Pain Management


Understanding Chronic Pain: Causes & Classification
Chronic pain is more than discomfort—it’s a complex condition that can affect your joints, muscles, nerves, and quality of life. Unlike acute pain, which resolves quickly, chronic pain persists beyond normal healing time and often becomes resistant to medication.
Common classifications include:
- Musculoskeletal Pain (e.g., arthritis, back pain)
- Neuropathic Pain (e.g., nerve injury, diabetic neuropathy)
- Myofascial Pain (muscle tension, trigger points)
- Inflammatory Pain (autoimmune, tendonitis)
At Fresh Mediq Global Clinic, we focus on identifying the root cause—not just masking symptoms—using advanced diagnostics and a personalized treatment approach.

Non-Surgical Pain Management Options
At Fresh Mediq Global Clinic, we specialize in drug-free, non-invasive therapies designed to treat pain at the source — promoting healing, reducing inflammation, and improving quality of life without surgery or long-term medication use. Our advanced regenerative approach includes:
- Platelet-Rich Plasma (PRP): Uses your own concentrated growth factors to accelerate tissue repair, ideal for joint, tendon, and ligament injuries.
- Platelet-Rich Fibrin (PRF): A next-generation regenerative treatment with extended-release properties, particularly effective for chronic tendon and joint pain.
- Stem Cell Therapy (MSCs): Harnesses mesenchymal stem cells to regenerate cartilage, nerves, ligaments, and soft tissue, offering long-term relief and tissue restoration.
- Peptide Therapy: Targets cellular signaling pathways to reduce inflammation, enhance recovery, and support tissue repair at a molecular level.
- IV Therapy for Pain Relief: A powerful blend of magnesium, glutathione, amino acids, and anti-inflammatory nutrients delivered intravenously to support whole-body pain control and oxidative stress reduction.
- Focus Shockwave Therapy: A high-precision acoustic wave therapy that stimulates tissue regeneration, increases blood flow, and breaks up calcifications — ideal for tendinopathies, plantar fasciitis, and musculoskeletal pain.
- High-Intensity Laser Therapy (HILT): A cutting-edge therapy that penetrates deep tissues with concentrated light energy to reduce inflammation, relieve pain, and accelerate healing in joints, nerves, and muscles.
Regenerative Medicine in Pain Relief
Regenerative therapies help repair tissue rather than simply reduce pain. These therapies are ideal for patients who want to avoid surgery, reduce dependence on medications, or treat pain naturally.
Common regenerative treatments include:
- PRP/PRF injections for joints, tendons, ligaments
- Mesenchymal Stem Cells for cartilage and disc regeneration
- Exosomes for nerve healing and chronic inflammation
- Fibroblast injections for chronic musculoskeletal tension
Technologies We Use
To enhance outcomes, we use FDA-approved pain technologies, including:
- Shockwave Therapy (Focus Type)
Breaks up scar tissue, improves blood flow, stimulates healing in deep tissues. - High-Intensity Laser Therapy
Penetrates muscles and nerves to reduce pain and inflammation without heat damage.
These tools are used alongside regenerative medicine to amplify your body’s healing capacity.
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Focus Shockwave
Focus Shockwave Therapy (BTL Focus Shockwave) at Fresh Mediq Global Clinic
Revolutionizing Pain Relief and Healing
At Fresh Mediq Global Clinic, we proudly offer the latest technology in non-invasive pain management and regenerative therapy: the BTL Focus Shockwave System (Newest Edition). This cutting-edge device is redefining how we treat musculoskeletal pain, chronic injuries, and various health conditions — delivering fast, effective, and long-lasting results.
What is BTL Focus Shockwave Therapy?
BTL Focus Shockwave Therapy uses focused acoustic waves to deliver precise energy into damaged or painful tissues. Unlike radial shockwaves, which scatter energy broadly and only reach superficial tissue, focused shockwaves penetrate deeply with pinpoint accuracy, allowing us to treat conditions that are deeper and more chronic.
The newest BTL Focus Shockwave device offers:
Higher energy levels for more powerful treatment where needed
Adjustable penetration depths (up to several centimeters) to precisely target tissues
Faster pulse rates for shorter, more comfortable treatments
Advanced ergonomics and intelligent software for maximum treatment precision
This technology ensures maximum effectiveness with minimal discomfort and is trusted worldwide by leading pain specialists, sports medicine clinics, and rehabilitation centers.
Mechanism of Action – How BTL Focus Shockwave Works
The BTL Focus Shockwave delivers high-energy sound waves that:
Increase Microcirculation
→ Boost blood flow, oxygen, and nutrient delivery to tissues, promoting faster healing.
Stimulate Neovascularization
→ Encourages new blood vessel formation, critical for chronic injuries and tissue repair.
Enhance Collagen Production
→ Helps remodel and strengthen connective tissues such as tendons and ligaments.
Disrupt Pain Pathways
→ Reduces nerve hyperactivity, decreasing chronic pain perception.
Break Down Calcifications and Scar Tissue
→ Dissolves painful calcium deposits and fibrotic tissue to restore normal function.
Essentially, BTL Focus Shockwave triggers the body’s natural healing processes — without the need for surgery or prolonged recovery time.
Conditions Treated with BTL Focus Shockwave Therapy
At Fresh Mediq Global Clinic, the BTL Focus Shockwave is highly effective for:
Orthopedic & Sports Injuries
- Plantar fasciitis (heel pain)
- Achilles tendinopathy
- Calcific tendinitis (shoulder)
- Tennis elbow (lateral epicondylitis)
- Golfer’s elbow (medial epicondylitis)
- Patellar tendinopathy (jumper’s knee)
- Hip pain (trochanteric bursitis)
- Muscle tears and chronic muscle pain
- Non-healing fractures (delayed or non-union)
Urological & Sexual Health
- Erectile dysfunction (vascular origin)
- Focus shockwave improves blood flow and helps regenerate penile tissue in men with ED of vascular causes.
Aesthetic & Dermatologic Indications
- Cellulite reduction (via stimulation of collagen and improved lymphatic drainage)
- Scar tissue softening
- Treatment of non-healing skin ulcers (as part of advanced wound care)
Chronic Pain & Trigger Points
- Myofascial pain syndrome
- Chronic muscular tension and knots
Expected Results — What Can Patients Experience?
BTL Focus Shockwave delivers significant benefits, including:
- Pain Relief
Many patients experience noticeable pain reduction after just 1–2 sessions. For chronic issues, several sessions (usually 3–6) are recommended for optimal outcomes. - Improved Mobility and Function
Patients regain flexibility and strength, enabling a return to normal activities or sports. - Long-Lasting Effects
Unlike temporary solutions (e.g., injections or medications), shockwave therapy addresses the underlying tissue problem, leading to lasting improvements. - Non-Surgical and No Downtime
Treatments are quick (10–20 minutes), with minimal discomfort and no anesthesia required. Most patients return to daily activities immediately. - Safe and Evidence-Based
BTL Focus Shockwave is FDA-cleared and supported by extensive clinical research. Side effects are minimal and typically limited to mild soreness or bruising.
Why Choose BTL Focus Shockwave Therapy at Fresh Mediq Global Clinic?
At Fresh Mediq Global Clinic, we combine medical expertise, advanced diagnostic tools, and the newest BTL Focus Shockwave system to deliver personalized treatment for each patient. Our goals:
Precise diagnosis of the root cause of your pain
Tailored shockwave settings for maximum effectiveness
Comprehensive follow-up and rehabilitation guidance
Comfortable, safe treatment environment
Our team of specialists in regenerative and anti-aging medicine ensures you receive world-class care to help you live pain-free and restore your quality of life.
Take the Next Step Toward Pain Relief
If you’re suffering from chronic pain, sports injuries, or other conditions unresponsive to traditional therapies, BTL Focus Shockwave Therapy at Fresh Mediq Global Clinic may be your solution.
Book your consultation today and discover how advanced shockwave therapy can help you live pain-free and active again.
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Focus Shockwave Therapy for Erectile Dysfunction (ED)
At Fresh Mediq Global Clinic
A Modern, Non-Surgical Solution for Men’s Sexual Health
At Fresh Mediq Global Clinic, we’re committed to offering the most advanced, evidence-based solutions for men struggling with erectile dysfunction (ED). One of our most innovative treatments is BTL Focus Shockwave Therapy — a safe, non-invasive therapy that can restore natural erectile function without the need for pills, injections, or surgery.
What is BTL Focus Shockwave Therapy for ED?
BTL Focus Shockwave Therapy uses focused acoustic (sound) waves to improve blood flow and stimulate the regeneration of erectile tissue. Unlike medications, which provide temporary effects, shockwave therapy targets the root cause of vascular erectile dysfunction by repairing and revitalizing blood vessels and nerve pathways.
The newest BTL Focus Shockwave device offers:
Deeper tissue penetration for precise treatment of erectile structures
Higher energy levels to promote tissue regeneration
Fast treatment sessions (only 15–20 minutes)
Minimal discomfort and no downtime
This technology is trusted by leading sexual health clinics worldwide and is supported by numerous clinical studies demonstrating its effectiveness for vasculogenic ED.
How Does Focus Shockwave Therapy Help ED?
In men with erectile dysfunction, one of the main causes is poor blood flow to the penis due to damaged blood vessels (a condition known as vasculogenic ED).
BTL Focus Shockwave Therapy works through several key mechanisms:
Neovascularization (New Blood Vessel Growth)
→ Stimulates the formation of new micro-blood vessels in penile tissue, enhancing blood flow necessary for firm erections.
Improved Endothelial Function
→ Restores healthy function to blood vessel linings, crucial for proper dilation and rigidity.
Nerve Regeneration Support
→ May help improve nerve function involved in erectile response.
Tissue Regeneration
→ Promotes healthier, more elastic erectile tissue.
In short, shockwave therapy helps the penis regain natural ability to achieve and maintain erections without reliance on medication.
Benefits of BTL Focus Shockwave Therapy for ED
- Non-surgical and painless
- No anesthesia required
- No side effects like those seen with oral medications
- Quick, in-office procedure
- No downtime—patients can resume normal activities immediately
- Addresses the underlying cause of ED, not just symptoms
- Long-lasting improvements possible after a full treatment course
Who Can Benefit?
Focus shockwave therapy is most effective for:
Men with mild to moderate erectile dysfunction caused by poor blood flow (vasculogenic ED)
Men who don’t tolerate or respond well to oral medications (like sildenafil or tadalafil)
Men seeking a natural, drug-free solution to improve sexual performance
Men looking to restore sexual confidence and intimacy
What to Expect During Treatment
Consultation: Your doctor evaluates your medical history, sexual health, and overall health to ensure you’re a suitable candidate.
Procedure:
- A special probe delivers focused acoustic waves along the penile shaft and base.
- Treatment is painless or mildly uncomfortable but generally well tolerated.
- Sessions last 15–20 minutes.
Number of Sessions:
- Most men require 6–12 sessions, typically performed 1–2 times weekly.
Aftercare:
- No recovery time needed.
- Sexual activity may continue as usual unless otherwise advised.
Results You Can Expect
Many patients report:
Improved firmness of erections
Greater ability to achieve erections naturally
Enhanced sexual confidence
Better overall sexual satisfaction
Some men experience results after only a few sessions, while others see improvement gradually over several weeks. Studies show benefits can last 6–12 months or longer.
Is BTL Focus Shockwave Therapy Safe?
Yes. Shockwave therapy is FDA-cleared for musculoskeletal use and is widely used off-label in sexual medicine. Studies report excellent safety, with minimal side effects limited to temporary mild discomfort or redness.
It’s not suitable for:
- Men with severe vascular disease not correctable by shockwaves
- Severe neurological causes of ED
- Men on blood-thinning medications (consult your doctor)
- Active infections or tumors in the pelvic area
Our team at Fresh Mediq Global Clinic will carefully assess your suitability for treatment.
Why Choose Fresh Mediq Global Clinic?
At Fresh Mediq Global Clinic, we combine the latest BTL Focus Shockwave technology with expert medical evaluation to deliver highly personalized care for men’s sexual health.
Experienced medical team specializing in anti-aging and regenerative medicine
Confidential, professional environment
Customized treatment plans for your unique needs
Cutting-edge technology for best results
Don’t let erectile dysfunction hold you back. Discover the possibility of a natural, drug-free solution to restore your confidence and sexual vitality.
Contact Fresh Mediq Global Clinic today for a private consultation about BTL Focus Shockwave Therapy for ED.
Focus Shockwave Therapy for Erectile Dysfunction (ED)
Fresh Mediq Global Clinic
Scientific Overview
BTL Focus Shockwave Therapy applies low-intensity focused extracorporeal shockwaves (Li-ESWT) to the penile tissue. Unlike radial shockwaves (which dissipate superficially), focused shockwaves penetrate deeper and deliver precise energy directly to the corpus cavernosum and surrounding vascular structures [1,2].
Mechanism of Action
Scientific studies indicate several physiological effects of Li-ESWT in erectile tissue:
- Neovascularization:
- Shockwaves stimulate the release of vascular endothelial growth factor (VEGF), endothelial nitric oxide synthase (eNOS), and proliferating cell nuclear antigen (PCNA), promoting angiogenesis in the penile tissue [1,3,4].
- Improved Endothelial Function:
- Increases nitric oxide production, improving vasodilation essential for penile erection [2,4].
- Regeneration of Smooth Muscle and Nerve Fibers:
- Animal models show increased smooth muscle content and neuronal nitric oxide synthase (nNOS)-positive nerves after Li-ESWT [3].
- Reduction of Fibrosis:
- Li-ESWT may reduce collagen deposition in the corpus cavernosum, preserving erectile tissue elasticity [5].
Collectively, these effects address the underlying vascular pathology in vasculogenic erectile dysfunction, offering the potential for natural restoration of erectile function.
Clinical Evidence
Several clinical trials have validated the efficacy of Li-ESWT:
- Vardi et al. (2010): In a randomized, double-blind trial, men with vasculogenic ED showed significant improvements in the International Index of Erectile Function (IIEF) scores after 12 sessions of shockwave therapy, with effects lasting over six months [1].
- Lu et al. (2017) Meta-analysis: Reviewed 14 randomized controlled trials, confirming significant improvement in erectile function with Li-ESWT compared to sham treatments [6].
- Dong et al. (2019): Demonstrated that Li-ESWT can enhance penile blood flow as measured by Doppler ultrasound, correlating with improved erectile performance [7].
- Clavijo et al. (2017): Found Li-ESWT beneficial even for men who did not respond to phosphodiesterase-5 inhibitors (PDE5i) [8].
Treatment Protocols:
- Most studies suggest 6–12 sessions of focused shockwaves, 2–3 times per week.
- Energy flux densities (EFD) typically range from 0.09–0.25 mJ/mm² [2,4].
While Li-ESWT is currently off-label for ED in many countries, it’s increasingly accepted in sexual medicine as a safe, non-invasive alternative for patients with mild to moderate vasculogenic ED [8].
Expected Results at Fresh Mediq Global Clinic
At Fresh Mediq Global Clinic, patients can expect:
Improved IIEF scores
Greater erectile rigidity and sustainability
Reduced reliance on medication
Long-lasting results beyond the treatment period
Success rates vary depending on baseline severity of ED, age, and comorbid conditions such as diabetes or cardiovascular disease. Many men experience benefits lasting 6–12 months or more.
Safety Profile
Li-ESWT is well tolerated. Reported side effects include:
- Mild discomfort during treatment
- Temporary redness or swelling
- No long-term adverse effects documented in trials [2,7]
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High Intensity Laser
BTL High Intensity Laser Therapy (HILT)
Fresh Mediq Global Clinic
Advanced Laser Therapy for Pain and Healing
At Fresh Mediq Global Clinic, we’re committed to providing the latest innovations in non-invasive treatments for pain relief and tissue healing. One of our powerful tools is the BTL High Intensity Laser Therapy (HILT) system — a cutting-edge medical laser that delivers fast and effective results without the need for drugs or surgery.
What is BTL High Intensity Laser Therapy?
BTL High Intensity Laser Therapy uses powerful laser energy (up to 12 Watts or higher) to penetrate deeply into tissues. Unlike low-level laser therapy (LLLT), which uses low power and treats superficial conditions, HILT can reach deeper structures such as muscles, tendons, ligaments, and joints.
The BTL system combines:
High energy output → Treats deeper tissues effectively
Short treatment times → Sessions last just 5–10 minutes
Painless procedure → No needles or surgery required
Thermal effect → Promotes faster healing and pain relief
How Does High Intensity Laser Work?
BTL High Intensity Laser delivers laser light at specific wavelengths (usually 1064 nm for deep penetration).
The biological effects include:
Photothermal Effect → Converts light energy into gentle heat, increasing blood flow and tissue metabolism.
Photochemical Effect → Stimulates cellular activity (ATP production) in mitochondria, speeding up tissue repair.
Analgesic Effect → Modulates pain pathways and reduces nerve sensitivity.
Anti-inflammatory Effect → Reduces swelling and promotes faster healing.
In simple terms: The laser boosts the body’s natural healing processes, relieves pain, and reduces inflammation.
Conditions Treated with BTL High Intensity Laser
At Fresh Mediq Global Clinic, we use HILT to treat a wide range of conditions, including:
Musculoskeletal Pain & Injuries
- Back pain (disc problems, muscle spasms)
- Neck pain
- Shoulder pain (tendinitis, frozen shoulder)
- Knee pain (osteoarthritis, ligament injuries)
- Ankle sprains and sports injuries
- Muscle strains or tears
- Trigger points and muscle knots
Joint and Soft Tissue Disorders
- Tendonitis and tendinopathy
- Bursitis
- Plantar fasciitis
- Carpal tunnel syndrome
- Tennis elbow and golfer’s elbow
Post-surgical Recovery
- Accelerating healing after orthopedic surgeries
- Reducing scar tissue formation
- Managing post-operative pain
Benefits of BTL High Intensity Laser
- Fast pain relief – often noticeable after just 1–2 sessions
- Short treatment sessions (5–10 minutes)
- Non-invasive, drug-free therapy
- No downtime – return to normal activities immediately
- Deep tissue penetration for faster, more effective results
- Safe and comfortable procedure
What Happens During Treatment?
Here’s what to expect:
Consultation: A specialist examines you and determines if HILT is suitable.
Treatment:
- You’ll feel a warm, soothing sensation as the laser is moved over the treatment area.
- No pain or discomfort is expected.
Aftercare:
- No restrictions or downtime.
- Some patients may feel mild warmth or temporary redness in the treated area.
How Many Sessions Will I Need?
The number of sessions depends on your condition:
- Acute injuries: often improve in 3–5 sessions
- Chronic conditions: may need 6–10 sessions for lasting results
Is BTL High Intensity Laser Therapy Safe?
Yes. HILT is a safe, FDA-cleared therapy with minimal risks. It’s non-invasive and free from side effects seen with medications or injections.
Contraindications include:
- Pregnancy (over the abdominal area)
- Active cancer in the treatment area
- Severe skin sensitivity or photosensitivity disorders
- Active infections over the treatment site
Your doctor at Fresh Mediq Global Clinic will determine if this therapy is right for you.
Why Choose Fresh Mediq Global Clinic for HILT?
At Fresh Mediq Global Clinic, we offer:
BTL’s latest high-intensity laser technology
Personalized treatment plans tailored to your diagnosis
Highly trained medical professionals experienced in laser therapy
A comfortable, professional treatment environment
Don’t let pain hold you back. Discover how BTL High Intensity Laser Therapy can help you move freely again.
Book your consultation at Fresh Mediq Global Clinic today.
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Personalized Pain Relief Plans
Every pain patient is unique. That’s why our doctors perform:
- Comprehensive Consultation
- Advanced Diagnostics (labs + imaging)
- Root Cause Identification
- Tailored Multimodal Treatment Plan
This approach ensures that your therapy is not only effective, but also safe, sustainable, and personalized.
Long-Term Benefits vs. Medication
Feature | Pain Medication | Regenerative Pain Therapy |
Relief | Temporary | Long-Term Tissue Repair |
Side Effects | Common (GI, liver, dependence) | Minimal |
Inflammation Control | Low | High |
Degeneration Progression | Unchanged | Often Slows or Reverses |
Root Cause Healing | No | Yes |
Conditions We Treat
We successfully manage:
- Back & Neck Pain
- Knee Osteoarthritis & Cartilage Degeneration
- Frozen Shoulder / Rotator Cuff Injury
- Herniated Disc or Sciatica
- Tennis Elbow / Golfer’s Elbow
- Hip Joint or SI Joint Pain
- Heel Spur / Plantar Fasciitis
- Diabetic Neuropathy / Nerve Entrapment
- Post-Surgery Pain Syndromes
Who Is Eligible?
You may be eligible if you:
- Have persistent joint or nerve pain
- Prefer to avoid surgery or steroid injections
- Have failed traditional physical therapy or medication
- Want a natural approach with long-term benefits
- Are willing to follow rehabilitation protocols and follow-ups
Contraindications are minimal but will be assessed individually—especially in cases of infection, cancer, or blood disorders.
Combination Therapies for Maximum Results
Our integrative pain care combines:
- Regenerative injections (PRP, PRF, MSCs)
- Shockwave or laser therapy
- Peptides and IV nutrients
- Functional movement rehabilitation
- Hormonal and inflammatory testing
This whole-body approach gives patients the fastest recovery and best long-term outcomes.
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