Wednesday, February 2, 2011

My Little Bone Stim

I've made no secret of the fact that I think the bone stimulator I used was responsible for the accelerated healing of my fractured metatarsal.  When buying mine, I did a lot of research on these things -- I've compiled my experiences here, in case it's helpful to others.

I note that my experience is limited to one brand of ultrasound bone stim - the Exogen 4000.  I don't know that much about any other ultrasound bone stims.   I have heard of several electrical bone stims, but I haven't had any experience with those either.

The Basics:

The Exogen 4000 is a LIPUS device -- Low Intensity Pulsed UltraSonagraphy.   It comes with a) a strap with a little hole in it; b) the unit, which has a black circular transducer attached by cord, and c) two bottles of gel (which is WAY too much).  It comes with a limited # of "charges" (more on that later), with each charge being a 20 minute session of ultrasound treatment to your injury.

It's remarkably easy to use.  Detailed instructions are here, but basically you strap it to the location of your injury, and push the one and only button on the device.  Once you do this, it runs through a system check, cycles screens showing how many times you've used the device, and then confirms that it's actually in contact with your body and has conductivity.  If it doesn't have a connection, then it turns off without expending a charge, which is nice for those times when your cat accidentally (or intentionally) steps on the button.

Then it starts its work, counting down from 20:00 to 0.  You don't feel a thing.  At the end of the 20:00, it beeps to let you know it's done.  You remove it, clean off the gel, and put it away.  Putting on the Aircast afterwards is more difficult than this thing.

I have two pro tips here:  a) mark your fracture site with a sharpie -- it will make it much easier to place the transducer correctly; b) make sure you have a paper towel or similar within reach before you strap the transducer onto your foot, so that you can clean up easily after.

How It Works:

To the best of my limited understanding, the device, by pulsing ultrasound from the transducer, applies a stimulus that causes the "upregulation" of genes, promoting faster action by the body's healing processes, including removal of dead tissue and growth of new bone, capillaries, etc.  Smith & Nephew's discussion of this process is here.   I'm not quite sure what "upregulation" is, but it sounds effective, and I suspect that there are politicians that oppose it.

The area of the pulse is supposedly about 2.5 times the size of the transducer (which is in the shape of a quarter, and is approximately a centimeter thick).   So, you don't have a large area of effect, and you need to get the transducer as close to the fracture as possible.   For this reason, the Exogen is best used on bones that are close to the surface; and those who are larger may be more limited in the areas of the body where the Exogen will be effective.   And if you have a cast, you'll have to have a window cut within your cast.

I used the device on a metatarsal bone, which is in my foot and just below the skin.   The strap to hold the transducer in place fit easily around my foot.   However, the strap is small enough that I don't believe it would fit around my thigh.   Thus, any use of the bone stim for bones other than those in hands, feet, lower leg, or arms is going to require jury-rigging something to hold the transducer in place for 20 minutes.


The clinical trials all were based on one use per day, and so that's what the recommendation is.   I've heard from different sources that most sales reps recommend using it twice a day, spaced as evenly as possible (the idea being that you apply the stimulus, and then allow the body to react, so it doesn't make sense to queue up your uses back to back).   As I note below, I used mine 3 times a day, at 8 hour intervals, with no ill effect.

Limited Charges:

The Exogen 4000 comes with a guaranteed 150 uses, aka "charges", according to their patient brochure (link to pdf).  In practice, you can likely get many more -- I'm currently on use 200, and I've read reports of others getting 250 or more uses.  But, you can only count on 150, so you want to be judicious in your use of the device.  I do note that the PDF linked above implies that you can send the device back to Smith & Nephew for more charges if you're still healing your injury, but my sense is that that only holds true if you buy the device directly from S & N (as opposed to the Ebay/Craigslist option).

I also understand that the battery life is also limited by time, with approximately a year of battery life before the device fails.   Mine is still going strong, but since it was manufactured in 2/10, I'll be putting battery life to the test shortly.

Insurance coverage:

As a general rule, insurance companies have different criteria for whether they'll cover LIPUS, based on whether your fracture is fresh, or some time has passed since your fracture.  Quite a few insurers post their coverage memoranda on-line, so that you can dig it up (albeit with some effort).  Here's a few that I found.  I do note that many distinguish between "fractures" and "stress fractures" - I'm not sure what the criteria is there.
  • Anthem - For fresh, they'll cover fractures of the middle of the tibia, a "Colles Fracture" of the wrist, closed fractures that are at high risk for non-healing due to vascular issues and soft tissue/vascular damage, and closed fractures for people that are at "high risk", including smokers, diabetics, anemics, steroid users, the obese, the nutritionally deficient, and alcoholics.  Yes, there's a bit of irony here, as well as disappointment that training-obsessed runners aren't considered high-risk. 
    Otherwise, if you wait 45 days and your fracture hasn't progressed, and you meet certain other criteria, they may cover.  Stress fracture? Specifically excluded.
  • BCBS-Delaware - looks like they'll cover fresh closed fractures, as well as fractures that have shown no sign of healing for 3 months (except for skull and spine, and see other limitations).  They don't cover stress fractures. 
  • Cigna - for fresh, they'll cover fractures of the middle of the tibia, a "Colles Fracture" of the wrist, or closed fractures where there's a high risk of not healing due to either poor blood supply or "comorbidities" like "smoking, diabetes, renal disease, or other metabolic disease where bone healing is likely to be compromised".  If you've gone more than 3 months without healing, and it's not your skull or vertebrae, then they may also cover it (see other conditions).   If your stress fracture has gone 90 days without healing, but can be seen by imaging, they should cover as well.
So, Your Insurance Doesn't Cover It.  What Now?  

Well, the answer is actually pretty obvious.  EBAY!   There's generally at least 20-30 of these babies up for sale at any time.   And it's really not that bad a deal.

The Exogen 4000 is generally priced at about $4000 to the insurers -- if you have a 10% copay for durable medical equipment, that's $400 out of your pocket.  Of course, in exchange for that, you get a brand new device that's under warranty, and the peace of mind that comes from supporting our nation's pharmaceutical/medical research industry.

Or, there's the world of online auctions - the devices seem to be priced for about $200-400 on eBay.   You are taking a risk by buying a used device online, but at least the hit to your pocket will be the same or less.  There is an excellent guide to buying these things on eBay that is worth reading.  I will briefly note two things to look for/ask about:
  1. The number of charges left on the device.  As noted above, these do come with a limited # of charges.  You should be able to assume 150 charges; you may get many many more out of the specific device, but why risk it by buying a device with 145 charges?  The seller should be able to provide a photo of the start up screen showing the number of full and half uses -- if s/he doesn't, I'd buy elsewhere.
  2. The age of the device.  Supposedly, these have a limited shelf life too -- the battery ages.  Also, there was a FDA recall on these in 2008-2009; it's probably a good idea to avoid those.  You can identify the age of the device clearly by the serial #, as explained here.  Again, if the seller won't provide the serial #, don't deal with him/her.
Of course, all the other caveats about buying on eBay apply.  Look for sellers that answer questions promptly, that can provide detailed information about the device, and that have a long history (over time) of good ratings.  Even then, there's still an element of risk, and people desperately looking for any means to heal their bones faster are likely easy marks.  Caveat Emptor.

My Experience:

On November 3, I was diagnosed with a traumatic spiral fracture of the second metatarsal on my left foot -- the fracture clearly showed on x-ray, and was NOT a stress fracture as traditionally seen (stress fractures have a gradual onset, are splintery rather than a clean break, and often don't show on x-ray; mine was a sudden clean fracture that was immediately visible). 

My podiatrist recommended this device pretty strongly, and placed me in touch with a representative from Smith & Nephew who was charged with trying to get my insurance to cover the device for me.   After 3-4 days passed without her returning my calls, and I had confirmed via my own research that my insurance was very unlikely to cover, I went the eBay route, and purchased one with 29 uses on the counter for $340, plus $20 to overnight it.

As noted above, the official literature recommends that you use the device once a day; I had read multiple comments on various message boards indicating that sales reps advise to use it twice a day.  When I asked my podiatrist how often to use, he responded "the more the better."

With that advice in mind, I used three times a day, with 8 hour intervals -- 5:00 am, 1:00 pm, and 9:00 pm.  I would fudge the exact timing a bit -- sometimes 1:00 pm would be 12:30 or 1:30 -- but I consistently used it three times a day seven days a week up until the day I was told the bone was healed, and I was cleared to run.

Since them, I've still been "zapping" my foot once a day -- I don't know whether this is accomplishing anything, but it can't hurt.

I was originally projected for 12 weeks before the bone would be healed sufficiently to run; in the end, I was cleared to run at 7 weeks.  This is consistent with the "best case" predictions for results of a 38% reduction in healing time (patient brochure pdf, p.26).

Can I be sure the bone stim reduced my healing time?  No.  There's no way I'll ever know.  But I think my $360 was money very well spent, and I'd make the same decision the next time around.



Addendum -  some interesting links:

  • http://www.engadget.com/2006/07/25/portable-bone-healing-system-gets-fda-nod/
  • http://www.cafepharma.com/boards/showthread.php?t=271986
  • http://www.google.com/cse?cx=partner-pub-8687477133452597%3Ay2r7jtxdt15&ie=ISO-8859-1&q=exogen+4000&sa.x=0&sa.y=0&sa=go&siteurl=www.letsrun.com%2Fforum%2Fflat_read.php%3Fthread%3D3071261
  • http://forums.studentdoctor.net/archive/index.php/t-625872.html

    90 comments:

    1. thanks for the report! Hopefully, we'll never need to utilize this stim ever again! ;)

      ReplyDelete
      Replies
      1. THANKS TO DR OSAZE WHO CURERD ME OF STAPHYLOCOCUS INFECTION, I WAS INFECTED WITH STAPH FOR OVER FIVE YEARS, I VISITED SEVERAL HOSPITAL AND BOUGHT ALL KINDS OF ANTIBIOTICS FOR TREATMENT, ALL TO NO AND VAIL, NTIL SOMEONE RECOMMENDED ME TO DR OSAZE HERBAL HOME, AND HE ADMINISTERED HIS HERBAL MEDICATION ON ME, AND I WAS CURED WITHIN A MONTHAND A WEEK.
        IN CASE YOU ARE FACING SUCH PROBLEM, AND YOU NEEDS DR OSAZE ASSISTANCE, YOU CAN CALL OR WHATSAP HIM ON +2347089275769 OR EMAIL DROSAZE39@GMAIL.COM

        Delete
      2. Good news this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solutions. I bring you Good news. There is a man called Dr ehiaguna a herbal practitioner who helped cure me from HSV (2), i had suffered from this diseases for the past 5 years and i have spent so much money trying to survive from it. I got my healing by taking the herbal medicine Dr ehiaguna sent to me to drink for about 14 days . 3 days after completion of the dosage, I went for a medical checkup and I was tested free from HSV. all thanks to God for leading me to Dr ehiaguna who was able to cure me completely from this deadly diseases, I’m sharing this so that other people can know of this great healer called Dr ehiaguna because I got to know him through elizabeth who he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don’t die in ignorance or silent and don’t let that illness take your life. Contact Dr ehiaguna through his email  drehiaguna@gmail.com You can also whatsapp/call him on:+2348073908953 . Visit his website  https://effectiveherbalcurehome.blogspot.com/   He cure all forms of disease {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} BRAIN TUMOR {7} HEPATITIS {8}COPD{9} SICKLE AND ANAEMIA.etc Be kind enough to share as you received.  

        Delete
    2. Sooooooo glad you posted this. Very thorough and helpful. I am going to ask my doctor about it if it turns out I have a stress fracture. I am also pretty sure that this device is made using the quality control software that my company develops!

      ReplyDelete
    3. I am so interested in this whole bone stim thing. I am keeping my fingers crossed that I won't have a need for it ever, but I will bookmark this page just in case. Thanks for such a thorough review!

      ReplyDelete
    4. Oh, interesting. So are you selling yours now? :-) I am with Cigna and have a ridiculously high deductible, so...

      ReplyDelete
    5. Awesome article! Thanks just started using mine Feb. 25 2012...and they sure do offer waaay tooo much gel...ha! Thanks again..John

      ReplyDelete
    6. Going the eBay route make sure you get a picture of the counter and serial number on the back,it tells the month and year it was made. Also when it dies between 150-250 uses that's it no charger, this company does this so they have to service you. They will only service original owner. Also taking the battery out and doing it yourself will ruin the circuit board. Good luck

      ReplyDelete
    7. i have my exogen 4000 strapped on as i type.i find out in two weeks, when i go to get my cast removed if it worked.if it didnt then i have to get surgery done. so im hoping your right and that it works.

      ReplyDelete
    8. I live in germany and here it is very hard to get ahold of this device since insurances don't pay for it and my doctors didn't recommend it at all. so I also bought one via ebay form the US and had it shipped to germany (quite expensive 300$ for the device + 140$ shipping + 140$ customs) and now after not even 130 uses the system just beeped constantly (battery dead)...now the good news to everybody that worries about buying one with old battery, you can exchange the main battery pack. the easiest way would be to buy an exchange pack over osi-batteries (around 30$) but I wanted it to be as quick as possible and so I bought 5 new 3.6 Volt 2.1 Ah lithium batteries and soldered them onto the original battery circuit board (be careful because lithium batteries may explode if you expose the wrong sides to too much heat) make sure you don't touch the "watch" battery inside the system, this powers the memory and kills the main unit once disconnected (so don't touch). now after I have my new custom made battery pack everything works fine again

      ReplyDelete
      Replies
      1. You said you replaced the battery? I have purchased a battery from OSI and was wondering how to get into the unit. It seems simple enough but someone had posted that if you try to fix it yourself you will damage the circuit board. any suggestions

        Delete
      2. One way to 'replace' the BR1632 'watch battery' inside the device is to just place a new battery in parallel with the existing battery. You should have someone with an electrical/electronics background attempt this since it requires some soldering. I would recommend doing this when the unit is around 200 uses and before it quits working. My belief is that the reason the unit quits is due to the batteries going dead. I have replaced the big battery when after 7 years of non-use they went dead and the unit would not come on. I ordered mine through Interstate Batteries and it came as an assembly ready to plug in. Only cost a little over $30 counting shipment.

        As for the 'watch battery', I was at usage number 252 when I decided to not go any longer. I CAREFULLY soldered a wire to each of the two terminals going from that battery to the circuit board and then FIRMLY taped the exposed ends of the wires to the sides of the battery. I taped it because you should not subject Lithium Ion Batteries to the heat of a soldering iron as they could catch fire or explode. After that I routed the wires and placed the taped up battery such that it would not create a problem with the other components of the unit when closing the case. Again this should not be done by anyone that doesn't have some degree of experience in working with small electronic components as they could easily damage the device. For someone with experience it is relatively simple as long as they don't get in a hurry. I never removed the original battery as it is welded to the bracket that is soldered to the circuit board. I believe that when that battery goes out the unit quits working for good. Now I have a new battery in the circuit. It is much like using jumper cables to get a car to start that has a weak battery. Hope this helps.

        Delete
    9. Thank you for posting up your story! I came across your blog through a Google search. I was debating whether the cost was justified, as my doctor has recommended a bone stimulator for my foot (fracture to a metatarsal-tarsal coalition).

      I like that you give a lot of very useful information as well as tell us your story. It makes me feel a lot better about spending the money. Love your sense of humor too. :)

      ReplyDelete
    10. My son has a stress fracture in hiw lateral condyle at the end of the femur. Ortho recommended rest and evaluation in 6 weeks, this type of fractures can take 3 to 6 months to heal. After 4 weeks and only minor progress on healing, I bought an exogen 4000 on line for only $100.00. It was a gamble, the machine had starting serial number of 0210, which meant it was from february of 2010. Based on what I had read, batteries are only guaranteed for up to a year and can not be replaced. The owner of the machine told it still turned on and only had 57 uses, wich meant that I could still get about 100 uses out of it. I got it the next day from the seller, and it did turn on an immediatley started using on my son. You can't tell if its working, because he does not feel anything when its on. In a week he has improved dramatically, he can put alot more pressure on the leg and could jog without pain, we are going to give it another week of treating it with 3 sessions per day and try to sprint next week.... to usm it all up, the exogen is worth a shot if you are frustrated with your healing progress.

      ReplyDelete
    11. I bought an Exogen 4000 on line as well with the same battery warning. I got about 100 uses out of it and the company said it would not replace the battery at any price. Since I had nothing to lose I ripped the case open, found a simple battery that had a code on it. Typed in the code and a company came up that sold the battery for 60 bucks. Bought it, put it in and whammo, back in business. http://www.atbatt.com/?gclid=CLuZuo-Jj7QCFal7QgodKE8ALQ

      ReplyDelete
      Replies
      1. Willam: Glad to hear that. I accidently purshed a battery for about the same price thinking I was buying the exogen 4000. I will do the same once battery goes out on my machine. How difficult was it to open up the device?

        Delete
      2. Not too difficult. There are two screws behind the label. You can either pull off the label which will damage the printing, or just drill through it where the round screw holes are. The battery is easy to change as there is a quick connect wired to the 5 cell assembly. There is also a button battery inside. I suspect that you could kill the exogen by removing it.

        Delete
    12. if you buy one, be sure it is sanitized professionally. You dont want a staph infection on top of your fracture.
      Also, keep in mind you do not get a manufacturer warranty unless you are the first prescribed buyer of the unit. Further, messing with the batteries is a bad idea. Do you really want to use a ultra sound machine that you have torn apart. I guess you can rent these at www.exogenrental.com
      That may be the best bet
      Good luck with your recovery!

      ReplyDelete
    13. Who owns exogenrental? The insurance companies nor the manufactuer rents these devices because they are "Single Patient use Only." Any one claiming to rent exogen units at this time, is most likely doing it fraudently.

      ReplyDelete
      Replies
      1. I believe exogenrental.com is a safe site, and a legitimate. I have seen their sanitation facility, and they offer a waranty.

        Delete
    14. My unit says 52...does that mean its only been used 52 times or has 52 treatments left?

      ReplyDelete
    15. it means that it has been used only 52 times! lucky you! Mine died this morning in my treatment 169!!!!

      ReplyDelete
    16. Is anyone using the bine stimulator more than once a day. My rep told me to use it once a day, which I have done for the last 30 days with some healing. The fifth metatarsal fracture has not fully joined yet.

      ReplyDelete
    17. hi - i was diagnosed with a jones fracture on my 5th metatarsal on june 6 --- I'm 36 year old female --- rolled my foot over a rock in central park while running the loop --- picked up my exogen bone stimulator at the hospital on 6/29. I think I will start using it 2x a day. There will be a long gap between xrays. My last xrays taken on 6/20 looked the similar to the ones taken on 6/6. I have my next xray appointment on 7/19 ---- I am hoping for good news.

      Anyone else have positive results with this device??

      ReplyDelete
    18. I have a personal question, I have the same situation were you working, are you able to work with the treatment did you apply for disability?

      ReplyDelete
    19. I just completed my 83rd tx. At the one month mark my OS said he did not see any improvement. I don't want summer surgery so I am continuing to use my Exogen until end of summer with hopes that it will make a difference. I am 9 months post broken left distal fibula, no surgery. I bought my Exogen new through sales rep. My insurance covered all but 900$ so its an expensive item. From what my OS said, he would not have been able to order one for me and get it covered until I was 6 months past the fracture date which is when a non-union is diagnosed. I guess before that it is called a delayed union! I would so love this thing to work. I have used it twice daily except the past week or so I have been out a lot and did it only once.

      ReplyDelete
    20. I got mine thru Medicare yesterday and spent 3 hours surfing today for info. This is BY FAR the BEST advise I have found.
      Thank you very much.
      I broke my knee cap into 4 pieces from a car accident 03-21-13, had 2 pins inserted and the 3 lower pieces (about 20% of my knee) broke from the pins (the 80% upper piece) the end of May. The 2nd surgery was 06-06 with my knee cap wrapped in wires around, thru and over the top. It looks like a rebar mat in bridge construction.
      At my 2nd post surgery visit last week the doc didn't like the healing progress and recommended the Exogen with once a day use. But the 66 yo construction superintendent asked the rep if twice a day is better and she agreed. So here I am doing 12 hour intervals. I hope it works.

      ReplyDelete
    21. I have a like brand new Exogen 4000+ System that was used by my Mother only 7 times. She had broken her Femur at the age of 87. After surgery, she was told to use this system-- which she did. The only problem: she was not taking a blood thinner after surgery and developed a blood clot which lodged in her lungs and she passed away. This unit is like brand new and I would love for someone who needs one to have this one. I have been told that it could sell for upwards of $800 b/c of it's condition; however, I will sell it for $500 if anyone is interested. The Provider can bill the Insurance Companies up to $4000 for this unit even tho it's value is capped at $1500!

      ReplyDelete
      Replies
      1. How should we contact you to discuss?

        Delete
      2. Is your Exogen 4000 still available. I will buy it for $600.

        Delete
    22. What do you think the risk is purchasing a used one from 2006 with only 27 treatments and 0 partial treatments? The asking price is $349.
      Thanks

      ReplyDelete
      Replies
      1. That is a 7 or so year battery... ?? Not too confident with that price and that age...

        Delete
    23. As much info as their is on the net, nothing quite like your testimonial here - thank you very much it is very helpful as I look to recover!! Written very well, and I like your style... hope you have continued to stay healthy and healed up :)

      ReplyDelete
    24. The battery life seems variable based on one ebayer I communicated with.
      They may or may not assure you the unit will even turn on when it is delivered.
      If I need it for 3 months, and it dies after 5 days where does that leave me

      I have found I can rent one at www.exogenrental.com

      The guarantee the unit to work for the rental time frame or will replace it.

      I believe my credit card company will help me if I have problems and this does not hold true.

      I plan to submit to my insurance for reimbursement, not sure how that will work.

      My accountant says that if I don't get reimbursed I can take the funds from my health savings account.

      ReplyDelete
      Replies
      1. hi, Did this website end up being legit and work for you? Please let me know, I would love to use it as well.

        Delete
      2. I went to exogenrentals.com and saw on their rental form page that they would be closed through March 24th. This was on June 10th. I tried to send a message on their Contact Us page, but the CAPTCHA would not accept any of my entries. They don't seem to be in business anymore.

        Delete
      3. Seems to opening and excepting orders now. Contact form worked.

        Delete
    25. This technology goes back around a 100 years, beginning with electromagnetic and electrical stimulators.

      I hada Jones break in my metatarsal in 2010 and was issued a device, even with the device healing took 6 months. I have used many of the remaining charges for different friends, mot recently a broken humorous which has healed nearly completely in about a month (his Dr. hasn't been told and is astonished at the speed.)

      At the time I got mine, that $4000 price in the USA was $1500 in the UK.

      Most companies would approve them only for slow healing breaks at that tie, which meant for most breaks you first had to show no healing for 6-8 weeks--which eliminates the main advantage of rapid healing.

      Rapidly healing the break allows for faster recovery of the muscles and tendons.

      Were the machines in routine use, they would save the USA millions of man-hours of recovery time and billions of dollars.

      The devices are quite simple, the complexity is in software which controls the frequencies used and the pulse rates.

      The biggest advantage of the ultrasonic versions seems to be the short treatment time.

      At any rate, mine is nearing 150 after 2 years and so far the battery is holding fine, I am looking for a way to recharge the device as it has proven useful for several people to date.

      In addition to the machine, I added minerals to my diet along with vitamin D3 to ensure that the required materials for reconstruction of the bone were plentiful.

      In theory it ought to be useful for soft-tissue healing too, but so far as I know, no testing has been done.

      ReplyDelete
    26. Thank you for posting this as a very depressed runner with a stress fracture this sheds some hope that my doctor did not provide. Hope you are doing well.

      ReplyDelete
    27. it is likely to crack. This normally occurs in healthy and fit individuals who subject their body to excess physical activities. This kind of fracture is normally experienced by sportspersons and military recruits who engage in physical activities for long periods of time. They develop a stress fracture that leads to foot pain. The second situation is where people have extremely weak bones. This commonly affects women with osteoporosis.

      ReplyDelete
    28. I wonder if using the Exogen 5x a day would be too much?

      ReplyDelete
    29. I crushed my toe to where I needed cadaver bone used as a glue to adhere the bone so it would heal correctly. The doc said I would not get my pin out for 8 weeks. I used the bone stim religiously every day for 5 weeks (had to wait a week for the wrap to come off and expose skin) and he took the pin out in 6 weeks instead of 8. The rep for the bone stim told me when I bought it that it could improve healing time by 2 weeks and it did exactly that. Totally worth it when you have a break in a bone.

      ReplyDelete
    30. To be exact, I used it for the recommended 20 minutes once a day. The doc tells me that I no longer need to use it but I think I will continue anyway just in case it helps. The studies show that once the bone is adhered, the stim does no more good. But who knows?

      ReplyDelete
    31. Yes, thanks for this info! I didn't know they had these devices for feet, but I have used a similar device for my neck fusion. I tried to give my device back to the company so someone else could benefit, but they can take it back and said my doctors cannot use it for another patient either, but that is a shame. I think I will offer it online to someone who does not have insurance coverage....thanks again! TP in michigan

      ReplyDelete
    32. For what its worth we rented a Exogen machine from www.exogenrental.com
      for my mother in law, It arrived in two days.
      Hopefully, it will get her back on her feet and out and about.

      Just wanted to mention they are definitely in business, and were very quick to reply to my emails , answer my questions and deliver the rented contraption.

      ReplyDelete
    33. Thanks for the great review. It seems wrong that a company can make these devices with such planned obselence (ie they are designed to fail soley so the manufacturer can make more money) without concern for the environment or waste. Also the technology is simple and has been around for a long time, they probably cost around $50 to manufacture, I don't know why there are not more brands on the market as it appears to be a monopoly.
      Just one question, is it the number of uses that causes the shutdown, or is it simply that the battery expires? If its just the battery any good technician (and I could also do this myself) can solder a new battery in.

      ReplyDelete
    34. Please can anyone offer advice about Exogenrental.com? I am in touch, but afraid to make a mistake. Has anyone used this successfully for rental of the Exogen 4000?

      ReplyDelete
      Replies
      1. I am renting from them now. They are a legit company. Device was shipped day after I ordered it and arrived in good working condition.

        Delete
    35. I had wonderful experience with the exogen 4000 helping to heal fractured ankles. I no longer need my device...its in excellent clean condition. ..from year 2010....says 6 full uses..1 partial use...almost two full bottles of gel and I'm willing to sell for $125...22992299a @ g mail dot com

      ReplyDelete
    36. You only used it 6 times?

      ReplyDelete
    37. I'd like to give this a try. I'm a runner who hopes to get back in the game. I am healing from a nasty tibial plateau fracture. Buying on ebay seems a little complicated. Maybe renting is the way to go? It seems like the batteries are the issue with used ones.

      ReplyDelete
    38. Your blog is very informative and helpful. Thanks for sharing.
      Buying Tramadol Online Cod

      ReplyDelete
    39. When you paid 4 grand for that overpriced POS, did they tell you that it will only run for a certain number of days, typically 270? I now need a THIRD fusion surgery and they don't want to know. And the hospital wants to sell me a NEW one!!
      Who says medicine/DME isn't a racket?

      ReplyDelete
    40. I have one for sell if anyone is interested. Only used 6 times with 184 treatments left.

      ReplyDelete
      Replies
      1. Hi Ismael,

        If you still has it please contact me at vlazaret1@yahoo.com

        Thanks,

        Valentina

        Delete
    41. Hello, Ismael!
      Can you write me? I have interest..
      amalfi191@gmail.com

      ReplyDelete
    42. Also, can the batteries of every single Exogen be replaced, or just in certain ones after 2012. On the batteries of this site is noted Replaces 81025147 Rev O - is this just for those serial numbers?
      Thank you in advance!

      ReplyDelete
    43. Hello!
      Also, can the batteries of every single Exogen 4000 + be replaced, or just in certain ones after 2012. On the batteries of this site
      http://www.osibatteries.com/p-1617-exogen-inc-4000-bone-healing-system-battery-81025147-rev-o.aspx
      is noted Replaces 81025147 Rev O - is this just for those serial numbers?
      Thank you in advance!

      ReplyDelete
    44. I have one listed on Ebay. 95 full uses. 0 partial.
      optimusprimerib@yahoo.com
      http://www.ebay.com/itm/-/141835483235?

      ReplyDelete
      Replies
      1. Ebay removed all auctions for this product. Email me if you want to buy it. $250

        Delete
    45. We bought a Exogen 4000. It showed 28 uses. After using it for another 20 times, it is now locked up. It has what looks like a letter C on the screen. Anyone know what can be done?

      ReplyDelete
    46. Nice post. Jhansi Orthopaedic Hospital is renowed name for being the best fracture healing hospital in Jhansi at affordable price. For any query visit website.

      ReplyDelete
    47. I also rented from ExogenRental.com it worked out well, saved me a boat load of $ and I think got me on my leg faster than I would have been without. They always replied to my emails the same day, and refunded the deposit right after I sent back the machine.

      ReplyDelete
    48. I use mine for a tibial platau injury
      But the one i use has a recharger like a cell phone .it tell you the battery charge and every 5 time we charge the unit.I DINT KNOW I CAN USE IT MORE THAT ONE TIME.

      ReplyDelete
    49. I use mine for a tibial platau injury
      But the one i use has a recharger like a cell phone .it tell you the battery charge and every 5 time we charge the unit.I DINT KNOW I CAN USE IT MORE THAT ONE TIME.

      ReplyDelete
    50. I hope you know how many people you've helped with your blogs. Seriously, as an injured ultrarunner (4th metatarsal complete fracture), I was gobsmacked with disbelief and desperation, and grief. Only another injured runner would get this. No addiction here ;)! Your hands-on advice, smile provoking insight and opinions, and organized approach helped me get to "acceptance". Cancelling 3 planned races (stepping stones) was very difficult and a first for me. You've helped me become patient and I am steeled for the "long run", determined to help my body get back to 100%, rather than fretting about what was to be. I will still get there...
      Thanks!!!

      ReplyDelete
    51. this blog is great! I just received a device I ordered on ebay with 50 uses on it. When I power it on the "attention" symbol stays on and it beeps long, continuous (and annoying) beeps. It is counting down but seems to be interrupted by the beeps so the countdown isn't accurate. Anyone know what this indicates? I am assuming low battery? Ugh. I was so hopeful when I found this :-(

      ReplyDelete
      Replies
      1. Howdy; that likely means that the battery is low. If you can, find somenone who can replace the battery; there are numerous video's on youtube etc

        Delete
    52. This is a medical device. I would be wary of modifying it or purchasing a used unit online. How do you know where it was used, how it was used or even if it is still accurately calibrated and working. My father had to use his very close to a gross wound.For me it was worth my father's health and my peace of mind to get a unit I know worked and was under warranty. From what I understand, insurance usually covers most of this treatment. We only had a small copay. Well worth it.

      ReplyDelete
    53. One month ago, I rolled my ankle and ended up with a clean through non-displaced fracture (avulsion fraction in the tuberousity of the base of my 5th Metatarsal). My insurance would only cover half of the cost of the Exogen bone stim which is now $5,000, so I just bought a used unit with 31 uses on it from Ebay for $225. Started using it 2 weeks after the fracture, and just saw my Ortho today for my 4th week checkup. He says whatever I'm doing, I'm doing it perfectly right because there's already soft callus formation. He originally told me I'd be needing the CAM boot for 6 weeks, but now says I can get off the crutches today, and off the boot by next week. Then, a carbon fiber shoe insert in my normal shoe for another 3 weeks, and I should be back to normal hopefully.

      I would def recommend getting the Exogen, as I think it helped a lot. I am a bit overweight 47 year old that doesn't exercise much and also has borderline high blood sugar levels, so not exactly the best candidate for best bone healing, so either I'm lucky or this bone stim works.

      ReplyDelete
    54. I bought mine off ebay also. I think it had around 87 uses left & I paid $238.00 for it (that included 2 day shipping). Can you change the battery yourself or do you have to call a Rep or the company? I've never tried to open mine so I have no idea what kind of battery goes in it. I pray it lasts more than the 150 treatments.

      ReplyDelete
    55. You can change the battery if you need to. Don't bother trying to contact the manufacturer because they will tell you they can't help you because the unit was prescribed to someone else. They want people to buy these new from them and charge them $5000. Just type in "exogen 4000 battery replacement" in Youtube, and you can see an instructional video. There are 2 battery units in there: a button cell battery which rarely needs to be replaced, and a lithium battery pack which you can buy online.

      My break has healed already, and I can walk normally now, but my doc tells me to still use the Exogen for a few more weeks to aid in the final stage of healing (remodelling stage). My unit is at 94 uses now. The Exogen is pretty awesome!

      ReplyDelete
    56. I too am a frustrated distance runner, who sadly just joined the club with a fifth metatarsal Jones fracture, acquired by stepping into a hole on my very last training run just days before my second ever marathon (first 8 years back). I use my device for the first time today, it was simple and painless as many others have mentioned. I also read the manufacturers claim that healing time is accelerated by 38%. Is anyone aware of newer or stronger clinical support? Regardless, based on all of the encouraging experiences I've read about here, I will definitely continue to use the device during my recovery.

      ReplyDelete
    57. I am an athletic trainer and I have had 3 clients rent from ExogenRental.com and all went well. The machines worked, and users were satisfied. So, all indications are they are legit and you can rent from them

      ReplyDelete
    58. I rented from them for Mother and she had fantastic results. They shipped very quickly, and the price was reasonable.

      ReplyDelete
    59. I know of many people who have gotten burned buying these on ebay. You can purchase or rent one affordably from Mountain Family Products mountainfamilyproducts@gmail.com. They fully guarantee and stand behind the units that they sell or rent.

      ReplyDelete
      Replies
      1. I’m renting from them now. Great service. 5th metatarsal break.

        Delete
    60. 6 months of a nonunion break of my outer ankle (lateral malleolus) and i just got the exogen 4000 yesterday. I've to use it 20 mins a day at the same time every day. Measured where my ankle break was from ct scan and doctor marked it with an x using a sharpie. Have to be careful not to wash the point away as the treatment wont work if you're even a half inch off the break site. Fingers crossed this works as i dread surgery!

      ReplyDelete
      Replies
      1. Day 3 using the exogen machine sent sharp pains at the break site...felt like ankle was about to snap out of place. Had a lot of swelling more than before my outer ankle has ballooned up.

        Another way to describe the sharp pain.. it is like when the back of your knee feels stuck and you straighten your leg to get the bone to click back into place. Something sporadic that's happened all through my life.


        Day 5 today...feels different there is less swelling and i am walking without an obvious limp

        Feeling good!!

        Delete
    61. Day 56

      Able to walk at a quick pace. Still some swelling. I can go up steps normally. I have to hold the rail or wall decending though and put both feet on every step while going down.

      The break has healed 2/3 of the way just the outer 1/3 of the bone dark on the xray i had last wednesday

      The exogen machine has saved me from surgery and i cannot wait to go back in 4 weeks to see further improvements

      ReplyDelete
    62. I am here to give my testimony about Dr Ebhota who helped me.. i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by salami, i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr Ehbota cured them. when i contacted him he gave me hope and send a Herbal medicine to me that i took for just 2 weeks and it seriously worked for me, my HERPES result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that there is no cure for herpes that is Not true just contact him and get cure from Dr Ebhota healing herbal cure of all kinds of sickness you may have like
      (1) CANCER,
      (2) DIABETES,
      (3) HIV&AIDS,
      (4) URINARY TRACT INFECTION,
      (5) CANCER,
      (6) IMPOTENCE,
      (7) BARENESS/INFERTILITY
      (8) DIARRHEA
      (9) ASTHMA
      (10)SIMPLEX HERPES AND GENITAL
      (11)COLD SORE
      HERPES. he also cure my friend from cervical cancer Email: drebhotasoultion@gmail.com or whatsapp him on +2348089535482

      ReplyDelete
    63. My name is donald boykins , am here to appreciate Dr Akhigbe for using his herbal medicine to cure my Herpes virus. Is about 3 years and 6 months now I have been living with this virus and it has been a serious problem to me, I was so confused cause i have been taking several drugs to be cured but all of my effort was in vain,one morning I was browsing through the internet then I saw several testimonies about Dr. Akhigbe curing people from Herpes virus and immediately i contacted Dr. Akhigbe on his email: drrealakhigbe@gmail.com, i told him about my troubles and he told me that i must be cured, he gave me some instructions and which i rightly followed. so he prepared a herbal medicine and sent it to me which i used for 2 weeks and i was cured everything was like a dream to me and my Herpes virus was totally gone, dr .Akhigbe, God bless you and give you more power and ability for more cure.I don't know if there is any one out there suffering for herpes virus or any of these diseases..DIABETES, CANCER,  HIV/AIDS, HERPES HEPATITiS A AND B. FEVER, EPILEPSY, MENINGITIS, DENGUE SCHIZOPHRENIA, PROSTATE, THYROID, BACTERIA, MALARIA, DICK AND BREAST ENLARGEMENT,MULTIPLE SCLEROSIS, TUBERCULOSIS, DIARRHEA, POLIO, ARTHMA, LUPUS,  RABIS, JOINT PAIN, STOMACH PAIN,, HEART DISEASE, CHRONIC DISEASE,EPILEPSY, LUPUS, STROKE, SPINAL CORD INJURY, ECZEMA, KIDNEY DISEASE, ACME, BACK PAIN etc. why don't you contact dr.Akhigbe today and be free from your diseases because he is very good and honest Doctor and he is also called the godfather of herbal root contact him via email; drrealakhigbe@gmail.com or whatsApp him on +2348142454860
      website https:drrealakhigbe.weebly.com  

      ReplyDelete
    64. It’s obvious some patients with herpes are being enslaved to the antiviral and other supplementary Orthodox medicine just to help suppress the virus and not a cure. I have been with the virus since 2015 until I was introduced by a blogger who also narrated her story online on how she was cured of Genital Herpes after using Dr Sikies Herbal Medicine. This is a year and 2 weeks since I was delivered from genital Herpes. All thanks to God for using this Great herbalist to heal me. I have promised to keep telling good things about Dr Sikies. Please feel free to share Your problems with him and don’t forget to tell him I did refer you to Him. Thanks. Write him on mail Drsikies@gmail.com He deals with Alzheimer virus, Cancer, HIV, Herpes, Genital, warts, ALS, BV, UTI, Virginal infection, Genital, Wart, HPV, Hepatitis A/B, Good luck, HSV, Pregnancy, Ex back.  

      here is his website:https://drsikiesherbalcure.weebly.com 

      you can reach me via mail:anitalawson515@gmail.com

      ReplyDelete
    65. Thanks for your blog. I bought a "gently used" unit w only 20 uses from Mountain Family Exogen, in Basalt, Colorado. Friendly, knowledgeable small business. He starts you off with a new battery and the older unit I bought doesn't have a turn-off limit. He also offers a warranty. https://www.facebook.com/mountainfamilyrentals mountainfamilyproducts@gmail.com
      My unit arrived the next day. It looks new. Medicare co-pay would have been close to $1000 if bought from the corporation, plus the limit on uses!

      ReplyDelete
    66. Good news this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solutions. I bring you Good news. There is a man called Dr ehiaguna a herbal practitioner who helped cure me from HSV (2), i had suffered from this diseases for the past 5 years and i have spent so much money trying to survive from it. I got my healing by taking the herbal medicine Dr ehiaguna sent to me to drink for about 14 days . 3 days after completion of the dosage, I went for a medical checkup and I was tested free from HSV. all thanks to God for leading me to Dr ehiaguna who was able to cure me completely from this deadly diseases, I’m sharing this so that other people can know of this great healer called Dr ehiaguna because I got to know him through elizabeth who he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don’t die in ignorance or silent and don’t let that illness take your life. Contact Dr ehiaguna through his email  drehiaguna@gmail.com You can also whatsapp/call him on:+2348073908953 . Visit his website  https://effectiveherbalcurehome.blogspot.com/   He cure all forms of disease {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} BRAIN TUMOR {7} HEPATITIS {8}COPD{9} SICKLE AND ANAEMIA.etc Be kind enough to share as you received.  

      ReplyDelete
    67. Thank God for using Dr Ojamo to get me cured from Herpes virus
      The disease appeared at the age of 38, with no hope of a cure from the hospitals i have went to, I thought my life have come to an end, until a friend of mine told me about Dr, Ojamo who treats all Kinds of
      diseases including Herpes, I contacted him via his email: dr.ojamoherbalhome@gmail.com and purchased the Herpes drug which is in a form of liquid after preparation, I received the medicine
      through airwingexpressdelivery and immediately commenced usage as prescribed, i used the medicine within 3weeks that i was instructed and to my greatest surprise my result became negative I am Herpes free, and I won't stop rejoicing and giving thanks to God for using Dr ojamo to cure me, you can contact him for your cure or any kinds of drugs, contact his Whatsapp number +2349077406037 or email dr.ojamoherbalhome@gmail.com

      ReplyDelete
    68. A GREAT THANKS TO DR.WEALTHY FOR CURING ME FROM GENITAL HERPES I AM SO HAPPY TO GIVE THIS TESTIMONY ARE YOU SUFFERING FROM THIS SICKNESS HERE IS DR WHO CAN HELP
      I can’t believe my genital herpes is really cured, oh is by this time last year I start feeling bad about my life, I feel pain everyday of my life am very happy now that am really cured I couldn’t have do this on my own I wish is not God that help me with my helper I was searching the internet about this sickness last 3month when I found about great doctor wealthy, the man that keep his words I write the man email about my problem immediately I get a reply from him asking me to fill a form which I immediately did and send back to him after some mins he reply me that he have work on my cure that I need to provide some materials, which can enable him to work on my cure which I did on the next day of it, after some hours he inform me that he have getting the things needed for the cure and he is about to go on with the curing spell he called me again after 50mins that he is done with the cure that I should check my body and also go for test I cant believe I was negative a big thanks to him am very happy now with my family you can also get your self cured too from this sickness by contacting him through his email: wealthylovespell@gmail.com or whatapp +2348105150446 follow his instagram @wealthylovespell1 He also have a herbal cure for 7 other DISEASES;
      1.HIV
      2.SHINGLES
      3.VIRAL HEPATITIS
      4.INFLUENZA
      5.IMPOTENCE,
      6.BARENESS/INFERTILITY,
      7.ANTHRAX
      8 HPV
      Contact him today and you will have a testimony…Good luck!

      ReplyDelete
    69. I have be living with Oral herpes for over 4 years now and it has be a big problem for me.I have been looking for solution because i can't leave with it, One day i came across a woman testimony on a forum saying she got cured of her Herpes with the help of Dr Ojamo an herbal doctor from african with herbal medicine. At first i did not believe because i was not sure herbs can really take this virus away,but i have no choice than to give it a try and contacted him with his emails, i explain my problems,.. then he told me not to worry that he will prepare the a cure with herbal mixture and send it to me, i got the medicine after 4days delivery and i use as instrusted. After 21days when the herb got almost finish i went to a medical doctor, i did a test and discover that the virus was gone, and my test result were HSV 1%2 negative,i was so surprise and happy! then i wrote dr Ojamo and thank him for getting me cured from herpes. I advice you to contact this great herbal doctor Ojamo as he have cure for different kinds of diseases.i decided to share this testimony to let others who also suffer from herpes know about this and give HOPE to others, you can reach him via Email dr.ojamoherbalhome@gmail.com WhatsAPP number +2349077406037


      You can check on his website for more info https://drojamoherbalhome.wixsite.com/welcometodrojamoherb

      ReplyDelete
    70. Hello, I want to write a little review about the good work of doctor Ojamo, who cured me from HSV 1&2 for just 2 week with his herbal medicine, I never believe I can be cured again and have a good life like others, I always regretted the day I got diagnose with this virus, I become lost of hope when my doctor told me there is no cure for it, Well I am so grateful for my helper who get me cured with his herbal medicine, I went online in search of anything that can help me because I can’t deal with it forever so I found dr Ojamo email dr.ojamoherbalhome@gmail.com on a blog of someone who was cured by him,of the same herpes, so I quickly contacted him for help and explained all my pains to him, he told me not to worry about it there is a cure for real, I never believe until he sent me the herbs when I ordered for it and I got it within 5 working days that is how I took the medicine for 2 weeks and the following week I went for a test just to confirm I was 100% cured from this sickness what a miracle in my life, I am so happy right now, and forever grateful, you can also get in contact with him if you have such sickness through his whats-app +2349077406037 or email address:: dr.ojamoherbalhome@gmail.com

      You can check on his website for more info https://drojamoherbalhome.wixsite.com/welcometodrojamoherb

      ReplyDelete