Patient
Physician

Bobby V.

februari 27, 2018
/
by lars
/ /
Comments Closed

Back on the Bike Thanks to EXOGEN

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

Situation:
Living in the Atlanta-suburbs, Bobby V. is the Director of Finance for a running specialty retailer in the area. Married with two daughters, he enjoys running and cycling in his free time. An avid runner for 45 years, he listens to his body and when he needs a break from the pounding, he gets on his bike to stay fit. In late October of 2016, he was cycling when his front wheel hit an object that wasn’t plainly visible. He hit it so hard that he flew right over the handlebars of his bike.

« I was on the ground, looking up and wondering what had just happened,” said Bobby. “Several bystanders stopped to see if I was alright and one offered to call 911. I thought I was okay and would ride home, but then realized I couldn’t squeeze the back brake handle of my bike. »

His elbow had taken the worst of it. Not wanting to risk riding home injured, he called his wife to pick him up and then decided to put ice on his elbow, thinking he’d feel better in the morning.
Feeling worse the next day, he visited an orthopaedic surgeon in his area who took an X-ray and diagnosed his right arm with a radial head fracture.

« He fitted me with a compression sleeve, sent me home and asked me to come back in four weeks for another X-ray »

« If anyone finds themselves with a fracture that won’t heal and surgery is recommended, they should consider a device like EXOGEN. It worked for me and not enough people know of this noninvasive treatment that allows you to avoid a more serious procedure! »

In the days following, the pain in his elbow was so bad, it kept him up at night. He visited his doctor a week later and was advised that this was not unusual and his injury was just going to take time to heal. After five more days of continued extreme pain, Bobby decided to get a second opinion.

The second orthopaedic surgeon advised that the diagnosis was correct, but the treatment was not going to foster healing of the fracture, and the key issue was immobilization. Bobby would not heal unless his arm was immobile so his new doctor put him in a full arm cast. He also told Bobby that because of the two week delay in immobilizing the fracture, he may be at risk of a nonunion.

Solution:
Four weeks later, another X-ray showed the joint was still properly immobilized, but did not show any healing. Bobby’s doctor replaced his full arm cast with one that would stretch from his knuckles up to his right elbow so he could better rotate his wrist and not put so much pressure on his elbow joint.

After another four weeks, the X-rays still showed no healing. It was now 10 weeks since his injury and they talked about the reasons why the bone was not healing; including the immobilization delay, the trauma to the bone itself and possible natural lack of blood flow to the area of injury.

Bobby V

Reasons aside, Bobby was running out of options on how he might heal his fracture.

“There were two pieces of bone at the fracture site and neither one showed signs of healing. My doctor began to talk with me about surgery to repair my nonunion,” said Bobby. “But I wanted to avoid surgery and so I asked him what other options might be available and that’s when he asked me if I’d heard of bone stimulators.”

A short while later, Bobby heard from a Bioventus sales representative who met with him to review his X-rays and show him how to use the EXOGEN Ultrasound Bone Stimulator.

“By this time, the doctor had taken me out of a cast and put me into a brace so I would not risk losing full range of motion and I began to use EXOGEN,” said Bobby. “I took this very seriously and had a set time each night for my treatments.”

Six weeks later, he visited his doctor who took X-rays and observed healing on the larger piece of bone that was broken, but not on the smaller piece.

“EXOGEN was working for me and I was showing progress, but my doctor was concerned about this smaller piece of bone,” said Bobby. “He advised me that a CAT scan would provide more detail about this piece of bone that would inform a decision of leaving it in, having surgery to reattach it, or having surgery to remove it.”

Bobby pushed back on the CAT scan and wanted to wait and continue his EXOGEN treatments.

Success:
After another six weeks of treatment. Bobby returned to the office for X-rays.

“My doctor looked at the X-ray and said he saw something,” said Bobby. “When I asked him to be more specific, he showed me the X-rays and as we looked at it from different angles we could see the healing and his exact words to me were, ‘You sir, have dodged the surgery bullet.’”

Learning EXOGEN was working and he could avoid surgery was a great relief to Bobby. He needed this injury to heal as he’d been sidelined too long from that bike accident. By April, after roughly four months of treatment, Bobby was able to do 30 pushups and be much more active than he had been.

“I was released from physical therapy and allowed to do most anything except biking or lifting of heavy weights,” he said. “I continued my EXOGEN treatments until the end of May and learned I was fully healed.”

A key to Bobby’s recovery was his dedication and commitment to following the directions of his doctor, his physical therapist and being compliant in using EXOGEN. He was determined to follow all instructions to the letter so he would have the greatest chance at healing.

“If anyone finds themselves with a fracture that won’t heal and surgery is recommended, they should consider a device like EXOGEN. It worked for me and not enough people know of this noninvasive treatment that allows you to avoid a more serious procedure.”.

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.

Read More

Dr. Pauline Jones

oktober 8, 2017
/
by lars
/ /
Comments Closed

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 re-taking 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.

Read More

Michael Todd

oktober 8, 2017
/
by lars
/ /
Comments Closed

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, requiring metal implants to stabilise 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.

Read More

Mandy Gibbons

oktober 8, 2017
/
by lars
/ /
Comments Closed

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.

Read More

Cookie Law

Our website uses cookies, some of which are essential for this site to operate correctly and have already been set. For more information on managing, blocking or deleting cookies within your browser please refer to the references within our Privacy Policy. By using our site you accept the terms of our Privacy Policy.

Privacy policy | Close
Settings

1