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What is a PTLMS?

The Pettibon Tendon Ligament Muscle Stimulator (PTLMS™), aka "The Drill" was developed to enhance the chiropractic adjustment through pain control, enhanced metabolic function, regeneration of injured para-vertebral soft tissues and muscle recovery.  One minute of treatment is equivalent to a 20 minute deep tissue massage to the muscles.

Use of the PTLMS™ protocols aids in the elimination of pain, muscle spasms and adhesions of the fascia and muscles. With pain and spasms relieved, our patients respond to care more rapidly as well as increase capability of performing in office and home exercises as prescribed by Dr. Milam. Objective post examination and post exam findings validate the PTLMS™ protocols. Clinics involved in the studies (including Milam Chiropractic) reported a measurable division between those patients who received the PTLMS™ protocols and preparatory exercises before an adjustment to those who did not. The studies also affirmed enthusiastic and positive patient response to pain and postural correction.

EMS Swiss DolorClast® patented technology is decidedly an appropriate remedy for the treatment of various musculoskeletal conditions.  Clinical studies including FDA trial data validates the efficacy of ESWT.  The device (one example is The EMS Swiss DolorClast®) uses high-energy acoustic waves, which are transmitted through the surface of the skin and spread radially into the body.  The body responds with increased metabolic activity around the site of pain, which stimulates and accelerates your body’s self-healing processes where pain occurs. It:

*Increases metabolic activity through improved blood circulation and the formation of new blood vessels.

*Nurtures and accelerates the healing process through cell regeneration.

It requires an average of 3-4 sessions spaced between 7-10 days apart in order to realize the maximum benefits of the treatment. The treatment takes minutes to complete, is relatively painless, and does not require any immobilization or significant activity modification following the procedure.

Successfully treat the following:

  • Plantar Fasciitis – as well as heel (calcaneal) spur syndrome. Pain at the bottom of the heel or foot.
  • Achilles Tendonitis - activity related pain along the course of the Achilles tendon or at the back of the heel.
  • Hip-greater trochanteric bursitis/tendonitis
  • Patellar Tendonitis - also known as jumper's knee. Activity related pain just below the knee cap.  Pre patellar bursitis
  • Tennis Elbow - also known as lateral epicondylitis. Pain at the elbow with certain arm movements.  Rotator Cuff Tendonitis and Shoulder impingement syndrome-shoulder pain that is worse with lifting and certain arm positions.(lifting overhead and internal/external rotation)
  • Biceps tendonitis (at the shoulder (proximal) and attachment to radial head (at the elbow-forearm level, distal)
  • De Quervain, or Radial styloid tendonitis
  • Non-union from fractures and poor healing
  • Other joint/tendonitis that respond treatment:
  • Shoulder:
    • Labral pathology, tears, coracoid and pectoralis minor attachement/tendonitis, deltoid tendonitis; scapula-thoracic region
  • Elbow:
    • Medial epicondylitis (golfer’s elbow);
  • Wrist:
    • Tendonitis carpal, carpo-metacarpal,
  • Hand:
    • 1rst CMC tendons, ligaments, 1 rst IP tendonitis, ulnar styloid ligament strain (over TFC region)
  • Hip
    • Hip flexor tendonitis, iliopsoas bursitis, TFL proximal, distal, ischial bursitis
  • Ankle/foot
    • tendonitis and chronic ligament strain of anterior and lateral aspects (other than Achilles and Heel)

Certain conditions where cervical or lumbar facet joints and calcification is present, along with muscle spasm, restricting range of motion, and causing pain.

What Happens during treatment?  If we determine that the Swiss DolorClast® is appropriate for you, we will locate the area to be treated. Your feedback is of great value as it will ensure that the treatment is focused on the appropriate area.

Once the treatment begins, the physician/technician will then apply a coupling gel to this area and will gently hold the DolorClast® applicator against the skin as the shockwave impulses are administered. Shockwave impulses are delivered at a low pressure, which is slowly increased to the desired level. This approach will allow you to gradually adjust to any discomfort so that no anesthesia is required to complete the treatment.

Application of the treatment will usually take 5-10 minutes to complete. The Swiss DolorClast® requires an average of 3-4 sessions spaced between 7-10 days apart in order to realize the maximum benefits of the treatment.

Side effects are rare but may include a temporary increase in your pain, local bruising, tingling, or skin irritation.  You should notice a gradual decrease in pain at the affected area over time. Many patients experience significant pain relief in just days to 1-2 weeks following the first treatment. However after your final treatment, the healing still continues with more significant improvement occurring over a period of 3 months.


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