What if there was a way to treat chronic, painful conditions, and accelerate recovery without the need for surgery? Dr. Peter DeNoble, MD, FAAOS of Modern Orthopaedics of New Jersey believes that advanced technologies like Extracorporeal Shockwave Technology (ESWT), Extracorporeal Pulse Activated Technology (EPAT®) and Extracorporeal Magnetotransduction Technology (EMTT®) are making this a reality.
As a distinguished surgeon with an academic title of Clinical Assistant Professor at Hackensack Meridian School of Medicine, and the host of the Beyond the Bones Podcast, Dr. DeNoble has seen firsthand how these non-invasive treatments are changing the lives of his patients.
The Road to a Breakthrough
Dr. DeNoble’s journey with this technology began personally. Suffering from insertional Achilles tendonitis that wouldn't go away, he tried various treatments, but nothing provided lasting relief. When he discovered Focused Shockwave (ESWT), his personal experience was so transformative that he knew he had to integrate it into his practice.
It was then that Dr. DeNoble cultivated the objective to offer a powerful, non-invasive option for patients, especially those who were looking for an alternative to surgery or injections. These treatments offer significant advantages: they’re backed by clinical evidence, there’s no needles, no anesthesia, and no downtime. "There's no downside to it,” he reports. “Shockwave was a total game-changer in terms of how my own personal conditions were treated, and I knew my patients would benefit from it as well.”
Tangible, Measurable Results
At Modern Orthopaedics, Dr. DeNoble and his team use CuraMedix Shockwave and EMTT devices powered by STORZ Medical to treat an array of conditions ranging from common issues, such as tennis elbow and Achilles tendonitis, to more complex cases, like calcific rotator cuff tendonitis. He stresses the importance of completing a full series of treatments for the best outcome, and encourages patients to sign up for the “entire package” upfront – not only to set realistic expectations for his patients, but to also give them the best chance at achieving optimal results.
Fast, Remarkable Results for Rotator Cuff Calcification
Dr. DeNoble recalls one of his first patients with significant rotator cuff calcification. Surgery would have been highly destructive, given the friability of her tissues, but after just three Shockwave sessions, her outcomes were remarkable. "The results speak for themselves," he says. “The improvement was obvious in not only her arm’s range of motion, but you could see the tears of joy on her face, as well.”
“Nine out of ten patients have done very well with these treatments, and almost all of them find instant relief.” With calcific tendonitis, calcium deposits are often completely resolved on follow-up radiographs, and while the relief can be immediate for some, for denser tissues like those in the rotator cuff or the Achilles tendon, it can take a few months to see the full benefits.
The Future of Orthopedic Care
For Dr. DeNoble, the potential for these technologies goes far beyond replacing surgery. He emphasizes that this technology is not just for patients who have exhausted all other options – many patients now seek him out specifically for these advanced treatments. He presents Shockwave and EMTT alongside surgery as viable choices when necessary, but the decision is often clear: Shockwave treatments can get patients back on track in months, while surgical recovery can take a year or more.
Though these technologies can often be used in place of surgery, Dr. DeNoble also recognizes that there are some pathologies that ultimately require surgical intervention, no matter how much the patient would like to avoid it. In those surgical cases, however, he sees immense promise in using Shockwave and EMTT to accelerate and enhance healing both before and after surgery. Since these technologies stimulate the body's natural healing process, they work to optimize recovery after invasive interventions are taken. He is also exploring the potential of pre-treating patients with severely compromised tissues to improve their condition before a procedure.
Why CuraMedix and Why STORZ Medical?
When it came time to choose a manufacturer and a distributor, Dr. DeNoble was guided by the advice of trusted colleagues and his own research, and in the end, he chose CuraMedix and STORZ Medical - companies he sees as pioneers in the field. "Stick with the originals when you can," he advises, adding that the sales, service, and marketing support from CuraMedix has been exceptional.
Because these treatments are cash-pay modalities, many people mistakenly believe they aren't valid options, but as he and his patients have seen, the outcomes prove otherwise, and the investment has been a win for the practice. "As practitioners, all of us here at Modern Orthopaedics have used it on ourselves because it works," he shares, highlighting the personal beliefs he and his staff share in these technologies. He also notes that it has become a powerful differentiator, attracting patients, and strengthening the practice's bottom line.
Advice for Fellow Practitioners
Dr. DeNoble is firm in his belief that the effectiveness of both Focused Shockwave and Radial Pressure Wave are directly linked to the skill of the practitioner. It's not a generic blast but a precise, carefully targeted treatment that requires a deep knowledge of anatomy. This precision, combined with the biofeedback component of working directly with the patient, is critical for achieving the best results.
For orthopedic surgeons, adopting this technology is a no-brainer. "The only way to truly articulate the value these technologies bring to your practice is to have them, start using them, and then you’ll become a believer," he states. "If it can increase the quality of your own life, and the lives of your patients, why wouldn’t you want to add it to your armamentarium?”
Partner with CuraMedix to Achieve High-Quality Patient Care
As the leading US provider of Radial Pressure Wave (EPAT), Extracorporeal Shockwave (ESWT), and Magnetotransduction (EMTT) devices, CuraMedix is your indispensable partner by offering unrivaled service, support, education, and training.
With the right tools in your armamentarium, and training and guidance from CuraMedix, you can significantly expand your patient caseload, increase the number of positive patient outcomes, and cement your practice’s reputation at the forefront of regenerative medicine.
Ready to join Dr. DeNoble, and offer next-level patient care for your own patients? Contact us today to connect with one of our experts and revolutionize your practice.
Important to Note: The treatments and use of EPAT®, ESWT, and EMTT® described in this article reflect the personal clinical experience of the practitioner and are not intended as claims of efficacy.
