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Mohez's 11 eswt treatments

Posted by Mohez on 3/22/03 at 15:58 (113916)

To all

I was just messing around on the internet and decided to check in on heelspurs.com, did a search on my name and WOW, lots of action. If anyone needs to contact me for my experiences, please email me at (email removed)

Johnh, your email john1932@sewbell.net does not work.

Mohez

Re: Mohez's 11 eswt treatments

BrianG on 3/22/03 at 21:49 (113950)

Hey Mohez,

Are you still 100% cured???? Absolutely no pain at all? If so, which ESWT machine was your last treatment with, the one that finally cured you?

Thanks
BrianG

Re: Mohez's 11 eswt treatments

Mohez on 3/23/03 at 21:19 (114060)

Hey Brian

I am not 100% cured and I don't think I will ever be 100% cured. I am at a stage where I can do everything I was able to do pre PF, although I now have to do it with orthotics and may have to ice after playing. I certainly have to sleep with night splints.

My treatments were 5 with Dornier, 3 with Ossatron and 3 with the one Bayshore uses ( either sonucur or the O machine ). I think the Bayshore one was less intense, but they could better pin point the area that needed the blasts.

Mohez

Re: Mohez's 11 eswt treatments

Ed Davis, DPM on 3/24/03 at 00:02 (114111)

Mohez:

Fascinating story. Please give us the details!

I do feel that we have made ESWT so 'precious' in the USA that many would react in amazement. ESWT is non-invasive, not a complex treatment so it is 'rationed' in a way via the artificial market costs. It is a modality that should and could probably be used much more liberally.
Ed

Re: Mohez's 11 eswt treatments

Sunny Jacob, Bayshore on 3/24/03 at 07:15 (114138)

Mohez,
At Bayshore the 3-session treatment you have mentioned is done with Sonocur. We never had an 'O' machine.
We also never suggest to anyone to expect a 100% cure.

Re: Mohez's 11 eswt treatments

Pauline on 3/24/03 at 08:09 (114144)

Sunny,
In one of your posts, I thought you mentioned both machines and something about Dr. Gordon having the option of using the Ossatron. Are there two Dr. Gordons? I thought Scott and the first gang had a Dr. Gordon treat them with the Ossatron. Are we talking about two different doctors and two differents sites? Confused?

Re: To Sunny

Pauline on 3/24/03 at 09:00 (114153)

I think this is the post that confused me. Where is the high intensity done and who is providing it?

: ESWT just done in Toronto - High Intensity View Thread
Posted by Sunny Jacob, Bayshore on 2/06/03 at 20:56

Molly,
Thank you for providing information about your ESWT treatment at Bayshore in Toronto in your own words.
For the readers, let me clarify our fee structure. According to the patient's condition and time availability we recommend either low intensity or high intensity ESWT. For the majority of patients we recommend low intensity. Our fee for low intensity ESWT (3 sessions) is USD 1,050.--. For high intensity ESWT (1 session) the total fee is USD 1,700.--. This includes the anesthesist's fee and the orthopedic surgeon's fee. Both treatments can be booked through (email removed)

Re: To Sunny

Sunny Jacob, Bayshore on 3/24/03 at 10:20 (114182)

Pauline,
Actually this was explained on the message board several times during the last two years. Let me try to explain once more for all the message board participants and anyone who has missed it.
We have two treatment centrs:
1. Low intensity ESWT is done with Sonocur. This requires 3 sessions and no local anesthesia is necessary.The full course of treatment is completed within 4 days.
For this procedure we do a combination therapy ESWT and LILT, three applications each(LILT, wave length 660-840 mm; optical power range 25-1,500 mW; power density range 10-250 mW/sqare cm; frequency 0.01-10,000 Hz)
The total fee for this combination therapy is USD 1,050.-- for U.S. patients; for bilateral cases it is USD 2,100.--. There are no other hidden fees or charges and the treatment is done by our senior therapist. This is the treatment we highly recommend to all patients with chronic PF, tennis elbow, shoulder patellar and achilles tendonitis.

2. In the second clinic we use high intensity Ossatron. This is mainly to treat non-union of fracture and for those patients with varios tendonitis who insist on single treatment with anesthesia. This treatment is done by an orthopedic surgeon, Dr. Rob Gordon, and an anesthetist.The fee for all tendonitis treatments in this clinic for U.S. patients is USD 1,700.-- which includes all charges.
For non-union of fracture treatment, depending on the complexity of the case, the fee can vary between USD 3,500 and 5,500.
Hope this will clarify any confusion about the procedures performed in our clinics.

Re: To Sunny

Pauline on 3/24/03 at 11:47 (114217)

Sunny,
When you say Dr. Gordon is treating various tendonitis with the Ossatron does that leave out the possibility of him using it for P.F. in his practice all together?

Re: To Sunny

Sunny Jacob, Bayshore on 3/25/03 at 06:59 (114402)

Pauline,
If a patient insists on a one-session treatment with us, as I have mentioned, the possibility is high intensity treatment with Ossatron.
Sorry, I missed PF in my last message. It should read PF and various joint tendonitis.

Re: To Sunny

Pauline on 3/25/03 at 08:43 (114414)

Sunny,
Your clinic sounds patient friendly because I don't know of others that would accommodate the type of treatment to a patient's desires.

If centers here had access to multiple machines I don't think a patient would be the one in charge of selecting which machine would be used.

Re: To Sunny

Sunny Jacob, Bayshore on 3/25/03 at 11:11 (114460)

Pauline,
Thank you for your comments. We do not claim that we are the only patient-friendly clinic. Many ESWT clinics who write on this message board seem to be extremely patient-friendly. Those providers spend a substantial time giving advice to the patients. I don't interpret the fact that we have two different machines as an example of patient friendliness, but it provides a choice. As I have mentioned, we use Ossatron mainly for non-union of bone fracture. For PF and various tendonitis we still recommend low intensity ESWT (done with Sonocur).
My involvement in health care goes back 32 years and I strongly believe in empowerment of the patients. Therefore, if a patient insists on a high intensity single treatment (which is also more expensive due to the additional anesthetist's service, etc.) rather than our recommended 3-session low intensity ESWT, we do oblige to that. From our experience, the outcome of high intensity single ESWT is comparable to multiple low intensity treatment for tendonitis and PF, as long as it is done by experienced specialists.
In conclusion, my philosophy in dealing with patients is that their quality of life is of primary importance.
Secondly, I emphasize the quality of life of our staff. This philosophy is the corner stone of our ESWT and other clinics.

Re: Mohez - recap

Mohez on 3/26/03 at 20:54 (114724)

Sunny

Thank you for the correction, I had the sonacur machine at Bayshore. I found it to be very useful as it could pinpoint the EXACT spot(s) where the shock waves were to be hit.

One other thing I forgot to mention is that before my sonocur treatments I had LEPT ( low energy photon treatments ) with a DR. Natasha Filinenko, who is associated with Dr. Galea. Her treatments actually gave me immediate relief ( albeit in the short term ) however using her machines every other day, helped me very much on my road to recovery.

Now that I am thinking back, I also had active release therapy done by a chiropractor whom Dr. Lindsay ( at Dr. Galea's clinic ) had recommended to me, since he was on sabatical.

Oh boy, have I done a lot. Definetly worth it though.

Mohez

Re: Mohez - recap

Sunny Jacob, Bayshore on 3/28/03 at 06:49 (114810)

Mohez,
I fully agree with your and Dr. Z's comment about the importance of ultrasound imaging during ESWT treatment.
I have been emphasizing the importance of this (and if available in-line ultrasound) since 1998.
I am glad that Dr.Z, since the acquisitoin of Dornier, has become a proponent of ultrasound imaging with ESWT.
Another point, regarding your treatment of LEPT and LILT, this is one of the key components of our ESWT treatment protocol, i.e. a combination therapy of ESWT and LILT.

Re: I have met you Sunny

Mohez on 4/06/03 at 20:11 (115549)

Sunny

You don't remember but I did meet you years ago at the opening of your Bayshore clinic on Cochrane Drive in Markham. We had a brief chat, but you were pretty popular during the opening.

Mohez

Re: I have met you Sunny

Sunny Jacob, Bayshore on 4/07/03 at 07:27 (115565)

Mohez,
As you know, one meets a large number of people at an Open House. At times it is difficult to remember all the names. In any case, I am glad that you were at the Markham clinic. One of these days I would like to meet you and hear in detail about the experiences you went through with PF and ESWT and ESWT in combination with LILT. If you don't mind I shall send you an email soon.

Re: I have met you Sunny

Bev on 4/07/03 at 09:08 (115570)

What is the LILT ??

Re: I have met you Sunny

john h on 4/07/03 at 13:05 (115588)

Sunny: Take a picture of Mohez and place it on your board of success. You can see his picture on our picture board. He is shown with the 'Ossatron 6' who had their procedures done in Canada some years ago.

Re: I have met you Sunny

Mohez on 4/07/03 at 19:36 (115619)

You know funny thing about this PF and its sufferers. When I was first diagnosed, I went to one of the best orthopedic surgeons in Toronto, Dr. Ogilvy-Harris. He is the ortho for the Toronto Maple Leafs, Toronto Argonauts and the Toronto Ballet. Anyways, he first put me onto ESWT, via Dornier and told me to get 5 treatments and get a night splint. When it did not cure me, he told me my only option was surgery and he has performed lots, with a great deal of success. Wonderful, I got myself all booked and was ready to go. He also told me about heelspurs.com. I went on it and got scared about surgery. I went back to him and asked him for references - he emphatically told me NO WAY. I said, fine, why don't you ask some of your 'guinea pigs' to call me instead - he still said no. Now I am wondering about all his 'success stories', but since he is the one with all those letters after his name - I trusted him. Lo and behold the might Maple Leafs go far in the playoffs and he is out of town, cancelling my surgery. I got cold feet and never went back to him. The rest is PF history.

The upshot of this whole story is that I have absolutely no problem whatsoever in talking,emailing or even meeting anyone who wants to. I once had a long telephone conversation with Martha from Texas and met JennH from Illinois for dinner when they came to Toronto for the Ossatron.

Email me when you want Sunny. About the picture, I don't know, I have lost even more hair since then - now if only I could have cured this male pattern baldness.

Mohez

Re: I have met you Sunny

john h on 4/08/03 at 10:42 (115658)

Mohez when I first got PF I contacted the New York City Ballet about who they used to treat their dancers for foot problems. They of course responded that informations was confidential. I have talked to a couple of NBA basketball players who I know personally and they said they keep their PF problems very quiet as they do not want the coaches and management to know as it might effect their contracts and playing time. A number have been to Canada for treatment and I think some have been to other local doctors who provide ESWT.

Re: PF and NBA players

Mohez on 4/11/03 at 20:52 (115976)

John

I have heard about a few NBA'ers who have come up here for ESWT for PF. Also Jimmy Jackson came up here for Knee tendinitis. And you are right about keeping it quiet for contract and playing time reasons. Can't blame them considering the $ they get for playing.

Mohez