Then we take the handpiece, a small applicator connected to the device, and begin to gently and evenly transmit the shock wave impulses to all areas of the brain according to Prof. Citak’s parameters. The sound waves penetrate through the skin and the top of the skull without causing any injuries there or in the internal tissues. Each time the position of the handpiece is changed, the current representation of the target regions automatically adapts to the MRI images of the patient visible on the screen. The injected energy is displayed in color so that the placement of the shock waves inside the brain can be seen.
During the entire treatment, which usually involves the delivery of around 6,000 individual pulses, everyone in the room hears the short, slightly hissing sounds of the shock waves, because they are sound waves. You only hear them, you hardly feel them. Except for the stroking of the handpiece and the slight wetness and coolness of the ultrasound gel, the patient does not feel anything from the impulses and thus the treatment is painless according to all our patients to this day.
During the therapy, which lasts about 30 minutes, the patient, the attending physician and the relatives or companions can talk to each other or the patient can enjoy the treatment silently or even sleep. Drinks can also be taken. If the patient wishes to take a break, this is possible at any time.