that does not touch the patient’s body. EMTT® uses electromagnetic transduction to generate a magnetic field in a high-speed generator that emits impulses at a frequency of 3 Hz. Each impulse is released in nanoseconds, eliciting an electrophysical reaction without increasing the temperature of the treated tissues.

On a cellular level, EMTT® causes a range of beneficial biological effects that encourage healing. It activates the cell membrane, which in turn, improves the function of various channels which control the passage of electrolytes and nutrients in and out of the cell, supporting the health and revitalization of the cell and tissue. The physiological cell processes are activated and cellular metabolism normalized, not only in the affected area, but also surrounding tissues, which enhances self-healing further.

In summary, EMTT® alleviates pain and helps to stimulate healing in damaged tissues by encouraging the repair of individual cells and the genesis of new ones. The magnetic pulses emitted by EMTT® send magnetic energy into the body’s cells and resonate with the body’s own magnetic fields, increasing available electrolytes and ions. The resulting increased electrical activity enhances cellular metabolism, to initiate the healing process.

Clinical research behind EMTT® has shown it is an effective treatment for speeding up the natural restorative processes of tendons, bones, nerves, and lower back pain.

EMTT

What Conditions Does it Treat?

Dr. Grodski is among the first in Canada using EMTT® to address the following musculoskeletal conditions:

  • Degenerative joint diseases and disorders (from osteo and rheumatoid arthritis)
  • Wear and tear conditions: osteoarthritis (knees, hips, shoulders, elbows, feet), herniated discs, spondylarthrosis
  • Bone Healing (Fractures, Stress Fractures, Non-Union Fractures): EMTT has shown great promise in clinical trials for expediting the recovery process of fractures.
  • Chronic pain treatment: back pain, herniated discs, spondylarthrosis, radiculopathy, chronic regional pain syndrome (CRPS), muscle spasms;
  • Acute Sports/ Work Injuries: Inflammation of tendons and joints, tendon overuse syndromes, inflammation of the pubic bone
  • Tight, tense muscles & Poor Range of Motion (for Joints)
  • Nerve related pain (Neuropathic Pain): Sciatica, Radiculopathy, Peripheral Neuropathy

EMTT

What Does EMTT Feel Like?

EMTT® is convenient: patients can remain fully clothed during treatment. Is important that sensitive electronic devices such as smartphones, smart watches, and credit cards not be near the EMTT® treatment machine since it employs a very powerful magnet.

During treatment, most patients do not feel anything at all! Depending on the location of pain and degree of inflammation, some patients may feel a slight tapping sensation or stimulation of muscles in the therapeutic field.

Unfortunately, EMTT® cannot be used in patients with pacemakers or other implanted electronic devices. However patients with knee, hip, and shoulder implants may still be eligible for treatment with EMTT®.

How Many Treatments Are Recommended & At What Intervals?

Treatment sessions take approximately 15-20 minutes depending on the condition. EMTT® provides relief for many patients after 4 -8 sessions. Treatments are usually spaced out in 1 week intervals, but for acute conditions 2-3 treatments per week may be appropriate. In some chronic conditions, treatment may be extended if clinically necessary. Similar to what we see with Shockwave therapy, with EMTT® long-term results may not be immediately apparent. For this reason we like to follow-up with patients about 6-12 weeks after therapy has been completed The results from EMTT® therapy are generally long-lasting and therapy can be repeated if necessary. EMTT® is often combined with shockwave therapy for more powerful effects.

Is It Safe? Are There Side Effects to EMTT® Treatment?

Yes, EMTT® treatment is safe. This FDA-cleared technology was developed in Europe and is currently used around the globe. A wealth of medical experience, state-of-the-art engineering and optimal quality have been built into each EMTT® device, and extensive clinical studies and tests have confirmed its safety and efficacy.

If performed by a qualified caregiver, EMTT® has virtually no risks. Possible side- effects may include discomfort during treatment or reddening.

 

Patients with the following should not receive EMTT®:

  • Pregnancy
  • Pacemakers and other sensitive electronic implants
  • Metal implants that are not suitable for MRI
  • Metallic accessories on the body or clothing

 

How does EMTT® differ from PEMF?

EMTT® has a higher oscillation frequency of 100-300 kHz, and is 40% stronger than PEMF. This enables a deeper penetration of 18 cm working at a cellular and nerve level rather than only addressing muscles. EMTT® can therefore, treat a far wider range of conditions as compared to PEMF.

EMTT® Combined with Shock Wave Therapy

When Extracorporeal shockwave therapy (ESWT) is used together with EMTT®, the two technologies form a dynamic duo that produces results that no other therapy comes close to.

Each of these therapeutic technologies works by distinct mechanisms. EMTT® emits magnetic fields, delivering them to the treatment region to stimulate cell regeneration in damaged tissues and reduce inflammation in surrounding tissues. ESWT uses radial, or focused high-energy sound waves to focus in on local tissues.

EMTT® enhances the effectiveness of shockwave therapy in the following ways:

  • Reduces inflammation to allow for better penetration of shock waves
  • Improves joint ligaments, cartilage and tendon integrity
  • Activates cellular metabolism in the target region
  • Revitalizes damaged cells
  • Initiates cellular healing
  • Improves muscle firing capabilities
  • Enhances physical therapy outcomes
  • Gives immediate treatment results

 

EMTT ® Clinical Evidence

Knee and Hip Osteoarthritis and Cartilage Degeneration

Osteoarthritis (OA) is a debilitating joint condition characterized by cartilage degeneration, osteophyte formation and stiffening of the joints. Degeneration of bone and joint cartilage in OA is attributed to an imbalance between the breakdown and synthesis of chondrocytes that regulate turnover in the extracellular matrix (ECM). Recent research indicates that PEMFs such as EMTT® are effective in preventing the development of osteoarthritis and halting its progression.

Low Back Pain

Low back pain (LBP) is one of the most common medical complaints of adults, yet it often arises with no evidence of structural damage to the spine. Non-specific LBP is often treated with rest, pain medications, and anti-inflammatory drugs, and often resolves itself over time. However, a recent study found that treatment of non-specific LBP with EMTT® was significantly superior to conventional treatment alone.

Achilles Tendinopathy

A study involving 53 patients with chronic Achilles tendinopathy provided all patients with heel cushions, but also gave 28 patients eight treatments of EMTT® over a 4-week period. At the 12-week assessment point, the patients who had been treated with EMTT® showed significant improvements over the control group.

Shoulder Rotator Cuff Tendinopathy

Researchers randomly assigned 86 patients with rotator cuff tendinopathy to one of two study groups. One group was treated with extracorporeal shockwave therapy (ESWT), while the other group was treated with both ESWT and EMTT®. The patients treated with EMTT® saw significant improvements in both pain and shoulder function compared to the ESWT-only group.

 

References of systematic reviews of significant therapeutic effects with STORZ EMTT® devices:

Andre Krath. et al., Journal of Orthopaedics, 14(3):410-415, 2017. Electromagnetic transduction therapy in non-specific low back pain: A randomized clinical trial

Klüter, T. et al., Electromagnetic Biology and Medicine, 37(4):175-183, 2018. Electromagnetic transduction therapy and shockwave therapy in 86 patients with rotator cuff tendinopathy: A prospective randomized controlled trial.

Gerdesmeyer, L. et al., The Journal for Foot and Ankle Surgery, 56(5):964-967, 2017. Electromagnetic Transduction Therapy for Achilles Tendinopathy: A Preliminary Report on a New Technology.

Klüter, T. et al., Journal of Orthopedic Research and Therapy: JORT-1113. DOI: 10.29011/2575-8241.001113, 2018. Electromagnetic Transduction Therapy in Patients with Chronic Aseptic Osteitis Pubis

Teresa Paolucci et al, Electromagnetic Field Therapy: A Rehabilitative Perspective in the Management of Musculoskeletal Pain – A Systematic Review, Journal of Pain Research, July 2020

Gerdesmeyer et al, Stimulation of human bone marrow mesenchymal stem cells by electromagnetic transduction therapy – EMTT – Electromagnetic Biol Med. 2022 Jul 3;41(3):304-314. doi: 10.1080/15368378.2022.2079672. Epub 2022 Jun 7.

Gerdesmeyer L, Knobloch K, Gollwitzer H, Ringeisen M. Prospective double-blinded placebo-controlled trial of high energetic magneto transduction therapy in shoulder joint enthesiopathies. Sports Orthopaedics and Traumatology. 2023 Jun;39(2):212. doi: https://doi.org/10.1016/j.orthtr.2023.03.045.

Gerdesmeyer, L., Burgkart, R., & Saxena, A. (2024). Clavicle fracture and triathlon performance: A case report. Journal of Medical Case Reports, 18(1), 197. https://doi.org/10.1186/s13256-024-04482-7