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  • Piezoelectric external shock wave therapy (ESWT) systems designed for orthopedic procedures that are mainly intended to alleviate pain. These systems typically consist of a low-power shock wave generator which contains several thousand piezoelectric (ceramic) elements in a two-layer arrangement similar to a mosaic that is aligned to the therapeutic focal points; the ceramic elements are excited by a high-voltage pulse generator. The systems also include intensity level, pulse-shape, triggering, and variable delay setting controls. The therapy is provided using detachable probes to the main unit; the shock wave depth of penetration can be varied by using gel pads of different thickness. These permit the application of the full ESWT or more superficial treatment at pain trigger points and/or areas that may trigger pain in adjacent or distant points of the body (known as trigger point shock wave therapy or TPST).
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