Metal in wrist - will I be able to get Emsculpt Neo? (Photo)

Question

I am wanting to do the Emscuplt Neo my abdomen and Emsculpt on my glutes. The NP feels this is an issue.

Connie Hiers, MD, FACS · Answer

The literature says no, but others have been treated when the metal was not close to the area being treated. The problem with hardware is that the treatment may begin to heat the adjacent tissue, but sensory nerves were cut when the plate was placed and you do not notice damage is occurring.  I certainly would not treat someone with a total hip, knee or shoulder, or a lot of metal in the back.  It's best to avoid treatment.  If your provider decides to treat you, you may have to sign an additional waiver.

Thomas D. Berg, MD · Answer

Short answer - we would allow you to undergo the procedure at our office. 
Long answer - Any metal can be a serious issue given the electromagnetic fields produced in emsculpt. Absolutely no wired devices (can induce electrical currents and burn, or deactivate or deflect the device, or result in arrhythmia and fatal events). Metal in the soft tissues has the potential to heat up and cause local tissue discomfort and burns or in rare cases can deflect / move (typically ok after 6 weeks of scarring in). As in MRI scanning we would ask the patient to monitor the area and report if there is any discomfort or abnml sensation in the area of the metal while proceeding (unless the metal is in a critical location near vital structures - ie aneurysm clips and of course not in the immediate treatment area). For clients with metal in the bone (following fracture repair as in this case or total joints etc ) at our practice we advise similar warnings to monitor the area for ANY discomfort or unusual sensations and do not recommend treating directly over the implanted metal unless it is at perceived safe depth beyond the range of penetration of emsculpt devices. Absolutely no ferromagnetic earrings or other superficial piercings in the area treated. The performing practice / physician on site or providing oversight should individually ok or monitor each instance on a case by case basis to ensure a safe treatment environment. Emsculpt and emsella produce a localized magnetic field which is different than an MRI suite where the magnetic field is diffuse and always on. Emsculpt and emsella are dependent on the depth of penetration of the magnetic field which can result in greater safety than originally thought in many cases. 
These are not blanket rules for every site and clinical decisions regarding treatment are ultimately the responsibility of the performing physician / practice who should institute guidelines for their site they and their staff are comfortable adhering to&hellip; And review each case on a cases by case basis! 
You can help your local provider by providing as much DETAILED information about the device, location and characteristics exactly how you have done for us in this case with the radiograph. 
Alternative muscle stimulation therapy devices such as TruSculpt flex which is direct bioelectrical stimulation device with limited penetration may be an alternative option in difficult cases.

Metal in wrist - will I be able to get Emsculpt Neo? (Photo)

Answers (2)

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