Tissue remodeling is a complex physiological response that occurs after an injury:

Natural limitations to this process often lead to mechanically inferior tissue adhesions and chronic pain conditions especially in tendons which have limited blood and nutrient supply:

• Sustained Acoustic Medicine or SAM is a new wearable technology that utilizes mechanical ultrasound waves to promote the healing cascade

• Different from traditional ultrasound SAM applies a mild mechanical stimulation to the tissue over multiple hours providing enhanced recovery benefits

• Sam's continuous ultrasound waves produce a convective flow called acoustic streaming up to five centimeters into tissue combined with an increase in heat and circulation the sustained mechanical pressure increases the bulk flow pumping nutrients and growth factors throughout damaged areas enhancing natural healing 

• When SAM is applied the mechanical forces activate cell membrane receptors enhancing cellular proliferation - One important mechanism is the up regulation of transforming growth factor beta which increases type 1 and type 3 collagen deposition and promotes native tissue regeneration leading to greater tensile strength and improved biomechanical properties of the tendon 

Sustained Acoustic Medicine (SAM)