FAQ's and Glossary of Terms

Yes, the Bone4ce bone growth stimulator is a non-invasive treatment that does not hurt or cause any harm to the body. Most patients do not feel any sensation on the skin, while a few might experience a slight tingly feeling.

The device is not advised for individuals who have pacemakers. If you have a pacemaker, please consult with your doctor or cardiologist first. This device should only be used as prescribed by your health professional.

Please see the question above. Your answer will depend on the location of the fracture. Please consult with your doctor or cardiologist.

Some private insurance companies cover the cost of a bone growth stimulator. Workers Comp regularly cover the cost of Bone4ce when a healthcare professional submits a letter of medical necessity.

Many insurance companies, including Workers Comp. do cover the cost of the Bone4ce device. Our experienced customer sales representitive would be happy to assist any patients with insurance questions.

Clinical studies have proven that one single 20-minute treatment per day is effective in healing the fracture site. Multiple treatments have shown no additional benefits.

You can still use the bone growth stimulator if you have a cast over the fracture site. A window can be cut out of the cast enabling the device to be placed on the fracture site.

You should start treatment immediately to improve healing time, but there is no specific period of when you should or shouldn’t start treatment. If the fracture is a non-union, the bone growth stimulator can still increase the healing time.

No, the device must be in contact with the skin that surrounds the fracture site.

Approximately 10% of all fractures will develop into a delayed or non-union fracture. When a broken bone fails to heal its call a “non-union.” Typically a fracture will be considered non-union or delayed at the 6-8 week mark from the initial fracture date or if the physician is not satisfied with the amount of healing that’s occurred over a period of time.

Due to the extremely low frequency, most patients feel nothing at all.

There are no known contraindications for the Bone4ce bone growth stimulator. Worthy of note is that both safety and effectiveness have not been studied in individuals whose bones are still growing, pregnant and/or nursing women, people with pacemakers, patients with cancer or patients with poor blood circulation or clotting issues. There have been several cases (very few) where individuals are sensitive to the gel. Alternatives can be found for these individuals. It is recommended that you consult your doctor at all times.

Every Bone4ce device is tested and inspected to meet standards. You can rest assured that if the device is adequately charged and begins to countdown from 20:00 min to 0:00 that it is working correctly. If you have any questions or concerns, one of our CSR would be happy to assist you.

Typically patients use the device until their surgeon tells them that the fracture has healed. This timeline varies depending on fracture location, severity, bone size, and other circumstances that have different effects on healing rates in individuals.

The Bone4ce device is indicated for the treatment of fresh bone-fractures and established non-unions. Treatment list includes:

• Delayed and non-unions
• Fresh fractures
• Stress fractures
• Repair post bone transport procedures
• Repair post osteotomy
• Joint fusions
• Revision surgeries
• Bunion surgery
• Accelerating repair in distraction osteogenesis procedures

This list excludes the treatment of the skull and the vertebral column.

Many different risk factors can affect bone healing. Some of the most common are:

• Age
• Smoking
• Diabetes
• Concomitant medications
• Vascular insufficiency
• NSAID use
• Osteoporosis
• Fracture location (jones, clavicle, scaphoid, comminuted and butterfly factures)
• Severity of trauma

Bone4ce is safe to use with all metal fixation. Test results using significantly higher intensity ultrasound than delivered by Bone4ce therapy have shown no significant temperature increases and no damage or retardation of healing. The Bone4ce bone healing system does not affect the stability of the screws.

There are no known contraindications for the use of the Bone4ce device. Some patients may be sensitive to the ultrasound gel, for those who do, alternatives can be obtained.

The Bone4ce device uses a very low intensity in a pulsed cycle, making it inherently safe as it is non-thermal and non-cavitating. The device has similar intensity to fetal sonography and is much lower intensity than physical therapy ultrasound.

Contact us to obtain a device.

Spongy, porous, lattice-like tissue within the midshaft of long bone.

The thick outer portion of bone that surrounds the medullary (bone marrow) cavity.

Any break in a bone.

When a broken bone fails to heal without some form of intervention, it is called a non-union.

When a fracture does not repair within the interval expected for that specific fracture.

Splintered or crushed bone.

A break in a bone accompanied by an open wound in the skin; can also be called an open fracture.

A break in a bone resulting from compression; usually involves one or more vertebrae.

Condition in which a bone is partially bent and partially broken; as when a green stick breaks.

A crack in the bone from overexertion placed on bone structure of limb or metatarsals and from pull of bone on muscles. Stress fractures are not normally noticeable on initial radiograph but are on later radiographs when callus formation has taken place at the sight. A bone scan or MRI would reveal a stress fracture.

A break in a bone in which one fragment is wedged into the other.

Low Intensity Pulsed Ultrasound is a technology that can be used for therapeutic purposes. Produces a mechanical signal (vibration) which transmits through soft tissue and through and around the bone. This produces nano-motion at the fracture site which is detected by mechano-receptors at the cell surface. Affects a range of cells important to fracture healing.

Musculoskeletal system, also known as the locomotor system and previously the activity system is an organ system that gives humans the ability to move using their muscular and skeletal systems. Provides form, support, stability and movement to the body.

Nonsteroidal anti-inflammatory drugs are among the most common pain relief medications in the world. NSAIDS are known to reduce swelling and inflammation, dull pain as well as lowering fever. NSAIDS work on a chemical level. They block the effects of special enzymes; specifically Cox-1 and Cox-2 enzymes. These enzymes play a key role in making prostaglandins which are like hormones. By blocking the Cox enzymes, NSAIDS stop your body from making as many prostaglandins. This means less swelling and less pain, however, it also means that they have a negative effect on bone healing.

The simultaneous presence of two chronic diseases or conditions in a patient.

The surgical uniting of two bony segments.

The point of articulation between 2 bones.

The surgical uniting of two joints.

Surgical incision in a bone, usually removing a portion in order to change its alignment or to shorten it.

Bone stimulators come in a variety of shapes, sizes and technologies. The most commonly used bone stimulators in orthopedics are electrical stimulators and ultrasound stimulators. The stimulator emits a pulsed electromagnetic or ultrasonic impulse to the area where bone healing should occur. The goal of the bone stimulator is to activate a series of receptors in the body to encourage healing.

A document required by many Extended Health Insurance providers, including WCB to substantiate in detail the medical necessity of an item of durable equipment or medical service.

Those fractures that are at greater risk for non union. This can result either from the severity of the trauma, the location of the fracture (blood supply) and other factors.

Any surgical reconstruction of soft or hard tissue. A revision may be done at the time of initial trauma if damaged tissue is removed and normal structures are repositioned to compensate for that destruction. The term is more commonly used to describe a later surgical effort to reposition various tissues.