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Non-surgical fracture care

Bone Growth Stimulation

External bone growth stimulators that help slow-healing and stubborn fractures mend — without another surgery.

Dr. Nikul Panchal, DPM, FACFAS — Fellowship-Trained Surgeon

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Overview

Some fractures heal slowly — and some stall entirely. A bone growth stimulator delivers painless energy pulses to the fracture site that encourage your body’s own bone-building cells to finish the job, often avoiding surgical intervention.

A fracture that isn’t healing doesn’t always need another operation. Ask whether stimulation fits your case.

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We commonly treat

  • Slow-healing (delayed union) fractures
  • Fractures that have stopped healing (nonunion)
  • High-risk fractures in patients with diabetes
  • Stress fractures in athletes returning to sport
  • Post-surgical fusion support
What to expect

Your care, step by step

  1. Confirm the candidateImaging tells us whether your fracture genuinely benefits from stimulation.
  2. Fitted, not genericThe device is fitted to your fracture site and daily routine.
  3. Minutes a day at homeMost protocols are 20–40 minutes daily while you go about your life.
  4. Tracked to the finishFollow-up imaging confirms the bone is actually bridging.

Our Approach: Add It When the Biology Needs Help

A bone growth stimulator is a wearable, FDA-cleared device that delivers low-level electrical or ultrasonic energy to a healing bone, supporting the cellular activity that fracture repair and surgical fusion depend on. It is an adjunct, added deliberately when your imaging and risk profile justify it — not a default for every fracture.

We add stimulation when healing is stalled or at elevated risk: fractures showing delayed union on follow-up imaging, established nonunions, and fusion patients with risk factors such as diabetes, smoking history, poor circulation, or a prior failed fusion. The decision is based on what your X-rays actually show over time.

Bone Growth Stimulation

Recognizing the Signs: When Healing Is Not on Track

Signs that a fracture or fusion may not be progressing include pain at the fracture site persisting well beyond the expected timeline, tenderness directly over the bone months after injury, and imaging that shows little change between follow-up visits.

Certain patients are flagged for closer monitoring from the start — those with diabetes, smokers, patients on long-term steroids, and anyone with a previous nonunion. In those cases we often plan for stimulation early rather than waiting to discover a problem months later.

Recovery: Consistency Is the Whole Game

Treatment is painless. Most devices are worn for a set period each day — commonly around twenty minutes, depending on the unit — over a course of weeks to months, guided by follow-up imaging.

The only variable that reliably determines whether stimulation helps is whether you actually use it on schedule. It works on the days it is worn. We help with insurance authorization, which most plans require for these devices, and monitor healing with imaging so the treatment ends when the bone is genuinely united rather than on an arbitrary date.

Common questions

Bone Growth Stimulation — your questions, answered

What is a bone growth stimulator?
A wearable device that delivers low-level electrical or ultrasonic energy to a healing bone, encouraging the cellular activity fusion and fracture repair depend on. It's FDA-cleared technology used for fractures that heal slowly and to support surgical fusions.
Who actually needs bone stimulation?
Patients whose healing is stalled or at risk: fractures showing delayed union on X-ray, fusion patients with risk factors — diabetes, smoking history, prior nonunion. It's an adjunct we add deliberately when your imaging and risk profile justify it, not a default.
Does using the stimulator hurt, and how long is it worn?
No — treatment is painless; most devices are worn minutes a day for a period of weeks to months, guided by follow-up imaging. Consistency is the whole game: it only works on the days you wear it.

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