Webinar with Physiquipe on ESWT Technology and Men’s Health

Focus of the Instruction

The training focused on ESWT science, evidence, and practical application for ED and chronic pelvic pain; device selection. I emphasized the differences between technologies, energy delivery, and practical patient selection rather than presenting a one-size-fits-all protocol. When I teach, my goal is for participants to be able to explain why a particular treatment is chosen, for whom it is appropriate, and when a different approach is more relevant.

Why this is relevant to a patient’s journey

For a man with erectile dysfunction The crucial question is not merely whether a specific treatment can be used, but why the erection has changed. Blood flow, nerve function, medications, metabolic disorders, hormones, the pelvic floor, and psychosexual factors can all play varying roles. Therefore, treatment should only be selected once the pattern has been clarified through a consultation, relevant clinical examination, and, if necessary, targeted ultrasound. In cases of CP/CPPS and chronic pelvic pain, the patient’s journey is often long because symptoms can stem from multiple structures and mechanisms simultaneously. The pelvic floor, nerves, connective tissue, pain regulation, urinary symptoms, and sexual activity may all be interrelated. This training therefore supports a broader assessment, in which shockwave therapy or EMTT are not used in isolation but are selected based on the clinical picture.

For patients, this means in practice that technology should come after the assessment—not before. A treatment may be well-documented at the population level and still be a poor choice for an individual if the cause of their symptoms is different.

From Education to Clinical Quality

The professional benefits go both ways. I contribute my clinical experience and teaching expertise across various shockwave systems, while the participants bring in different workflows, case studies, and perspectives. This provides a more robust foundation for asking the critical questions that should also be asked before beginning a patient’s treatment.

Another important element is managing expectations. In areas such as sexual function, chronic pain, and incontinence, two patients with the same diagnosis may have vastly different causes and prognoses. Therefore, it is important to be precise about which problem is being addressed, how progress is measured, and when a lack of response should lead to a reassessment rather than simply continuing with the same treatment.

I also emphasize the importance of distinguishing between mechanism, clinical evidence, and marketing. The fact that a technology can biologically affect tissue does not mean that it has a documented effect on all indications. Conversely, clinical evidence may be relevant without being directly transferable between different devices, doses, or patient groups. This distinction is crucial both in teaching and in conversations with patients.

It is the professional connection between education and clinical practice that I want these educational activities to demonstrate: not a promise of results, but experience in critically evaluating technology, following the evidence, and translating it into more precise decisions for each individual patient.

Read more: The evidence for shockwave therapy · Chronic pelvic pain

Documentation: This article is based on publicly available event materials and/or LinkedIn posts. Sources: physiquipe.com · LinkedIn posts