How the MASTERPULS® icon has changed my daily practice – An interview with Paul Hobrough

Paul Hobrough , a leading expert in elite sports and musculoskeletal practice, was one of the first clinicians globally to integrate the MASTERPULS® icon into daily practice. In this interview, he discusses how this next-generation radial shockwave system has refined his treatment philosophy and patient outcomes. A Shift in Tissue Response and Precision: For Hobrough, the first impression was the "deliberate and precise" behavior of the energy in the tissue. "It felt more controlled," he explains. This precision allows for intelligent dosing —delivering the right energy rather than just more energy—which is central to his regenerative therapy blueprint. Key Innovations and Clinical Benefits:. Enhanced Patient Tolerance: Patients report that the treatment feels "deeper but smoother," with less superficial irritation. This allows Hobrough to reach therapeutic pulse counts more quickly while maintaining patient comfort., The Quick-Lock Mechanism: This feature allows for seamless transmitter changes in seconds. Hobrough now switches transmitters multiple times per session to match tissue depth and density, making treatments truly individualized., High-Frequency Burst Mode: By delivering rapid pulses, the system influences nociceptive perception, making patients less reactive while still receiving a meaningful therapeutic stimulus., "Endurance" Handpiece Ergonomics: Designed to prevent forearm fatigue during long clinical days, the handpiece balance supports a "pen-grip" technique, and the integrated display keeps the clinician focused on the patient. Integrated Workflow with V-ACTOR®. Hobrough utilizes the V-ACTOR® vibration therapy briefly at the start of a session (approx. 30 seconds) to settle superficial sensitivity. This prepares the tissue for the shockwave phase, creating a clinically logical and efficient integrated protocol. Conclusion. "The MASTERPULS® icon represents a step forward in how radial shockwave can be delivered," says Hobrough. It aligns with the future of musculoskeletal care: more precision, better tolerance, and modern technology that matches the progressive thinking of high-level clinicians.