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Shockwave Medicine


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id="ulink_0a481218-a282-53e5-8d49-ad9c5121a435">We can usually tell the future by examining the past; over the past 3 decades, the history of medical SWT has revealed that its safety and efficacy in each area of its utility has encouraged further research for its expansion, while remaining intransigent to becoming demoded. There is growing evidence that SWT is influencing the activation and differentiation of endogenous stem cells, and is stimulating more research in this area. Among such investigations are: the utility of the evolution FlashWaveTM technology for musculogenesis via endogenous skeletal muscle stem cell activation and differentiation, presently being investigated by Vincent et al. [71, 72] to determine the efficacy for skeletal muscle regeneration in the aging population (sarcopenia/dynapenia), and to improved skeletal muscle resilience in the athletic population. Holfeld et al. [65] are presently investigating intracorporeal SWT on the heart (Fig. 7a, b) ushering in an interesting era in SW medicine.

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      Conclusion

      With over 3 decades of utility since its inception into medicine, SWT has continued to extend its utility over multiple disciplines and has continued to be widely investigated by researchers globally. No two devices will produce the exact same stimulus, and this fact will have an influence and impact on clinical efficacy and outcomes. Therefore, the selection of appropriate technology, and the employment of effective assessment and application techniques is a pertinent fact for clinical success. The safety, noninvasive nature, and systemic neutrality of SWT makes it a unique interventional modality, and the expansion of its utility may provide a more sanative approach for the management of multiple pathologies. The increased utility of SWT has the potential to improve the quality of life and productivity across the lifespan, while reducing the burdens of global healthcare costs.

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