Your knees feel stiff
Walking, standing up or going up stairs feels harder than it used to.
Home › Advanced Pain Therapy › EMTT
STORZ MAGNETOLITH · NONINVASIVE MAGNETIC PULSE THERAPY
EMTT Magnetic Pulse Therapy
A comfortable treatment option for people who want to keep moving.
You notice it when you get out of a chair, walk farther than usual or try to sleep on a sore shoulder: discomfort can affect the smallest parts of your day. If familiar options have not done enough, it may be time to discuss a different approach.
EMTT—Extracorporeal Magnetotransduction Therapy—uses high-energy magnetic pulses delivered through the STORZ MAGNETOLITH system. Treatment is contact-free and does not involve an injection or incision. We assess your condition and safety history first, then discuss whether EMTT deserves a place in your care plan.
STORZ MEDICAL TechnologyNo IncisionClinical Assessment FirstUltrasound Evaluation
CLEVELAND HEALTH CENTER · MAGNETOLITH EMTTPersonalized care to help you keep moving.
Real patient seated or lying comfortably receiving STORZ MAGNETOLITH.
WE UNDERSTAND THE FRUSTRATION
A treatment that is comfortable to receive—and easy to understand.
Pain is personal. It affects where you go, how you sleep, and how confidently you move. The right treatment starts with understanding how it is affecting your life.
Back discomfort follows you through the day
You find yourself changing positions, taking breaks or avoiding certain activities.
A sore shoulder or tendon keeps interrupting plans
You want to know whether there are options beyond repeating the same short-term fixes.
EXPLAINED IN PLAIN ENGLISH
What is EMTT and how does it work?
EMTT stands for Extracorporeal Magnetotransduction Therapy. Put simply, a treatment head sends strong, rapidly changing magnetic pulses toward the area being treated. Those pulses create small electrical effects within tissues. Unlike EPAT and ESWT, EMTT does not use sound or pressure waves.
Treatment with the STORZ MAGNETOLITH is usually performed while you remain dressed. The applicator is positioned above or near the area of concern, without a needle or an incision. EMTT is being studied for selected joint, back and tendon complaints; it should not be described as rebuilding cartilage or permanently reversing arthritis.
PHOTO PLACEMENT 02 · EQUIPMENTEquipment
An authentic photo of the MAGNETOLITH device and clinical applicator.
WHY PATIENTS CONSIDER IT
Another option when pain keeps getting in your way
For carefully selected patients, the appeal is not complicated: a noninvasive treatment to consider alongside the right exercises, recovery plan and other medical care.
Comfortable, contact-free delivery
The applicator does not have to press against the skin, and patients typically keep their clothes on.
No injections or incisions
Treatment uses magnetic pulses generated outside the body, with no skin puncture as part of the EMTT procedure.
Another tool in an individualized plan
EMTT can be considered alone or alongside other treatments, but we choose the approach based on the diagnosis—not because everyone needs every technology.
FIND YOUR CONDITION · INDIVIDUALIZED EVALUATION
What Conditions Are Evaluated for EMTT Magnetic Pulse Therapy?
EMTT research is newer than research for several shock wave applications, but controlled trials have reported promising results for selected joint, tendon and lower-back conditions. We evaluate the diagnosis, not simply the location of pain.
Knee osteoarthritis
Aching and stiffness with walking, stairs or getting out of a chair. In a sham-controlled clinical trial, selected knee arthritis patients reported less pain and better physical function.
Lumbar spondyloarthrosis / degenerative low-back pain
Persistent lower-back pain associated with wear-related changes in lumbar joints. A controlled trial included patients with this diagnosis.
Rotator cuff enthesopathy / shoulder pain
Persistent shoulder pain associated with tendon attachment problems, sometimes making sleep or reaching difficult.
Shoulder and hip joint discomfort
Selected joint-related symptoms may be assessed, but the evidence varies with the exact diagnosis.
Hand and elbow arthritis symptoms
Stiff, uncomfortable joints with everyday movements. The treatment evidence is less developed than for the conditions studied in randomized trials.
Muscular lower-back tightness
Muscle tension may coexist with lumbar joint problems. We identify possible causes before recommending magnetic therapy.
Persistent tendon overuse symptoms
Certain tendon conditions may be discussed alongside rehabilitation or shock wave therapy.
Muscle spasm and limited mobility
For some people, muscle discomfort limits activities; the indication and device clearance must be considered separately from broader claims about joint healing.
Other long-standing musculoskeletal discomfort
Patients with complex symptoms often need a broader evaluation before deciding whether EMTT, another treatment or referral is appropriate.
These are conditions we can evaluate, not promises of benefit or automatic recommendations. Research varies by diagnosis. Your consultation helps determine which options are most appropriate.
BACK PAIN · A MORE PERSONALIZED START
EMTT for Lower-Back Pain: What Patients Should Know
For patients with wear-related changes in the small joints of the lower back, pain may make standing, walking and daily routines uncomfortable. EMTT offers a contact-free approach that can be considered after examining the cause of the symptoms.
A randomized, double-blind clinical trial involving 126 people included a lumbar spondyloarthrosis group alongside people with knee osteoarthritis and shoulder tendon attachment pain. Overall, the treated groups reported better pain and physical-function outcomes than sham treatment over the study follow-up. These encouraging findings do not demonstrate that EMTT corrects slipped discs, restores cartilage or treats severe nerve compression.
Randomized, double-blind, sham-controlled trial: 126 participants across knee, shoulder and lumbar degenerative conditions. Read the clinical study ↗
PHOTO PLACEMENT · BACK PAINHelp patients see that you treat more than feet and knees.
Real CHC clinical image: evaluation of lower-back muscles and movement, not a graphic implying shock waves are aimed at spinal bones.
A CLEAR, PERSONALIZED EXPERIENCE
How EMTT MAGNETOLITH Treatment Is Delivered
Your treatment begins with a thoughtful evaluation—not with a device. Dr. Gegaj brings more than 15 years of musculoskeletal ultrasound evaluation and ultrasound-guided procedure experience. Ultrasound may help clarify the problem and guide related injections when clinically appropriate; it is not required for every shock wave or EMTT session.
Review what you are experiencing
We ask where symptoms occur, what activities have changed, and what treatments or imaging you have already had.
Screen for safety
Because magnetic fields are involved, screening for implanted electronic devices and other contraindications is essential before treatment.
Get comfortable
The applicator is positioned over the area, usually without direct skin contact or a need to change clothes.
Check your response
We review your comfort, progress and whether ongoing visits or other care are appropriate. Individual sessions are often brief; STORZ describes 5–20 minutes, depending on the indication.
Ultrasound helps us evaluate some tendons, joints and soft tissues. It is a diagnostic tool and may be used to guide separate PRP or other injections; it does not mean every EMTT session is performed under live imaging.
PHOTO PLACEMENT 03 · COMFORTComfort
Photo showing the applicator hovering above clothing and a relaxed patient.
PHOTO PLACEMENT 04 · CARE DISCUSSIONCare Discussion
Dr. Gegaj reviewing symptoms, prior imaging and treatment choices.
WHY CLEVELAND HEALTH CENTER
We treat the person—not simply the painful spot.
Dr. Florian Gegaj brings more than 15 years of experience with musculoskeletal ultrasound evaluation and image-guided procedures, as described by Cleveland Health Center. Ultrasound may help clarify whether a tendon, joint, bursa or another structure is responsible for your symptoms.
Our practice also offers STORZ Medical radial EPAT, focused ESWT, and EMTT, along with selected PRP and ultrasound-guided injection options. These are different tools—not a package everyone needs. We help you understand which, if any, fits the problem you are actually having.
We have seen encouraging clinical responses in our own patients. As with any medical treatment, results vary; we focus on selecting appropriate patients and measuring improvements that matter to them.
PHOTO PLACEMENT · CHC PHYSICIAN AND EQUIPMENTA real consultation feels more reassuring than a stock photo.
Use a photograph of Dr. Gegaj discussing symptoms, reviewing an ultrasound or explaining a treatment plan.
THREE DIFFERENT TECHNOLOGIES
EPAT, focused ESWT or EMTT—which is right for me?
You do not need to decide before calling us. Your diagnosis, tissue involved and safety history help determine what is reasonable to consider.
| Option | How it works | What patients should know |
|---|---|---|
| EPAT | Radial pressure pulses spread over a broader area closer to the surface. | Often discussed for heel pain and selected superficial tendon, muscle and fascia concerns. |
| Focused ESWT | Sound energy is concentrated into a selected target at a chosen depth. | May be considered for specific tendon or selected deeper tissue problems. |
| EMTT | High-energy magnetic pulses, rather than acoustic waves. | Comfortable, contact-free delivery; clinical evidence for many joint and tendon uses is still emerging. |
A single therapy may be enough for some conditions. For others, combining complementary approaches with exercise, rehabilitation or selected injections may be reasonable. We explain why each treatment would be included rather than simply adding procedures.
ONE CLINICAL TEAM · MORE THAN ONE OPTION
Why We Sometimes Combine Shock Wave Therapy, EMTT and PRP
Pain often has more than one contributing factor. A sore tendon, weak supporting muscles and an irritated joint can affect how you move. Having several treatment options available lets us build a more complete plan around your diagnosis and goals—without assuming everyone needs every therapy.
Address different parts of the problem
Radial pressure waves may be chosen for a broader superficial area, focused ESWT for a defined target, and EMTT for selected magnetic-pulse applications. Exercise, rehabilitation and activity changes remain important.
Consider PRP when appropriate
For certain tendon or joint conditions, a separate PRP injection may be discussed alongside shock wave therapy. Our XCELL PRP system and ultrasound-guided injection capabilities support individualized treatment planning.
Choose treatments for a reason
We review the diagnosis, studies, previous care and patient preferences before recommending one therapy, a planned combination, or a different route entirely.
What has combination research found?
Selected studies have reported encouraging results for specific combinations. A randomized study of tennis elbow examined ESWT plus PRP and exercise; a separate study of patellar tendinopathy found faster early pain improvement when ESWT was added to PRP. Another trial reported greater improvement for rotator cuff tendon pain with ESWT plus EMTT than ESWT with sham EMTT.
The important distinction is that these findings apply to particular conditions and study protocols. They do not prove that all combinations are better, or that adding treatments improves outcomes for every patient.
- 2025: ESWT + PRP + exercise for tennis elbow
- 2024: PRP with ESWT for patellar tendinopathy
- 2018: ESWT + EMTT for rotator cuff tendinopathy
PHOTO PLACEMENT · INTEGRATED THERAPIESYour real STORZ technologies, side by side.
Show actual radial handpiece, focused device and MAGNETOLITH—not a stock graphic.
PHOTO PLACEMENT · PRP + ULTRASOUNDPRP prepared and targeted with precision.
Real XCELL preparation photo or ultrasound-guided injection, with appropriate patient consent.
SIMPLE ANSWERS BEFORE YOU COMMIT
What to expect before, during and after treatment
Before treatment
We review your medical history and implanted devices, explain the evidence and discuss other options.
During your visit
The device is positioned near the targeted area. Many people find the application comfortable; sensation varies.
Afterward
Some patients have mild or temporary symptoms. The team will review any concerns and appropriate activity guidance.
Across treatment
If EMTT is chosen, it may involve more than one session. We assess meaningful changes in comfort and function rather than promise a set outcome.
PREPARATION AND AFTERCARE
EMTT Protocol & Post-Treatment Instructions
These are general considerations. Your provider will give instructions appropriate for your diagnosis, treatment settings, medications and other health conditions.
Before
Tell the team about pacemakers, implanted defibrillators or neurostimulators, pregnancy, and all other implants or relevant medical issues; device-specific safety screening is mandatory.
During
Follow instructions about positioning, magnetic-sensitive objects and reporting any unusual sensation.
After
Follow personalized advice on activities and follow-up. EMTT does not remove the need to address muscle weakness, arthritis management or other causes.
Progress
Response varies. The clinician should review whether continued sessions are worthwhile and when other treatments make more sense.
Important: do not stop prescription medication—including blood thinners or anti-inflammatory medication—unless your prescribing clinician tells you to. Contact the office for unexpected or worsening symptoms.
QUESTIONS WORTH ASKING
Frequently asked questions about EMTT
What does EMTT feel like?
It is contact-free and usually comfortable. Your provider can describe what to expect from your specific settings and treatment site.
Will I need to change clothes?
Typically no. STORZ describes applying the treatment with the patient fully dressed, depending on the area and the care team’s instructions.
Is EMTT the same as shock wave therapy?
No. EMTT uses magnetic pulses. EPAT and focused ESWT use mechanical acoustic pressure or shock waves. The treatments have different uses and evidence.
Can EMTT reverse arthritis?
There is currently no reliable evidence that EMTT rebuilds worn cartilage or cures osteoarthritis. Some studies report improvements in pain and function in selected groups.
Is EMTT FDA-approved for knee arthritis?
No. MAGNETOLITH has U.S. FDA clearance as a powered muscle stimulator for certain muscle-related indications. That is not FDA approval to cure knee arthritis or every condition under study.
Who should not receive EMTT?
Some people, including those with pacemakers or other implanted electronic devices and those who are pregnant, may not be eligible. Screening is required.
Can patients travel from out of state?
Yes. Contact us before arranging travel so we can discuss records, possible treatment series and follow-up needs.
Could EMTT help with lower-back pain?
Possibly, for selected musculoskeletal or degenerative lumbar joint conditions after evaluation. A controlled study included lumbar spondyloarthrosis, but results cannot be generalized to every back problem.
What does EMTT treatment feel like?
Many patients describe it as comfortable. The applicator can deliver magnetic pulses without the skin contact required by a shock wave handpiece. Sensations and individual preferences vary.
Does EMTT repair herniated discs or regrow cartilage?
No reliable clinical evidence establishes that EMTT reverses a disc herniation or regrows worn joint cartilage. We discuss realistic goals, such as symptom and function changes.
Can EMTT be combined with ESWT?
Sometimes. A randomized study in rotator cuff tendinopathy reported greater improvement with combined ESWT and EMTT compared with ESWT and sham EMTT. That does not establish superiority for all conditions.
Is shock wave or EMTT treatment covered by insurance?
Coverage varies by plan and procedure; some advanced therapies may be self-pay. Please contact our team for current pricing and coverage guidance before your visit.
CENTRAL FLORIDA · WELCOME FROM EVERYWHERE
Advanced care, wherever you call home.
Located in Central Florida, Cleveland Health Center welcomes patients from The Villages and Wildwood, throughout Florida, from other states and from around the world. Whether you live nearby or are planning a trip for care, we want your first step to feel straightforward.
If you are traveling, contact our scheduling team before making plans. We can discuss what records or imaging may be helpful and whether your condition might require several visits or follow-up.
PHOTO PLACEMENT 05 · CLINICClinic
Wide photograph of the CHC treatment room with STORZ devices.
EXPERIENCE INFORMED BY MEDICAL RESEARCH
What Does the Evidence Say About EMTT?
The EMTT evidence base is growing. A randomized, sham-controlled trial in 126 patients with knee osteoarthritis, rotator cuff tendon attachment pain and lumbar spondyloarthrosis found improvements in pain and physical function over follow-up. These findings are encouraging but come from a limited body of research. MAGNETOLITH regulatory clearance must not be represented as authorization to treat or cure every joint condition discussed.
We will explain what has been studied for your condition, what is still uncertain and how this option compares with other reasonable approaches. Your care plan should fit your medical needs—not a marketing promise.
If back pain comes with new bowel or bladder problems, saddle numbness, significant or worsening leg weakness, fever or serious trauma, seek urgent medical assessment rather than scheduling an elective therapy session. Back-pain safety reference ↗
LET’S TALK ABOUT YOUR OPTIONS
See whether EMTT deserves a place in your care plan.
We will listen to what you are experiencing, review safety and the current evidence, and help you understand whether this comfortable, noninvasive option makes sense for you.
Request an Evaluation →FOR PATIENTS WHO WANT TO LEARN MORE
Trusted sources
- STORZ MEDICAL — EMTT patient information
- STORZ MEDICAL — MAGNETOLITH FDA clearance indications
- Mayo Clinic — clinical indications, expectations and safety
- Mayo Clinic — focused versus radial shock waves and indications
- ISMST — indications, terminology, safety and clinical judgment
- 2026 chronic low-back pain systematic review
- 2026 randomized EMTT trial, including lumbar pain
- ESWT + PRP tennis elbow randomized study
- PRP + ESWT patellar tendon randomized study
- ESWT + EMTT rotator cuff randomized study
Clinical review required before publication: Dr. Florian Gegaj, MD. Confirm final indications, patient preparation, activity guidance, device-specific safety, treatment combinations, and any practice outcome statements.