How Shockwave Therapy Works for Peyronie’s Disease in Ottawa & Waterloo
Men over 40 in Ottawa, Waterloo, Kitchener, and Gatineau searching for a non-surgical Peyronie’s disease treatment now have a proven solution: shockwave therapy. At FocusWave Clinic, low-intensity extracorporeal shockwave therapy (LI-ESWT) safely breaks down penile plaque, reduces painful curvature, and often improves erectile function—without surgery or injections.
Understanding Peyronie’s Disease
Peyronie’s disease affects many men over 40, causing penile curvature, pain, and sometimes erectile dysfunction due to scar tissue (plaque) in the penis. For men in Ottawa and Waterloo seeking non-surgical solutions, FocusWave Clinic offers shockwave therapy—a safe, effective treatment to reduce symptoms and improve quality of life.
What Is Shockwave Therapy and How Does It Help?
Shockwave therapy, or low-intensity extracorporeal shockwave therapy (LI-ESWT), uses focused or linear shockwaves (true shockwave!) to break down scar tissue, improve blood flow, and promote tissue regeneration. For Peyronie’s disease, it targets the fibrous plaque causing curvature, reducing pain and improving penile function. Clinical studies show that shockwave therapy can reduce curvature by 20-40% in many cases, often within 6-12 sessions.
The Process at FocusWave Clinic
At our Ottawa and Waterloo clinics, shockwave therapy for Peyronie’s disease is simple and discreet:
Consultation: Our specialists assess your condition and medical history.
Treatment: Each 20 minute session delivers targeted true shockwaves to the affected area, with no downtime.
Results: Most patients notice reduced pain and improved curvature after a few weeks, with optimal results after completing the treatment plan.
Why Choose Shockwave for Peyronie’s?
Non-Invasive: Avoids surgery or injections, appealing to men seeking low-risk options.
Complementary Benefits: Often improves associated ED, a common issue for Peyronie’s patients.
Tailored for You: Our team, including pelvic floor physiotherapists, customizes treatment for men over 40 in Ottawa, Waterloo, and nearby areas like Kitchener and Gatineau.
Who Can Benefit?
Men over 40 with Peyronie’s disease, especially those with painful erections or curvature affecting intimacy, are ideal candidates. If you’re in Ottawa or Waterloo and seeking a discreet, effective solution, shockwave therapy could be the answer.
Start Your Journey to Relief
Peyronie’s disease doesn’t have to define your life. FocusWave Clinic in Ottawa and Waterloo offers advanced shockwave therapy to reduce curvature and restore confidence. Schedule your private consultation today to learn how we can help.
Visit www.focuswaveclinic.com or call 888-558-9283 to book your appointment at our Ottawa or Waterloo clinic. Take control of your men’s health now.
After speaking with more than 5,000 men in the last few years about their sexual dysfunctions, here’s what I’ve learned about Premature Ejaculation (PE):
Premature Ejaculation (PE) is defined as ejaculation during sex EARLIER than a man or his partner would like.
It is a common condition affecting about 1 in 3 guys during their lifetimes.
(yes – women can get PE, too. For now, let’s focus on the dudes).
Often, PE is strongly associated with other forms of sexual dysfunction, including ED, low libido, and sexual anxiety.
Many men (and their partners) suffer frustratingly in silence with this condition.
PE is often considered a problem that afflicts younger, sexually inexperienced patients – but surprisingly, prevalence doesn’t vary significantly across most age groups.
It can affect anyone at any time.
And it IS a problem.
It can lead to serious relationship difficulties, divorce, and depression.
WHY does PE happen?
There are a variety of different reasons.
Here’s the list. Pick your poison.
Anxiety & Stress
Genetics
Hypersensitivity of the Penis
Abnormal Serotonin Levels
Erectile Dysfunction
Hormonal imbalances
Lack of Sexual Experience
Relationship issues
Prostatitis or other infections
Medications
Performance Pressure
Hyperactive Ejaculatory Reflex
Early Sexual Conditioning
Depression
Low self esteem
Lack of sexual communication
Physical fatigue
Substance Abuse
Porn
Aging
Circumcision
Injury
There’s more – but you should be able to narrow it down.
It’s worth it to chat with a sexologist or naturopath who can help you figure it out if you can’t.
PE is divided into 2 categories: LIFELONG vs. ACQUIRED.
Just as it sounds – lifelong means you have always popped off too quick; acquired means it has developed over time, for whatever reason.
PE is then further divided into severity:
Mild, moderate, or severe.
This is based on your IELT – intravaginal ejaculatory latency time.
How long can you stay fully penetrated inside your partner until ejaculation?
(Similar data exists for homosexual partners as well)
Severe PE = IELT of 1 minute or less.
Moderate PE = IELT of 3 minutes or less
Mild PE = IELT of 5 minutes or less
So what it the RIGHT AMOUNT OF TIME that you should be able to maintain your erection before ejaculation?
How quick is too quick?
According to a recent survey of women about IELT, the ranges of intercourse activity times were defined as:
1-2 minutes: “too short”
3-7 minutes: “adequate”
7-13 minutes: “desirable”
13-30 minutes: “too long”
My wife and I have a super romantic code for whenever we want to get off.
It goes: “Hey, you got 13 minutes?”
Expectations for sexual intercourse should be well defined between couples.
Are you in it for a quickie?
Or do you want it to go long and sweaty?
Understanding your partners’ wishes and desires will go a long way towards defining your own.
But you need to be realistic.
Some patients will come into our clinic with severe PE and have totally bonkers notions about being able to last 30 minutes, shooting footlong ropes, and having multiple orgasms over several hours.
Guys – this is ridiculous.
You are watching too much porn.
What this IELT survey (and several others) tells us is that MOST partners DO NOT WANT you banging away at them for half an hour.
This isn’t to say that there aren’t some thirsty people out there who want to be pounded deep into the mattress – all the time, every time, for a really long time.
If that’s you – ok! Go for it!
No one is stopping you.
Power to you (and an ice pack).
But for regular, active, and normal sexual relations, a solid 10-15 minute session is all that’s needed for both partners to achieve their desired level of gratification.
So the big question is, and why you made it this far: HOW can I fix my PE?
There’s several answers here and you should consider them all.
1) Basic PE Training
There are a few physical training techniques which you can try at home, safely and carefully, to keep you from popping too quickly.
I’m not a fan of most of them, but they have some efficacy.
i) Condoms: Yes, they suck. But worth a try if you find yourself overly sensitive to a nice moist hole.
ii) Start & Stop: This is really the best move you can try. Stimulate yourself towards orgasm, then stop before you pop. Then start again. Start & Stop can be practiced via masturbation (think of it like banging a tennis ball against the wall), and eventually graduating to sexual activity with a partner. This is training for your cock.
iii) Squeeze: I’m not a fan of this move. Squeezing the head of your penis when you are about to orgasm is like covering your mouth when you are about to puke. It’s going to come out somewhere (this is a joke, of course). As well, if done improperly, the ‘Squeeze’ could lead to penile injury (yes, we’ve seen this before).
iv) Drugs: Pde5i medication, antidepressants, topical numbing agents. Horrible. Avoid like the plague. These are just masking the problem.
2) Change your Masturbation Technique
If you are one of the 92% of men who have masturbated regularly at one point in their lives, you have to consider that you may be doing it all wrong.
And by wrong, I mean: you are overstimulating yourself.
One of the first questions I ask PE patients: Are you a stroker – or a tugger?
Strokers do the old 5 knuckle shuffle by gliding their hand up and down their penis with (or without) lubrication, which closely simulates the act of sex.
Tuggers, on the other hand, tend to pull their penis, which most sex acts do not simulate.
In our clinic, we have noticed, that patients with acquired PE tend more likely to be strokers. If you are a stroker, and you ejaculate quickly during masturbation, how do you think this will translate to an actual sex act?
Likely not well.
Either learn to take your time while masturbating (Start & Stop) and practice lasting longer, OR change your technique.
If you can last longer while tugging, try sex positions that are like tugging.
3) Change your Ejaculation Frequency
While the science is somewhat mixed on what is deemed a healthy rate of ejaculation (a recent study showed that you should be blowing your load 21 times per month for the sake of your prostate), it’s far from settled as to what is the correct frequency for optimal health.
Sex is healthy and increases your testosterone levels.
Excess masturbation has been shown to reduce testosterone levels.
So it’s best to save your seed for your partner, always, but when in doubt, it’s safe to ‘take care of yourself’ to ‘get the poison out’.
But in excess, it’s likely to be detrimental.
If you or your partner feel that your masturbation is affecting your relationship, then it’s likely that you have a problem.
4) Pelvic Floor Physiotherapy
Training and Strengthening the Pelvic Floor is shown to improve PE and ED conditions
Awareness and timing of pelvic floor muscle contraction, pelvic exercises and rehabilitation of pelvic floor in lifelong premature ejaculation: 5 years’ experience
FST is painless, side effect free, and requires no medications or downtime.
Conclusion
Here’s some straight dope.
You may not like this, but: You really just need to learn how to fuck.
Much like toilet training – where you train your body to not piss yourself – you have to teach yourself to NOT come too quickly.
Maybe you developed some bad habits over the years.
It’s OK – these can be overcome.
Getting your mental game on point is critical.
You know how in the old comedy movies there was the old joke about a guy trying not to blow his top and he’s distracting himself ‘baseball, grandma crouching in a sundress, if train A leaves Chicago at 9am going 100 miles per hour, etc.).
This is real. If all you are thinking about is not coming too quickly, then you will come too quickly. No different than if I tell you to NOT think about a pink elephant…what are you going to think about??
Let your mind seek peace during the pleasure. Enjoy the moment. Don’t worry about the ending.
In combination with physical techniques and mental strategies, our goal is to get you lasting into the ‘desirable’ range (between 7-13 minutes) within just a few months.
No pills, no pain, and no surgery.
So give us a call – 888-558-9283 – and schedule a consultation with our team.
We specialize in the treatment of Erectile Dysfunction, Peyronie’s Disease, Chronic Pelvic Pain Syndrome, and BPH/Bladder Incontinence, as well.
There’s never been a better time to conquer this very solvable problem.
I’ve spoken with thousands of men over the last few years about their sexual dysfunction and performance issues.
Here’s what I’ve learned:
When it comes to Erectile Dysfunction (ED) – you aren’t alone. The inability to get or keep an erection is a very common problem.
Who is dealing with ED? The average age of our patient is 55 years old and ED is highly correlated with age.
Generally speaking, ED affects 20% of men over the age of 20, 30% of men over 30, and so on.
The older you get, the more likely you are to be dealing with it.
For most men, ED is highly treatable.
But like most health problems, it won’t go away on its own.
You have to be proactive and DO SOMETHING about it.
Causes of ED:
Psychological – this is the most common issue amongst younger men. Performance anxiety is much more prevalent amongst guys under the age of 30, but it can also affect older guys as well. Stress, bad sexual experiences, sexless marriages, porn addiction, excess masturbation, loss of libido and limited attraction to your partner – all can play a role in your inability to get or maintain an erection. SEX STARTS IN THE BRAIN. If you aren’t in the mood, or you are afraid that you won’t be able to perform, you can enter a vicious circle of sexual performance failure. Don’t let that happen. Get your mental game on point. Visit a sex therapist or sexologist who can help get you back on track.
Hormonal – if you are suffering from ED, a good place to start is with a visit to your doctor or naturopathic physician to check your testosterone levels. Low testosterone (aka Low T) is often viewed as the critical predisposition for andropause (male menopause). A decline in the body’s free levels of the male sex hormone may be the key to unlocking your ED mystery. The other key hormones to measure for are prolactin and cortisol. High concentrations of cortisol (the stress hormone) works inversely with testosterone, as they are both made from the same precursor molecule. The more stressed you are – the less testosterone you produce, the more cortisol you reproduce. Increased prolactin hormone (produced by the pituitary gland) may also bring about erectile disorder. Similar to cortisol, an increase in prolactin production can result in decreased testosterone secretion. Hypothyroidism or less active thyroid hormones may be the cause. Get your levels checked!
Vasculogenic – this is the most common cause of erectile dysfunction, especially in men over the age of 40. The connection between vasculogenic ED and cardiovascular disease is well established. ED is often called a harbinger of heart illness – as the arteries and veins that carry blood to and from the penis are some of the smallest in the body, and they are often the first affected by potential cardiovascular issues. A buildup of plaque in the arteries, or a possible venous leak (inflow of blood to the penis is sufficient but outflow is too rapid) may be the cause of a weak or nonexistent erection. Focused Shockwave therapy is the most effective, non-invasive, non-pharmaceutical option for patients looking to reverse vasculogenic ED. Combining with changes in lifestyle is critical to your success.
ED is a complex and frustrating medical condition.
Lifestyle, prescription drugs, low Nitric Oxide levels, and a host of other factors can contribute to your waning erectile function.
Call FocusWave Clinic in #ottawa and #kwregion for a free discovery call, and come in for a consultation with our trained nurses and health professionals.
Depression and/or anxiety disorders in men is much more common than the statistics suggest.
Although only 5% of adult men annually report clinical depression in the Western world, approximately 20% admit to experiencing some form of anxiety disorder each year.
These numbers are rising, and alarmingly so.
In recent polling, the percentage of U.S. adults who report having been diagnosed with depression at some point in their lifetime reached 29% in 2023, nearly 10 percentage points higher than in 2015.
In fact, all of these datapoints are likely to be vastly underreported due to social stigma associated with these disorders.
Weakness
Without getting too deep into the clinical definitions and biopsychology of these conditions, we can confidently say that both depression and anxiety are weaknesses.
And EVERY SINGLE ONE OF US have moments of weakness.
Some moments of weakness can last minutes.
Some can last days and weeks.
No one is immune.
Acknowledging this is CRITICAL.
So….
What’s eating at you?
What’s your problem?
WHAT IS YOUR WEAKNESS?
These are rhetorical questions because, here’s the thing:
It doesn’t really matter.
It doesn’t matter if your environment is toxic (bad partner, crap boss, shitty job, no friends),
And it doesn’t matter if you are not motivated to do what you NEED to do (exercise, eating well, sleeping well, etc)…,
And it doesn’t matter if you are blowing it with your lifestyle (Smoking, drinking, being a lazy fuck).
What matters is: you are feeling weak now.
And THAT is what needs to change.
Take it Easy
It’s OK if you are feeling down and struggling.
EVERYONE SUFFERS.
The pain you experience, however, is OPTIONAL.
So when I see a patient coming in with anxiety, or stress, or extreme sadness, the first thing I do is to put my hands up and tell them: “Take it Easy!”
And I often repeat it “….Take it Easy….”.
I know ‘taking it easy’ is sometimes easier said than done, but this is the simplest advice you can receive when it’s clear you are mentally exhausting yourself.
You need to REST and TAKE IT EASY.
I’m not telling you to lay down and quit.
I’m telling you to STOP, BREATHE, REST and TAKE IT EASY…so you can come back stronger and carry on.
Sex Starts in the Brain
Men take a lot of shit – we are expected to have more agency and control than women.
The former are usually seen as victimizer while the latter is often seen as a victim.
Nowadays, we hear more about the downsides of the ‘Patriarchy’ than we do the ills of ‘Feminism’.
When it comes to our health, unfortunately, we aren’t very good at admitting, or working to repair, what is ailing us.
It’s different for everyone as to the what, and the why; but generally speaking, men struggle to take charge and make changes to both their physical and mental health (as compared to women)
The effect of mental health issues on a man’s sexual wellness is significant.
And in like manner, a man’s sexual wellness can directly affect his mental health.
It’s a 2-way street filled with potholes, pedestrians and peril.
Here are 5 ways your depression or anxiety can impact your sexual wellness:
1. **Erectile Dysfunction (ED):** Men with depression or anxiety are at a higher risk of experiencing erectile dysfunction. The psychological stress associated with these conditions can interfere with the brain’s ability to send the necessary signals to trigger an erection.Sex ALWAYS starts in the brain.
2. **Reduced Libido:** Both depression and anxiety can lead to a decrease in sexual desire or libido. The emotional and physical fatigue associated with these mental health conditions often dampens sexual interest and enthusiasm.
3. **Premature Ejaculation (PE):** Anxiety, particularly performance anxiety, can contribute to premature ejaculation. The pressure to perform well can create a cycle of anxiety and rapid ejaculation.
4. **Difficulty Achieving Orgasm:** Depression and certain antidepressant medications can make it challenging to reach orgasm, contributing to sexual dissatisfaction.
5. **Relationship Strain:** Mental health issues can strain intimate relationships, leading to decreased emotional and physical intimacy. This strain can further exacerbate sexual health problems.
Addressing the Connection
Given the strong link between mental health and sexual wellness, it is crucial to address both aspects in treatment.
Men experiencing symptoms of depression or anxiety should consider seeking professional help, be it a therapist, sexologist, naturopath, or allopath.
Addressing these mental health issues can lead to improvements in sexual health and overall well-being.
At FocusWave Clinic, we are committed to providing comprehensive care that addresses both mental and sexual health. Our approach includes a combination of tailored treatment plans, where we can integrate mental health support, natural sexual health treatments, and a holistic solution to overall improve well-being and quality of life.
If you are experiencing symptoms of depression, anxiety, or sexual health issues, we encourage you to book a consultation with us.
Taking the first step towards treatment can significantly improve your mental and sexual wellness.
For more information or to schedule an appointment, visit www.focuswaveclinic.com or call us at 888-558-9283.
Prioritize your health and well-being this Men’s Health Awareness Month.
Warm regards,
Drew Klein, Certified Sexologist & Clinic Director
The patients who have the best results with shockwave therapy typically throw the Kitchen Sink at the problem.
At FocusWave Clinic, we always recommend patients be their own best advocate.
No one cares about your sexual health as much as you should.
The suggestions from the allopathic medical community usually involve drugs, injections or surgery – and we want you to avoid these at all costs.
It should be noted that these options are also not 100% guaranteed to work, and the side effects and risks are very real.
And so while shockwave is an amazing modality, we never stop there.
At FocusWave we use the Kitchen Sink strategy.
We throw everything at the wall and see what sticks.
Shockwave,
Nutrition,
Fitness,
Supplements,
Sex Therapy,
Functional Medicine,
Treatment Devices.
Who cares what works – let’s try it all.
For Erectile Dysfunction patients, we strongly encourage changes to improve vascular health (nutrition, fitness, sleep, stress, lifestyle) and the abandonment of non-natural prescription drugs.All of these can and will have deleterious effects on your erectile function.Adding Nitric Oxide supplementation and vacuum pumps can make a further difference.
For Chronic Pelvic Pains or Bladder Incontinence issues, we strongly recommend a visit to a pelvic floor physiotherapist in conjunction with your focused shockwave therapy treatment.
A visit to a naturopathic physician is always recommended for our patients.
We have access to the very best people to support your problem.
By following the Kitchen Sink strategy, and in conjunction with our unique FOCUSED shockwave therapy protocol, we have seen even further improvements in our patients.
In fact, we have seen positive developments in about 50% of the 30% expected non-responders, thus increasing the efficacy from 70% to about 85%.
Truly amazing.
I’m so happy (it makes me well up sometimes) when I hear patients and their success stories.
That said, I remain hyper focused and frustrated for the 15% who are still not seeing results.
I dwell on it and really push them to keep going.
The only thing we can keep doing is to ‘KitchenSink’ it.
You need to consider every option and take a 360 degree approach to slow the regression, and possibly reverse the conditions leading to the decline of your sexual wellness.
Let us help you.
We have access to the very best technology and support to get you on the right track.
Tip 4/30 – Is shockwave always effective treatment for ED?
My 12 year old son Billy knows more about men’s sexual health than any 12 year old probably should.
For someone who has limited experience with boners, he asks some pertinent questions.
The other day he said: “does everyone have the same kind of ED?”
“Good question buddy!”
And the answer is – NO.
Some guys have very mild Erectile Dysfunction – it might not feel as strong as before, but you can get the job done.
Others have more moderate and concerning symptoms – occasional failure to perform, declining libido.
And some present with severe symptoms – a complete inability to sustain an erection.
The majority of patients who come to see us suffer from vasculogenic ED, due to poor penile bloodflow.
In this case, focused shockwave therapy is highly effective.
It’s considered a first line therapy by the European Association of Urology for the treatment of Erectile Dysfunction.
Your ED might be vasculogenic in nature, and even then, focused shockwave therapy alone will prove difficult, or even impossible, to improve your condition. Significant and chronic blood flow issues are difficult to correct with short term therapy. It will require additional effort on your part.ED can be a harbinger of vascular illness, and patients should be well aware that atherosclerosis (hardening of arteries) can impede blood flow to the penis.
Your ED, however, might be hormonal in nature, and focused shockwave therapy alone, while providing ancillary vasculogenic benefits, might be of secondary importance to increasing your testosterone or correcting another hormonal imbalance. Are you taking medications that adversely affect erectile function?Talk to your prescribing physician or ask us about visiting an amazing Naturopathic Physician in your area. We have access to the very best available.
Your ED might be psychogenic in nature – and focused shockwave therapy, while it will eventually be used for neurology, cannot remove the dark clouds in your head. If you are anxious & depressed, or dealing with low libido and drive, or perhaps your partner is just unwilling – this may be the key driver. Sex starts in the brain. Talk to your doctor or ask us about finding a sex therapist in your area. We have access to the very best available.
How important is your sexual wellness and performance to you?
Leave the clinic and resume your daily activities, including sex!
In fact – we encourage it!
Isn’t it time to seek the help you need?
Call 888-558-9283 to complete your free intake call and book your initial consultation.
You’ll speak with our clinic director, Drew, who is a member of the International Society of Sexual Medicine and has an educational background in biology and a career in technology.
Drew has spoken with more than 4000 men and women in the last 3 years reading their specific and unique conditions.
Don’t be shy – he will not be.
Once at our clinic – you’ll meet with an amazing registered nurse who is also a certified shockwave therapy clinician.
He will run a battery of tests on you regarding your sexual wellness.
He will also perform a physical exam, go through your entire medical history, and teach you the specifics about how shockwave therapy works and how it might benefit your condition.
Once you are deemed a candidate for focused shockwave therapy – you can begin your treatment whenever you are ready.
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