Patient
Physician

Dr. Pauline Jones

October 8, 2017
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by lars
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Physician, Heal Thyself

The below case study is representative of an indicated use for EXOGEN outside the United States and may not be representative of a US FDA-approved indication for the use of EXOGEN.

Situation:
“I had recently returned from a biking holiday to the Spanish Moto Grand Prix and I was retaking my advanced motorcycle test,” recalled Dr. Jones. “As I approached a bend at the end of the run with the examiner following, my Honda Hornet went from under me and I collided with an oncoming car.” 

In that split second, her years of planning for a retirement enjoying whole winters skiing in the Alps would be thrown into doubt, along with her passion for high-energy sports like sailing and triathlons. Dr. Jones’ right leg was broken in four places below and in one place above the knee. 

“I dare not yet picture myself doing all the things I used to, but just to feel confident in my leg again is an enormous boost.”

She was rushed to Royal United Hospital in Bath, then transferred three days later to the specialist unit at Frenchay Hospital in Bristol. After an exploratory operation, Dr. Jones spent 12 hours on the operating table with orthopaedic and plastic surgeons working side by side on the injuries to her lower leg. Following surgery, she was admitted to Bristol Royal Infirmary to be fitted with an external fixator frame, which needs daily adjustment.

Six months with a leg in the frame is a challenge for anyone. However, the long-term problem for Dr. Jones lay above the knee in her thigh bone (femur), which had been shattered in the accident and had lost 7 cm of its length at the point of the fracture. The femur had been stabilised by the fixing of a steel plate to the bone during the first surgery. But a plan for its permanent healing had to wait until the treatment to her lower leg was well underway.

Three months after the accident, Dr. Jones underwent her third operation, this time to graft bone from her pelvis into her femur. Then 15 months after the accident, the plate that had been attached to her bone was bending and had to be removed. Throughout this time, Dr. Jones was on two crutches and managing daily pain, combined with a steady stream of appointments for X-rays and outpatient clinics.

“You are used to having a lot to do, so suddenly not having that pressure affects you. Even now, I’m not 100% sure of the sequence of events, months seemed to go by,” said Dr. Jones. “Although I was eventually able to put a little weight on the leg, every day was a struggle. I became quite good at hopping about the house on one crutch after a while but you and your family are living with the constant fear that you will hurt yourself.”

Solution:
Almost three years after her accident, things began to progress rapidly when she was referred to Professor Roger Atkins.  Professor Atkins is a specialist in treating patients who have completely lost sections of bone in so-called high-energy fractures, where the bone has been reduced in part to fragments that need to be removed surgically.

He lengthened her femur by operating on the bone above the fracture to insert a telescopic rod into the bone that was then gradually extended by performing knee movements. The bone naturally fills the gap created, restoring it to its natural length.

Alongside the bone lengthening procedure, Professor Atkins prescribed an EXOGEN device to speed up the repair of the fracture itself.

Success:
Several months later, X-rays indicated that her femur was finally healing. Said Dr. Jones, “The evidence of the latest X-rays is very encouraging after all this time, and although I have just had an operation to relieve some pain caused by the telescopic rod, I was already walking with confidence and I had got back into the gym, which was a big moment.”

Both Dr Jones and Professor Atkins were hopeful that her next consultation would be her last, marking the end of a four-year journey that began with a mystery unlikely ever to be solved. “I dare not yet picture myself doing all the things I used to, but just to feel confident in my leg again is an enormous boost.”

Disclaimer: Information presented in patient testimonials is representative of a specific patient experience only and is not medical advice. Patients are compensated for providing testimonials.

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Michael Todd

October 8, 2017
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by lars
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The Biker Who Wouldn't Take No For An Answer

The below case study is representative of an indicated use for EXOGEN outside the United States and may not be representative of a US FDA-approved indication for the use of EXOGEN.

Situation:
Motocross fanatic Michael Todd from Shropshire was out doing what he loved best when his life changed – on the bike he had bought by saving up birthday money and rebuilt using his skills as a welder. Rounding a corner on a country track, he collided head-on with a friend. Despite wearing full protection, Michael’s leg was shattered, with his shin bone (tibia) comprehensively fractured in several places. Amazingly, his friend was completely unharmed.

Immediately after the accident, Michael managed to calmly call his mother on his mobile before the pain set in; “I just sort of sat there chatting to my mum. I was more upset about whether I could fix my bike, everyone else seemed to be the ones panicking,” he said.

“I couldn’t believe it, it was exactly what I hoped I would see and I was happy and upset at the same time; I could have had this months ago and I’d had lost all that time, I’d lost my job and everything else.”

He was rushed to the Princess Royal Hospital in Wellington where he underwent emergency surgery that required metal implants to stabilize the bone. He was discharged after a week, and tried to adjust to his situation while waiting for the healing to begin. Recalled Michael, “It was horrible, I couldn’t even see my friends in the next street. I was bed ridden and taking all kinds of painkillers.”

As weeks became months and his X-rays revealed no sign of healing, Michael admits he felt angry at what he considered was a too-relaxed attitude from his hospital. “It just seemed to be ‘oh well, make another appointment and we’ll see,’ but I was the one going up the wall,” he said.

Solution:
Michael’s friends encouraged him to see another surgeon at Shrewsbury Infirmary, who told him about the EXOGEN ultrasound device—which has been shown to have the same success rate as surgery with no known risk to the patient of complications, provided the bones are well aligned and firmly fixed.

“Suddenly here was someone saying they thought they had an answer and your hopes are lifted," said Michael. “I was very emotional, it was the first time in over a year that someone had said to me that there might be a way out. All I’d had was one knock-back after another and there were times when I thought I might lose my leg, plus the daily grind of living with the pain and worry.”

Although EXOGEN cost less than an operation, Michael’s surgeon had to make a special case to the local Primary Care Trust for buying an EXOGEN device.

Success:
Three months after he began using the device, an X-ray of his tibia showed what Michael describes as “like candy floss in the gaps where the bone was broken, sort of fuzzy areas.” What he was looking at was new bone growth, the first since the accident nearly 16 months earlier.

He doesn’t mind admitting that he burst into tears at the sight. “I couldn’t believe it, it was exactly what I hoped I would see and I was happy and upset at the same time; I could have had this months ago and I’d had lost all that time, I’d lost my job and everything else.”

Disclaimer: Information presented in patient testimonials is representative of a specific patient experience only and is not medical advice. Patients are compensated for providing testimonials.

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Mandy Gibbons

October 8, 2017
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by lars
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Healing The Finger That Would Not Fuse

The below case study is representative of an indicated use for EXOGEN outside the United States and may not be representative of a US FDA-approved indication for the use of EXOGEN.

Situation:
Retired teacher Mandy Gibbons was only 11 years old when it happened: she was helping her mother do laundry, running clothes through an electric mangle, and both her hands got caught in the machine. Before her mother could get to her, all eight fingers were broken. But her fractures were successfully treated and her fingers caused her no problems during the rest of her childhood and young adult life.  Mandy went on to become a teacher working with children who were multisensory impaired. She used hand “signing” to communicate with the children, and with children who were both deaf and blind, applied pressure on the hands of the child to convey meaning. The trauma of her early accident faded in her memory.

“I am very, very thrilled as it worked so quickly and saved me having to have another op. Importantly, I felt a great sense of empowerment in being able to manage my recovery. I can’t thank my consultant and EXOGEN enough.”

But as the years passed, Mandy began to have extreme pain in her finger joints, as well as localised swelling in the finger joints spreading into the palm of her hand, and some clawing of both hands and fingers. Mandy consulted her GP, who referred her to the orthopaedic specialist at her local hospital in Chesterfield. X-rays showed her finger joints had become arthritic. The surgeon prescribed cortisone injections to reduce the swelling and ease the pain.

It was soon clear that injections alone were not a cure. Mandy began a series of operations, first on tendons in her wrist, then on the bones in her fingers to fuse the joints. The operations, spread over three or four years, were successful; with each one her pain decreased and her hand function improved.

Then a problem developed in her index finger. During an operation in May 2010, the bone fractured and had to be repaired with a metal plate. By this time, Mandy was used to the normal healing process, so she could immediately tell that this joint was not healing. Scans and X-rays confirmed that fusion of the bone had not occurred, despite a metal plate with 4 fixing screws and immobilisation of the hand.

Solution:
Mandy was extremely reluctant to undergo more surgery, so her consultant team suggested trying EXOGEN. Said Mandy, “Neither I nor my surgeon wanted to do the bone graft from my hip, but we were running out of options, so the thought of a device that avoided an operation and which I could use at home sounded too good to be true.” Mandy started to use the EXOGEN device in August 2010.

Success:
By early October 2010, X-rays revealed that the bone was completely healed. Said Mandy, “Almost immediately I got the feeling back and warmth back in my finger and the nail began to regrow. Within a few days, the finger simply began to feel more comfortable and less inflamed. I am very, very thrilled as it worked so quickly and saved me having to have another op. Importantly, I felt a great sense of empowerment in being able to manage my recovery. I can’t thank my consultant and EXOGEN enough.”

Although she is now retired, the treatment to her hands has enabled her to sign again.

Disclaimer: Information presented in patient testimonials is representative of a specific patient experience only and is not medical advice. Patients are compensated for providing testimonials.

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Stephen Biggam

October 8, 2017
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by lars
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Timing Is Everything: Major Surgery Avoided With EXOGEN

The below case study is representative of an indicated use for EXOGEN outside the United States and may not be representative of a US FDA-approved indication for the use of EXOGEN.

Situation:
Despite the metatarsal only being a couple of centimetres long, a Jones fracture is notoriously difficult to heal. But it was an injury that lawyer Stephen Biggam thought would be an easy fix at an accident and emergency department. He spent the next 8 weeks with a cast up to his knee as he waited for it to heal.

Unfortunately, while the cast was in place, Stephen’s fracture had widened, instead of healing, and his fracture was classified as a nonunion. Stephen was referred to an orthopaedic consultant who suggested a bone graft procedure. The surgery was scheduled, but postponed due to hospital equipment issues. During this unexpected pause, Stephen’s condition was reviewed again—and the surgeon decided not to perform the operation after all. An EXOGEN ultrasound device was recommended to stimulate bone growth instead.

“I avoided what would have been a complicated operation and I'm certain that EXOGEN really helped speed up my recovery.”

Solution:
The surgery postponement worked to Stephen’s benefit in another way as well: the low-intensity pulsed ultrasound (LIPUS) technology used by EXOGEN had just been given approval by the National Institute for Clinical Excellence (NICE). This recommendation was made following an analysis of clinical data from over 1900 patients, plus specialist guidance from the British Orthopaedic Association and British Limb Reconstruction Society. 

Stephen was fitted with the EXOGEN device, which he used every day for 20 minutes at a time.

Success:
When he returned to the clinic after a few weeks, his surgeon X-rayed him again. Both were delighted to see evidence of bone growth. For Stephen, the news was more than he had hoped for. His story even attracted national media interest and was featured in the Daily Mail.

"I’m just so glad that the doctor decided not to operate. I would have been off work for weeks," said Stephen. "I avoided what would have been a complicated operation and I'm certain that the EXOGEN really helped speed up my recovery."

Disclaimer: Information presented in patient testimonials is representative of a specific patient experience only and is not medical advice. Patients are compensated for providing testimonials.

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Mark Salazar

October 8, 2017
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by lars
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EXOGEN Helps Save The Day – And The Job – For US Bus Driver

The below case study is representative of a US FDA-approved indication for the use of EXOGEN.

Situation:
When Mark Salazar slipped in the shower, it was the beginning of a lengthy ordeal that threw his entire lifestyle into a spin. His arm was broken cleanly in two, causing pain so excruciating that when the ambulance crew arrived, Mark couldn’t even open the door. He had to turn one of the door handles by biting down on it with so much force that he chipped a tooth.

At the hospital, doctors struggled to reposition his arm. After four separate attempts, Mark was finally discharged with his arm completely immobilised and held in place some 20 cm off his torso. “You cannot begin to imagine how difficult life becomes in this position. Months of pain and the constant fear that the slightest wrong movement or bump will be agony, never mind the difficulty of trying to sleep”, said Mark. “But the worst is the daily indignity of being completely reliant on strangers from social services for hygiene.”

Mark hit a low point when he had surgery again, and acquired an infection so severe that he was placed in an isolation ward for seven days. But worse was to come: X-rays showed that the bone was still not healing naturally.

“A broken arm doesn’t sound like much, but the consequences of a simple slip were unimaginable for me and I am convinced the EXOGEN made all the difference to speeding up the healing process.”

Solution:
Recalled Mark, “All of that pain and discomfort and nothing to show for it. That was the worst day I can remember.” It was at this point, that his consultant surgeon suggested using an EXOGEN device to stimulate bone growth. “Initially, I was skeptical… I had had hope after hope dashed during the course of my treatment, but to be honest, you get to the point where you’ll try anything to escape the situation.”

Success:
Just two months after starting to use the EXOGEN device for 20 minutes a day, Mark had new X-rays. This time the images showed the fracture completely healed with a band of healthy new bone. “I’m a bus driver not a surgeon, but it was as clear as day that the bone looked completely different. What’s more, my surgeon said that as far as he was concerned, I had the all clear.”

Mark left the hospital and headed straight to his employer to find out if he still had a job. After all the setbacks, the news that Mark could rejoin the company as soon as his physiotherapy was complete gave him a new outlook. "A broken arm doesn’t sound like much, but the consequences of a simple slip were unimaginable for me and I am convinced the EXOGEN made all the difference to speeding up the healing process. Not only did it work, I was able to take a role in my own treatment, which after being helpless for so long, made a huge difference to how I faced each day.” 

Disclaimer: Information presented in patient testimonials is representative of a specific patient experience only and is not medical advice. Patients are compensated for providing testimonials.

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Olly Barker

October 8, 2017
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by lars
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Comments Closed

EXOGEN Helps England Rugby Star Olly Barkley's Return To The Field

The below case study is representative of an indicated use for EXOGEN outside the United States and may not be representative of a US FDA-approved indication for the use of EXOGEN.

Situation:
On Saturday, the 5th of March 2011, Bath and England rugby union star Olly Barkley suffered a horrific double fracture of his distal tibia and fibula during Bath’s 34-22 loss to Gloucester. It was a particularly cruel blow for Olly, who had missed much of the 2009 season with a similar fracture to the same leg. “I had to have my leg put back in place on the field because the whole lower quarter of my left leg was pointing off in a bizarre direction,” recalled Olly, who was given laughing gas while on the field to distract him from the agonizing pain.

The former Gloucester player underwent immediate surgery at Gloucestershire Royal Hospital to have a metal rod and screws inserted through his tibia. But for Olly, dealing with the physical pain wasn’t as hard as the realisation of what the fracture meant to his career. “When I broke my leg, all I could think about was nine months. All I could see was nine months of recovery in front of me.”

“It required just 20 minutes per day. You don’t really notice that you’re using it, which was part of the joy for me.”

Solution:
Olly was keen to progress with his recovery as soon as possible. “I moved onto EXOGEN after two or three weeks, once the swelling had gone down and I could move around a little. I had heard good reviews about it, and I obviously wanted to do everything I could to encourage the healing process.”

Olly explained how he used EXOGEN: “It takes literally 10 seconds to set up. You put on the strap, line up the hatch with your fracture site, apply the coupling gel, then put the transducer in place and press the start button. It requires just 20 minutes per day. You don’t really notice that you’re using it, which is part of the joy for me.”

During his recovery, Olly also helped fill his time by working on his rugby academy Elektrik3, aimed at 9-16 year olds. “The handiest thing about EXOGEN for me was that it didn’t really hinder my everyday life. I could use it whilst doing work for Elektrik3 on my laptop or just if I was on the sofa watching a movie.”

Success:
By mid-July, Olly was back in the gym training hard to build up the muscle he had lost. “Using EXOGEN encouraged a massive callus to form, which was what I wanted for my bones to heal. Now that the callus is strong and the union is occurring, the next few months will be about trying to run,” said Olly. “The priority for me now is getting back to playing, then hopefully getting my jersey back in the team and kicking on from there. I still feel like I have got lots of good years left in me, so I’ve no intention of hanging up my boots just yet!”

Disclaimer: Information presented in patient testimonials is representative of a specific patient experience only and is not medical advice. Patients are compensated for providing testimonials.

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