MiTo Healthcare Clinic
Wellbeing Team

Electro-Medical Devices and ProNexibus Plus

Table of Contents

At MiTo Healthcare we embrace a fully holistic approach which also includes the use of medical technology to enhance patient recovery. The Treatment available at MiTo Healthcare Clinic is the ProNexibus Plus which is a medical machine based on Radiofrequency.

However we believe in education so before asking yourself if the Pro Nexibus Plus is the right therapy for you, here’s a general overview of the most commonly used medical devices in medicine. If you don’t bother to read everything because you are already experienced in medical devices you can just click on ProNexibus Plus in the table of contents.

Ultrasound Therapy

Ultrasound therapy is a therapeutic treatment used to treat and relieve musculoskeletal disorders. It can help reduce pain, reduce swelling, increase tissue relaxation, and promote healing. Ultrasound therapy uses high-frequency sound waves that are directed at a specific area of the body. The sound waves penetrate the tissues below the surface of the skin, creating a deep heating effect.

This deep heating effect is thought to stimulate the cells to produce more energy and create a healing process. As the sound waves penetrate the tissue, they cause the muscle fibres to vibrate and stretch, increasing blood flow and creating a warming sensation. This increased tissue relaxation helps to reduce pain and inflammation. In addition, increased blood flow causes increases in oxygen and nutrient delivery to the area. This helps to accelerate the healing process and reduce the risk of permanent damage.

In addition to its ability to reduce pain and inflammation, ultrasound can be beneficial in helping to restore strength and flexibility in injured tissues. As the tissue relaxes and begins to heal, the strength of the tissue can be regained. Finally, ultrasound is a non-invasive treatment, meaning no medications or surgery are necessary.

Although ultrasound therapy has been found to be beneficial in treating musculoskeletal disorders, it is important to understand that it is not to be used as a substitute for traditional medical treatments. Healthcare practitioners will often incorporate ultrasounds into a treatment plan when other treatments such as rest, physical and manual therapy, and medications have not been effective.

Overall, ultrasound therapy can be a beneficial tool in the treatment of

  • Neck pain.
  • Low Back pain.
  • Any pain derived from joint osteoarthritis.
  • Nerve pain.
  • Tendinitis.
  • Bursitis.
  • General soft tissue problems.

The most common contraindications are:

  • Pregnancy (over the uterus and the baby).
  • Phlebitis, Deep Vein Thrombosis.
  • Cancer. 
  • Over a healing fracture.
  • Areas such as the heart, brain, testicles, eyes, and uterus.
  • Ischemic areas in people with vascular disease.
  • Any metal implants.

Ultrasound therapy can help reduce pain and inflammation, improve tissue strength and elasticity, and reduce the risk of re-injury. When used in conjunction with other treatments, ultrasound can be a powerful way to treat painful musculoskeletal conditions. Some further evidence of his efficacy has been shown in the study of Haile et al. 2021 where ultrasound therapy has reduced pain levels in people affected by non-specific chronic low back pain.

Not Available at the clinic.

Shockwave Therapy (ESWT)

Shockwave therapy, or extracorporeal shockwave therapy (ESWT), is a rapid and minimally invasive treatment used to treat musculoskeletal disorders and chronic pain. The subject of shockwave therapy has become increasingly popular in recent years due to its noninvasive nature and promising results.

There is high clinical evidence that supports shockwave therapy for tendinopathies, specifically Achilles tendinopathy, plantar fasciitis, and calcific tendinopathies (Dedes et al. 2018.)

Shockwave therapy works by delivering acoustic pulses of energy directly to the affected area. This causes a tiny shock to the tissues, this micro-trauma stimulates the flow of blood to the site and helps promote the natural healing process. It also helps to break down scar tissue, relax tense muscles, reduce pain, and help speed up recovery time

There are 2 types of shockwave therapy: focused shockwave therapy (FSWT) and radial shockwave therapy (RSWT). The main difference between the 2 is the Intensity, how deep into body tissues the shockwaves work and how the pressure of the shockwave is generated into the machine.

In the FSWT the shockwave is generated in water inside the applicator. This method allows the wave to be transmitted more efficiently into body tissues, furthermore, the pressure generated by the FSWT is higher than the RSWT. The maximum intensity of the wave can be generated right into the desired body part which will absorb the maximum intensity.

In the RSWT the shockwave is generated by accelerating a projectile using compressed air inside a tube. The maximum intensity is reached before reaching the body tissues. In the end, the wave will be transmitted and spread into the body. The wave will hit the body tissues but more at a superficial layer.

However, both methodologies are valid to treat several body conditions it will be up to clinical judgment to understand the nature of the musculoskeletal issues and therefore address the right type for the patient.

Shockwave therapy can be used to treat many conditions such as 

  • Frozen Shoulder.
  • Calcific Tendonitis.
  • Plantar Fasciitis.
  • Plantar Flexed Calf muscles.
  • Achilles Tendinopathy.
  • Bone spurs (generally heel bone spurs).
  • Bone injuries – Shin splints (MTSS), stress fractures, and non-union fractures.
  • Tennis Elbow.
  • Golfer’s Elbow.
  • Patella Tendinopathy.
  • Hamstrings Tendinopathy.
  • Breaking down of scar tissues.
The most common contraindications are:
  •  Blood clotting disorder.
  • Pregnancy.
  • Steroid injections in the past 6 weeks.
  • Oral anticoagulant.
  • Cancer.
  • Peacemaker.
  • Skin infections.
  • Joint replacements.

The entire treatment typically lasts no longer than 20 minutes, but the number of treatments will depend on the condition that is being treated.

Pain relief is usually felt within a few days, while recovery time can be as short as a few days up to two weeks. However, results may vary depending on the person’s condition. Side effects may include temporary tenderness and aching in the treated area, but these are usually mild and do not last long.

Shockwave therapy is a safe and effective way of treating musculoskeletal disorders and chronic pain. It is relatively noninvasive and poses minimal risk to the patient. Shockwave therapy can provide quick and long-lasting relief from pain and improved mobility. As with any medical treatment, it is essential to consult with your healthcare practitioner before receiving shockwave therapy.

Not available at the clinic


Magnetotherapy, also known as magnetic therapy, is a therapeutic intervention – often used in combination with other treatments – that uses static magnetic fields to reduce the symptoms associated with musculoskeletal disorders. This approach is based on the idea that when appropriately designed and operated, these static magnetic fields can stimulate nerve cells, reduce inflammation, improve circulation, and activate natural molecules involved in cell repair and regeneration.

Magnetotherapy has been used for centuries as a form of treatment for musculoskeletal issues, and as a result, it has been studied extensively in humans. Numerous research studies have indicated that magnetotherapy is safe and effective at treating musculoskeletal disorders, particularly chronic pain. The most accepted theory of how magnetotherapy works is that the static magnetic fields penetrate deep into the tissue, affecting both the sympathetic nervous system and the circulatory system. Other people believe that magnetic fields help to increase the production of natural repair molecules.

The use of magnetotherapy as a treatment for musculoskeletal disorders has been associated with several benefits. It is considered a safe and relatively low-risk form of treatment and can be used either alone or in combination with other treatments. It is also non-invasive and can be used for long periods of time without any adverse effects. 

To summarize magnetotherapy can be used for

  • Arthrosis and articular pain.
  •  Speed up the bone healing process after fractures. 
  • Bone oedema.
  • Acute inflammations after traumas (joint twisting, muscle strain or ligaments sprain, or surgical operations). 

The most common contraindications are:

  •  Pregnancy.
  • Severe Hypotension.
  • Metal Implant.
  • Artificial Cardiac Peacemaker. 
  • Fever and other acute conditions.
  • Cancer.

In conclusion, magnetotherapy is a non-invasive treatment used to reduce the symptoms associated with musculoskeletal disorders. 

Not available at the clinic

Tecar Therapy

Tecartherapy is a revolutionary form of treatment used to treat a variety of musculoskeletal disorders. This therapy uses a combination of electrical stimulation, heat, and ultrasound to alleviate the symptoms of a wide range of joint and soft tissue diseases. Tecartherapy is growing in popularity due to its proven ability to reduce pain, improve joint function, and restore mobility.

Tecartherapy works by using an electrical current to penetrate the tissue and stimulate muscles. This helps to reduce pain, muscle tightness, and inflammation. Heat, which helps to increase blood flow to the area and promote healing, is also applied throughout the treatment. Lastly, ultrasound waves can penetrate soft tissue and create an anti-inflammatory environment. All of these modalities together aid in reducing the symptoms associated with musculoskeletal disorders. The Tecartherapy needs a conductive gel to be applied on the designed area to be effective.

One of the greatest advantages of Tecartherapy over other therapies is that it can be tailored to individual needs. During the treatment, the intensity of the electrical current, heat, and ultrasound can be adjusted based on the patient’s pain needs and comfort level. This allows for a personalized experience and greater patient satisfaction. The treatment can last anywhere from 15 minutes to an hour depending on the severity of the condition and the patient’s response to the therapy.

Though Tecartherapy has been successful in treating a variety of musculoskeletal disorders, as with all medical treatments it is important to note that it is not a cure-all solution. The effectiveness of the treatment varies greatly depending on the condition, patient history, and individual anatomy.

In conclusion, Tecartherapy has proven to be a safe and effective form of treatment for a variety of pathologies causing inflammatory conditions of the tissues such as

  •  Synovitis.
  • Joint pain.
  • Osteoarthritis.
  • Shoulder pain, Back pain, Knee pain etc.
  • Acute or Chronic inflammation.
  • Different types of tendinopathy.
  • Muscle Spasm.

The most common contraindications are:

  • First 6 months of pregnancy.
  • Treatment over localized cancer area.
  • Peacemaker.
  • Allergic reaction to the conductive gel.
  • Phlebitis.
  • Heart diseases, pulmonary embolisms.
Not available at the clinic

TENS Therapy (Transcutaneous Electrical Nerve Stimulation)

TENS therapy is a non-invasive and drug-free treatment used to help manage musculoskeletal pain. The therapy uses technology to transmit electrical signals through the skin in order to reduce pain signals from being sent to the brain. TENS stands for “transcutaneous electrical nerve stimulation” and can be used to treat a variety of musculoskeletal disorders.

TENS machines provide pulsed electrical signals to the body. The electrical signals travel from the electrodes on the machine through the skin to the nerve fibres to prevent nerve signals from being sent to the brain from areas of pain. Various TENS settings can be used to best suit the patient. Low-frequency stimulation is often used to increase the blood flow to an area of pain and can be set to a frequency as low as 1 Hz or as high as 25 Hz. High-frequency stimulation can help to block pain messages sent to the brain and is set at frequencies ranging from 25 Hz to 500 Hz.

Studies have shown that TENS therapy can be effective in providing pain relief to those with musculoskeletal pain. In some cases, TENS can provide relief almost immediately, while it can take up to 8 weeks of regular treatments to experience the full benefits.

TENS therapy can be used in conjunction with other treatments to manage musculoskeletal pain. It is safe and effective and has few side effects. Common side effects may include mild skin irritation, but this usually subsides after the treatment is finished. TENS therapy is typically administered by a healthcare provider, however, for some patients, a take-home TENS machine may be advised so that treatments can be done at home. Research by Vance et al. 2014 has shown that TENS therapy provides analgesic effects on body tissues.

Conditions that can be treated with TENS therapy:

  • Neck pain.
  • Lower back pain.
  • Knee pain.
  • Shoulder pain.
  • Tennis elbow.
  • Golfer’s elbow.
  • Acute postoperative pain and acute post-traumatic pain.
  • Rheumatoid Arthritis.
  • Osteoarthritis.
  • Non-specific joint pain.
  • Bursitis.
  • Tendinitis.
  • Fibromyalgia.

The most common contraindications are:

  • Pregnancy.
  • Implantable device (cardioverter, peacemaker, bone growth stimulator etc.).
  • Heart Diseases such as Arrhythmia or heart failure. 
  • Deep Vein Thrombosis, Phlebitis.
  • Epilepsy.
  • Cancer.

Overall, TENS therapy is a safe, non-invasive and drug-free treatment option that can be used in conjunction with other treatments. TENS treatment can provide both immediate and long-term relief and should be an option considered when looking for ways to manage musculoskeletal disorders.

Not available at the clinic

EMS Therapy (Electrical Stimulation Therapy)

EMS therapy, or electrical muscle stimulation therapy, is a form of physical therapy commonly used to treat musculoskeletal disorders. This type of therapy provides a non-invasive, drug-free solution to pain management and rehabilitation. Specifically, it is often used to treat joint pain, neck and back pain, and muscle spasms. EMS therapy works by using low-voltage electrical impulses to cause contractions in the targeted muscle or muscle group.

One of the main benefits of EMS therapy is that it can be used anywhere, anytime since all that is needed is a device to generate the electrical stimulation. The electrical impulses can be applied over clothing and the compliance rates are generally high, as patients often report that the therapy is painless and more comfortable than traditional physical therapy options. There is also no risk of muscle injury, as the electrical stimulation only causes muscle contractions, not increased muscle strength.

This therapy is also beneficial for improving muscular strength and flexibility. EMS therapy causes contractions that strengthen muscles and improve the range of motion, allowing for a better range of motion in affected joints. This can help to reduce pain due to muscle imbalances or soft tissue injury. In addition, the electrical stimulation causes deeper muscle contractions that are not possible through traditional physical therapy methods, enabling the patient to experience more complete rehabilitation.

EMS therapy can also reduce inflammation, swelling and pain while easing stiffness. In addition, EMS therapy can improve circulation and assist with the healing of damaged tissues.

Here’s a summary of the most common conditions treated by EMS and its benefits:

  • Tendinitis.
  • Muscle spasm.
  • Increase flexibility and reduce stiffness.
  • Increase muscle strength and growth. 
  • Promote healing due to blood flow increase.
  • Can reduce muscle atrophy.
The most common contraindications are:
  • Peacemaker.
  • Epilepsy.
  • Pregnancy.
  • Infections.
  • Phlebitis.
  • Arterial disorders.
  • Inguinal or Iatal hernia.

Overall, EMS therapy offers those with musculoskeletal disorders a safe and noninvasive way to ease pain and stiffness, improve mobility, and increase muscle strength and flexibility. It can be used as a standalone treatment or in combination with other traditional physical therapy treatments, such as massage and exercise. 

Not available at the clinic.

Laser Therapy

Laser therapy has fast become one of the more popular treatments for musculoskeletal disorders in recent times. This type of therapy has been found to be effective in treating conditions such as chronic tendinitis, carpal tunnel syndrome, and osteoarthritis. It is also used to reduce inflammation and swelling, as well as increased circulation. Laser therapy has been proven to be safe and is often used in combination with other forms of treatments, such as physical therapy and medication.

As it is a non-invasive yet powerful treatment, laser therapy is often used on both adult and pediatric patients. Depending on the type of laser used, patient discomfort can range from minimal to none. Low-level laser therapy (LLLT) refers specifically to light energy delivered by an Er: YAG laser. This type of laser is commonly used for musculoskeletal therapy, as it has been shown to penetrate deep into muscle and soft tissue without causing harm to the patient.

LLLT is typically used to promote healing and reduce inflammation. In the case of tendinitis, the laser helps to reduce inflammation and the pain caused by the condition. It can also be used to increase the flexibility of affected joints, as well as stimulate healing. In addition, laser therapy is being used to treat conditions such as carpal tunnel syndrome and osteoarthritis. With carpal tunnel syndrome, laser therapy is used to reduce swelling and inflammation to help reduce pain. For osteoarthritis, the laser helps to decrease inflammation and pain, while also increasing circulation.

Because laser therapy is non-invasive, it is often used when medications and other treatments are not suitable. For instance, in the case of carpal tunnel syndrome, laser therapy may be used as an adjunct to help reduce pain and inflammation when medications are not sufficient to manage the condition.

Overall, laser therapy for musculoskeletal disorders is a relatively safe and effective form of treatment. 

The most common conditions treated with laser therapy are:

  • Tendonitis.
  • Osteoarthritis. 
  • Sciatica.
  • Disc Herniation.
  • Disc Degeneration.
  • Shoulder impingement.
  • Bursitis.
  • Tennis Elbow.
  • Golfer’s elbow.
  • Plantar fasciitis.
  • Sprain.
  • Tenosynovitis.
  • Rheumatoid arthritis.

The most common contraindications for  laser therapy:

  • Cancer.
  • Pregnancy.
  • Infections. 
  • Radiotherapy. 
  • Thrombosis and diseases that cause impaired circulation.
  • Areas of impaired sensations.
Not available at the clinic.

Massage Gun Therapy

Massage gun therapy is being used increasingly by both athletes and recreational users to treat and prevent musculoskeletal disorders. This type of therapy is mainly directed at providing relief to tight muscles, and sore joints, and relieving trigger point pain. Most of the time, these massage guns are electronic, handheld devices that vibrate or push against the skin to loosen tight muscles.

Some of the disorders affected by massage gun therapy are muscle spasms, tendinitis, tennis elbow, myofascial pain syndrome, and plantar fasciitis. Regular use of massage gun therapy can help improve muscle strength, flexibility, and range of motion. It also reduces pain in the areas treated. In the study of Konrad et al., 2020 the use of a Massage Gun has shown an increase in the range of movement (ROM) in the calf muscles after 5 minutes of treatment.

One of the main advantages of massage guns is that the pressure can be easily adjusted by the user to ensure correct and safe use. As a result, muscle fibres and tightness in the muscle can be manipulated without causing any damage or overstretching. Additionally, it effectively reduces fascia adhesion by using a back-and-forth massage technique on the affected area.

Massage guns are becoming increasingly popular due to their portability and convenience. They are easy to use and do not require a lot of time or money to receive relief. They can be used not only in physical therapy clinics, but also in the home, gym, or even in the office. In addition, they can be used to massage any part of the body and give quick results that last a relatively short amount of time, and are generally safe with no side effects.

Overall, massage gun therapy is an effective and convenient way to treat and prevent musculoskeletal disorders. It can provide relief to sore muscles and joints, increase the range of motion and flexibility, and improve muscle strength. As long as it is used properly and safely, massage gun therapy can be a beneficial way for many patients to look after their musculoskeletal health.

Most common conditions treated with Massage gun:

  • Muscle soreness after a workout (Delayed Onset Muscle Soreness or DOMS).
  • Improve Flexibility.
  • Can reduce muscle cramps if caused by muscle overuse.
  • Facilitate the lactic acid release.
  • Can break up scar tissues
  • Can be easily used to warm up and stimulate muscle activation before working out or before sports performance 

Common contraindications for Massage Gun Therapy

  • Large Swellings.
  • Near areas of fracture. 
  • Sprains.
  • Varicose veins (if used into them)
  • Hypertension (can lead to injury of blood vessels or be worsened by the use of the gun, check with your GP if it is safe to use for you).
  • Rheumatoid arthritis (improper use of the gun can trigger inflammation and then soreness and pain in the joints).

Available at the clinic. 


Pressotherapy is a type of physical therapy that has been used to treat musculoskeletal disorders, such as lower back pain, tendinitis, and sciatica. This therapy utilizes a specialized air compression massage device to manipulate the soft tissues and stimulate circulation. The pressotherapy device consists of a series of interconnected air chambers which expand and contract in sequence, generating a wave-like action along the affected area. This wave-like motion helps to reduce muscle soreness, stiffness and inflammation. It can be used to treat delayed onset muscle soreness as well (Wisniowski, P. et al. 2022)

Pressotherapy can be used to relieve pain and other symptoms associated with musculoskeletal disorders. It also increases circulation, which helps to increase the supply of oxygen and other nutrients to affected tissues. This can help to improve the healing process and reduce the risk of re-injury. Additionally, pressotherapy can help reduce swelling, stimulate the release of endorphins, and relieve stress and anxiety.

During a pressotherapy session, the patient lies on the treatment bed and the pressotherapy device is positioned on the affected areas. Depending on the condition, a practitioner will customize the treatment pressure and speed to the individual’s needs. A session typically lasts 20-30 minutes, and multiple sessions can be necessary to achieve full results.

Pressotherapy can be used both as a standalone therapy or in conjunction with other treatments, such as manual therapy and exercises, to maximize the health benefits for the patient. Studies have shown that pressotherapy can reduce muscle pain, improve joint range of motion and decrease stiffness. By reducing muscular tension, pressotherapy increases passive movement, which helps to restore normal mobility.

Pressotherapy is a safe and effective therapy for the treatment of many musculoskeletal disorders. It is a non-invasive and relatively comfortable treatment. In general, patients report that they feel consistent, gentle pressure, and minor discomfort may occur if the therapy is overly intense. The most common side effects of pressotherapy are mild redness of the skin and tenderness, which usually dissipate quickly after the treatment.

Here’s a summary of the pressotherapy indications:

  • Reduce swelling and stiffness.
  • Help with muscle aches and inflammation (Low back pain, Tendinitis, Sciatica).
  • Lymph drainage.
  • Help cellulite removal.

Here’s  a list of the most common contraindications for pressotherapy:

  • Deep Vein Thrombosis, Phlebitis and other vascular conditions.
  • Hypertension.
  • Infections in the treated area.
  • Heart disease.
  • Pregnancy.
  • Peacemaker.
  • Physical pain or numbness.
  • Kidney failure.
Not available at the clinic.




At MiTo Healthcare Clinic we are proud to show you our new service: the radiofrequency medical device ProNexibus Plus!!

ProNexibus Plus: Definition

The ProNexibus Plus® generates controlled high frequencies at 2, 4 and 8 MHz.
The emitted radio frequencies penetrate deep into tissues and overcome the resistance offered by the body and cell membranes.

The high frequencies, overcoming the barriers they encounter on their way, reach directly deep into injured cells and immediately activate cellular healing processes.

The beneficial effects of the high frequencies of ProNexibus Plus® are:

  • Antalgic
  • Antiedemigenous
  • Anti-inflammatory
  • Pro-Regenerative

The ProNexibus is based on a particular type of electromagnetic wave called non-ionising radiation.

The non-ionising radiation can produce biological effects on tissues changing chemical reactions or causing electrical waves inside cells.

The biological effects are both thermal and non-thermal:

  • Deep heat
  • Tissue hyperemia and activation of capillary microcirculation
  • Analgesia by action on nerve endings
  • Intracellular oxygenation with reduction of inflammatory processes
  • Speeding of lymphatic drainage

More in-depth the effects generated by high frequencies can be summarized into:

  • Direct: release of nitric oxide (NO) from different cellular types.
  • Indirect: significant elevation of local temperature in the target tissue.

Why Nitric oxide is important? This is because is a biochemical mediator that has several effects on our body tissues: it is a vasodilator, activates processes of neoangiogenesis, so creates more vascular connections and has an anti-inflammatory effect.

Furthermore, these chemical effects of nitric oxide are promoted by the diathermic effects generated by the high frequencies that increase local metabolism and affect the re-balancing of immune activity at the treatment site.

There is no evidence that radio frequencies can harm human health, Pronexibus works at 2,4, and 8 MHz which are absolutely within a range of safety.

< 20 really low energy = no thermic effect

20-40 low energy = mild feeling of heat

40-60 medium energy = moderate feeling of heat

60-80 high energy = vigorous feeling of heat

Controlled high-frequency electromagnetic fields modify within biological materials the mobility conditions of the ionic and polar species present and alter the equilibrium conditions of chemical bonds. In particular, they are able to act on cell membranes and on the flux of calcium ions, resulting in changes in the intra- and extracellular concentration of that ion.

Different research has been performed to evaluate the high effectiveness of ProNexibus PlusProf. , one of the most interesting ones is the one from Masiero et al. 2019,  where after 10 sessions of only 10 to 15 minutes, patients reported a  significant reduction of pain in a large number of musculoskeletal problems (e.g., knee osteoarthritis, neck pain, shoulder and elbow tendinopathies), and also showed that the patients themselves were facilitated in resuming their daily activities, both work and social.

The most common condition treated with Pro Nexibus are:

  • Neck pain – Traumatic Neck Pain.
  • Low back pain.
  • Shoulder pain.
  • Osteoarthritis.
  • Muscular strain.
  • Arthrosis.
  • General musculoskeletal conditions (Tendinosis, Tendinitis, Bursitis, Sprains, Strains).
  • Sciatic Pain.
  • Knee pain.
  • Rheumatic Pain.
  • General inflammatory diseases.
  • Frozen Shoulder. 
  • Neuropathic pain.
The most common contraindications are:
  • Peacemaker
  • Pregnancy
  • Cancer
  • Brain implants
  • Hearing Aids or similar 
Available at the clinic.

ProNexibus Plus: What to expect

ProNexibus Plus is contained in a robust 48h case.
Its compact dimensions and modest weight (10.8 kg) make the device convenient and practical, so it can be used in different clinical settings. ProNexibus Plus transfers the radiofrequency from the machine to the body districts through a handpiece and a discoid; The discoid placed on the handpiece has different sizes depending on the body district to be treated and consists of a single element.
The discoid on the handpiece is made of solid brass, painted in titanium dioxide and ceramics.
It is easy to disassemble for proper cleaning after use.

The handpiece can be used in two different ways: statically (point-like) or dynamically (by sliding it over the patient’s epidermis) according to individual needs. The handpiece can slide over the skin or hair without the use of conductive gels or creams, making treatment much more convenient.

The last component of the ProNexibus Plus is the return mat; The return mat closes the circuit ensuring maximum quality and total safety during use, for both the operator and patient.
The mat is soft and comfortable: it can be used in many positions, easily placed under the patient’s body without the need for skin contact, so that during treatment the patient can lie or sit with the most suitable posture even while wearing clothes.
The mat is necessary to ensure full absorption of the radiofrequency into the body.

The patient should expect to feel a heat sensation coming from its joints which should not be perceived as uncomfortable. To tailor the treatment to the patient’s needs it is always good practice to ask the patient to report the perceived heat sensation. This one should not be more than 4-6 out of 10 where 0 equals “no sensation” and 10 to ” pain sensation”.

A Pronexibus Plus session usually lasts no more than 20 minutes in total, but may last a little bit longer if they are multiple targeted areas. 


Here’s the end of our blog about the most common used medical devices, there is a lot to digest and also you may still wondering which is the right treatment for you. 

If you have any doubts please contact us and we will direct you towards the right one for you. 

At MiTo Healthcare Clinic there are a few options avalibale: the ProNexibus Plus and the Massage gun. The ProNexibus Plus can be used to treat the majority of all the musculoskeletal conditions, therefore was our primary choice when we decided to invest into medical devices. Massage Gun is useful tool that can be used both by therapists and patients and can speed up timing and treatment outcomes.

Despite ProNexibus Plus it could be a great option to pick we always recommed you to seek medical advice or to ask any more clarifications before starting any treatment plan with this medical device.

Thank you for reading.😊 


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All the information on this blog post is made with passion, love, and expertise by the MiTo team, however, we always rely on what science says on this topic so you will find our source of information at the bottom of the page in the Bibliography section. 

  1. Konrad , A. et al. (2020) “The Acute Effects of a Percussive Massage Treatment with a Hypervolt Device on Plantar Flexor Muscles’ Range of Motion and Performance ,” ©Journal of Sports Science and Medicine , 19(690-694 ).
  2. Auersperg, V. and Trieb, K. (2020) “Extracorporeal shock wave therapy: An update,” EFORT Open Reviews, 5(10), pp. 584–592. Available at:
  3. Cotler, H. (2015) “The use of low level laser therapy (LLLT) for musculoskeletal pain,” MOJ Orthopedics & Rheumatology, 2(5). Available at:
  4. Clijsen, R. et al. (2020) “Does the application of tecar therapy affect temperature and perfusion of skin and muscle microcirculation? A pilot feasibility study on healthy subjects,” The Journal of Alternative and Complementary Medicine, 26(2), pp. 147–153. Available at:
  5. Dedes, V. et al. (2018) “Effectiveness and safety of shockwave therapy in tendinopathies,” Materia Socio Medica, 30(2), p. 141. Available at:
  6. Szabo, D.A. et al. (2022) “TECAR therapy associated with high-intensity laser therapy (HILT) and manual therapy in the treatment of Muscle Disorders: A literature review on the theorised effects supporting their use,” Journal of Clinical Medicine, 11(20), p. 6149. Available at:
  7. Vance, C.G.T. et al. (2014) “Using tens for pain control: The State of the evidence,” Pain Management, 4(3), pp. 197–209. Available at:
  8. Wiśniowski, P. et al. (2022) “The effect of pressotherapy on performance and recovery in the management of delayed onset MUSCLE SORENESS: A systematic review and meta-analysis.” Available at:
  9. Haile, G., Hailemariam, T.T. and Haile, T.G. (2021) “Effectiveness of ultrasound therapy on the management of chronic non-specific low back pain: A systematic review,” Journal of Pain Research, Volume 14, pp. 1251–1257. Available at:

  10. Arabloo, J. et al. (2017) “Health technology assessment of magnet therapy for relieving pain ,” Medical Journal of the Islamic Republic of Iran (MJIRI) [Preprint]. Available at:

  11. van der Worp, H. et al. (2012) “ESWT for tendinopathy: Technology and clinical implications,” Knee Surgery, Sports Traumatology, Arthroscopy, 21(6), pp. 1451–1458. Available at:

  12. Masiero, S. et al. (2019)Short-wave diathermy in the clinical management of musculoskeletal disorders: a pilot observational study. Int. J. Biometeorol. (2019) doi:10.1007/s00484-019-01806-x.

Medical Disclaimer

Although the MiTo team is composed of healthcare practitioners, we are not your healthcare practitioners (yet XD). All the content on this website is for informational and educational purposes only and does not constitute medical advice. We always strive to provide an accurate and reliable source of information, but the information on this website does not substitute any professional advice and you should not rely solely on this blog content. Always seek medical-professional advice in the area of your particular needs or circumstances before making any decision concerning your health.




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