EXHIBIT 10.1

FIRST AMENDMENT TO CREDIT AGREEMENT

        THIS FIRST AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) is made and
entered into as of April 14, 2008 by and among HEALTHTRONICS, INC., a Georgia
corporation (the “Company”); each of the Lenders which is or may from time to
time become a party to the Credit Agreement (as defined below) (individually, a
“Lender” and, collectively, the “Lenders”), and JPMORGAN CHASE BANK, N.A.,
acting as administrative agent for the Lenders (in such capacity, together with
its successors in such capacity, the “Administrative Agent”).

RECITALS

        A.        The Company, the Lenders and the Administrative Agent executed
and delivered that certain Credit Agreement dated as of March 23, 2005. Said
Credit Agreement, as amended, supplemented and restated, is herein called the
“Credit Agreement”. Any capitalized term used in this Amendment and not
otherwise defined shall have the meaning ascribed to it in the Credit Agreement.

        B.        The Company, the Lenders and the Administrative Agent desire
to amend the Credit Agreement in certain respects.

        NOW, THEREFORE, in consideration of the premises and the mutual
agreements, representations and warranties herein set forth, and further good
and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, the Company, the Lenders and the Administrative Agent do hereby
agree as follows:

        SECTION 1. Amendments to Credit Agreement.

        (a)     The definition of “Revolving Commitment ” set forth in Section
1.01 of the Credit Agreement is hereby amended to read in its entirety as
follows:

              “Revolving Commitment” means, with respect to each Lender, the
commitment, if any, of such Lender to make Revolving Loans and to acquire
participations in Letters of Credit and Swingline Loans hereunder, as such
commitment may be (a) reduced from time to time pursuant to Section 2.07 and (b)
reduced or increased from time to time pursuant to assignments by or to such
Lender pursuant to Section 9.04. The initial amount of each Lender’s Revolving
Commitment is set forth on Schedule 2.01, or in the Assignment and Assumption
pursuant to which such Lender shall have assumed its Revolving Commitment, as
applicable. The initial aggregate amount of the Lenders’ Revolving Commitments
is $60,000,000.

        (b)     Section 6.07 of the Credit Agreement is hereby amended to read
in its entirety as follows:

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              SECTION 6.07 Restricted Payments. Except as identified on Schedule
6.07, Borrower will not, nor will it permit any of its Subsidiaries (other than
Excluded Subsidiaries) to, declare or make, or agree to pay or make, directly or
indirectly, any Restricted Payment, or incur any obligation (contingent or
otherwise) to do so, except (i) Borrower may declare and pay dividends with
respect to its Equity Interests payable solely in additional shares of its
common stock, (ii) Subsidiaries of Borrower may declare and pay dividends
ratably with respect to their Equity Interests, (iii) Borrower may, from time to
time, pay dividends or make other payments in respect of Borrower’s common stock
or common stock options or similar plans maintained by Borrower, and (iv) so
long as no Default or Event of Default shall have occurred and be continuing,
the Borrower may repurchase Equity Interests in Borrower in an aggregate amount
not to exceed, from and after April 14, 2008, $10,000,000.

        (c)     Section 6.14(a) of the Credit Agreement is hereby amended to
read in its entirety as follows:

            (a)        the aggregate consideration paid by Borrower and the
other Loan Parties (exclusive of consideration in the form of Equity Interests
in and to Borrower and exclusive of consideration paid in connection with the
acquisition of Advanced Medical Partners, Inc. scheduled to close on or about
April 17, 2008), in the aggregate in any twelve (12) month period commencing
after April 14, 2008, in connection with such acquisitions (including the
present value of any Earn-Out Indebtedness, determined using assumptions
reasonably acceptable to the Administrative Agent) shall not exceed $30,000,000;

        (d)     Schedule 2.01 of the Credit Agreement is hereby amended to be
identical to Schedule 2.01 attached hereto.

        (e)     Schedule 3.12 of the Credit Agreement is hereby amended to be
identical to Schedule 3.12 attached hereto.

        SECTION 2. Amendment Fee. The Borrower shall pay to each Lender an
amendment fee in the amount of $5,000.

        SECTION 3. Ratification. Except as expressly amended by this Amendment,
the Credit Agreement and the other Loan Documents shall remain in full force and
effect. None of the rights, title and interests existing and to exist under the
Credit Agreement are hereby released, diminished or impaired, and the Company
hereby reaffirms all of its covenants, representations and warranties in the
Credit Agreement.

        SECTION 4. Expenses. The Company shall pay to the Administrative Agent
all reasonable fees and expenses of its legal counsel incurred in connection
with the execution of this Amendment.

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       SECTION 5. Certifications. The Company hereby certifies that (a) no
material adverse change in the assets, liabilities, financial condition,
business or affairs of the Company has occurred since December 31, 2007 and (b)
subject to the waiver set forth herein, no Default or Event of Default has
occurred and is continuing or will occur as a result of this Amendment.

       SECTION 6. Miscellaneous. This Amendment (a) shall be binding upon and
inure to the benefit of the Company, the Lenders and the Administrative Agent
and their respective successors, assigns, receivers and trustees; (b) may be
modified or amended only by a writing signed by the required parties; (c) shall
be governed by and construed in accordance with the laws of the State of Texas
and the United States of America; (d) may be executed in several counterparts by
the parties hereto on separate counterparts, and each counterpart, when so
executed and delivered, shall constitute an original agreement, and all such
separate counterparts shall constitute but one and the same agreement and (e)
together with the other Loan Documents, embodies the entire agreement and
understanding between the parties with respect to the subject matter hereof and
supersedes all prior agreements, consents and understandings relating to such
subject matter. The headings herein shall be accorded no significance in
interpreting this Amendment.

NOTICE PURSUANT TO TEX. BUS. & COMM. CODE §26.02

        THE CREDIT AGREEMENT, AS AMENDED BY THIS AMENDMENT, AND ALL OTHER LOAN
DOCUMENTS EXECUTED BY ANY OF THE PARTIES PRIOR HERETO OR SUBSTANTIALLY
CONCURRENTLY HEREWITH CONSTITUTE A WRITTEN LOAN AGREEMENT WHICH REPRESENTS THE
FINAL AGREEMENT BETWEEN THE PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF
PRIOR, CONTEMPORANEOUS OR SUBSEQUENT ORAL AGREEMENTS OF THE PARTIES. THERE ARE
NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.

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        IN WITNESS WHEREOF, the Company, the Lenders and the Administrative
Agent have caused this Amendment to be signed by their respective duly
authorized officers, effective as of the date first above written.

Schedule 2.01 – Commitments
Schedule 3.12 – Consolidated Entities

       

HEALTHTRONICS, INC.,
a Georgia corporation

      By:   /s/ Ross A. Goolsby          

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Ross A. Goolsby,

Senior Vice President and Chief Financial Officer

[signature pages to First Amendment to Credit Agreement]

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JPMORGAN CHASE BANK, N.A., individually
and as Administrative Agent

      By:   /s/ Daryl Parrish          

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            Name:
Title:  

Daryl Parrish

Vice President

[signature pages to First Amendment to Credit Agreement]

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BANK OF AMERICA, N.A.

      By:   /s/ Dan Penkar          

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            Name:
Title:  

Daniel Penkar

S.V.P.

        [signature pages to First Amendment to Credit Agreement]

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WACHOVIA BANK, NA

      By:   /s/ George L. Woolsey          

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            Name:
Title:  

George L. Woolsey

S.V.P.

[signature pages to First Amendment to Credit Agreement]

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        The undersigned hereby join in this Amendment to evidence their consent
to execution by Borrower of this Amendment, to confirm that each Credit Document
now or previously executed by the undersigned applies and shall continue to
apply to the Credit Agreement, as amended hereby, to acknowledge that without
such consent and confirmation, Banks would not execute this Amendment and to
join in the notice pursuant to Tex. Bus. & Comm. Code §26.02 set forth above.

    AMCARE HEALTH SERVICES, INC.,        a Pennsylvania corporation      AMCARE,
INC., a California corporation      FLORIDA LITHOLOGY NO. 2, INC., a Florida
corporation      HEALTHTRONICS SERVICE CENTER, LLC      a Delaware limited
liability company      INTEGRATED HEALTH CARE MANAGEMENT CORP.,      a Delaware
corporation      INTEGRATED HEARING SERVICES, INC.,      a Delaware
corporation      INTEGRATED LITHOTRIPSY OF GEORGIA, INC.,      a Georgia
corporation      INTEGRATED ORTHOTRIPSY, INC.,      a Delaware corporation     
LITHO GROUP, INC., a Delaware corporation      LITHO MANAGEMENT, INC., a Texas
corporation      LITHOTRIPTERS, INC., a North Carolina corporation      MEDSTONE
INTERNATIONAL, INC.,      a Delaware corporation      MIDWEST CAMBRIDGE INC., an
Illinois corporation      NGST, INC., a Tennessee corporation      N.Y.L.S.A. #4
INC., a Delaware corporation      PRIME KIDNEY STONE TREATMENT, INC.,      a New
Jersey corporation      PRIME LITHOTRIPSY SERVICES, INC.,      a New York
corporation      PRIME LITHOTRIPTER OPERATIONS, INC.,      a New York
corporation      PRIME MANAGEMENT, INC., a Nevada corporation      PRIME MEDICAL
OPERATING, INC.,      a Delaware corporation      SUN MEDICAL TECHNOLOGIES,
INC.,      a California corporation      SURGICENTER MANAGEMENT, INC.,  

        [signature pages to First Amendment to Credit Agreement]

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a Delaware corporation
T2 LITHOTRIPTER INVESTMENT, INC.,
a Delaware corporation

      By:   /s/ Ross A. Goolsby          

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Ross A. Goolsby,

Chief Financial Officer

       

HT LITHOTRIPSY MANAGEMENT COMPANY,
L.L.C., a Delaware limited liability company
HT PROSTATE SERVICES, L.L.C.,
a Delaware limited liability company
HT PROSTATE THERAPY MANAGEMENT
COMPANY, L.L.C., a Delaware limited liability company
KCPR, LLC, a Texas limited liability company
KEYSTONE ABG, LLC,
a Pennsylvania limited liability company
ROCKY MOUNTAIN PROSTATE THERMOTHERAPY
LLC, a Colorado limited liability company
SOUTH ORANGE COUNTY LITHOTRIPTERS, L.L.C.,
a California limited liability company

      By:   /s/ Ross A. Goolsby          

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Ross A. Goolsby,

Chief Financial Officer

       

HEALTHTRONICS GROUP, L.P.,
a Delaware limited partnership

By: PRIME MEDICAL OPERATING, INC.,
       a Delaware corporation, General Partner

      By:   /s/ Ross A. Goolsby          

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Ross A. Goolsby,

Chief Financial Officer

[signature pages to First Amendment to Credit Agreement]

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MISSISSIPPI ORTHOTRIPSY ASSOCIATES, LP,
a Mississippi limited partnership

By: INTEGRATED ORTHOTRIPSY, INC.,
       a Delaware corporation, General Partner

      By:   /s/ Ross A. Goolsby          

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Ross A. Goolsby,

Chief Financial Officer

[signature pages to First Amendment to Credit Agreement]

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Lender

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Revolving Commitments (as of
April 14, 2008)

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JPMorgan Chase Bank, National     $ 25,000,000   Association   Bank of America,
N.A.   $ 25,000,000   Wachovia Bank, NA   $ 10,000,000  

SCHEDULE 2.01

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SCHEDULE 3.12

SUBSIDIARIES OF BORROWER

WHOLLY-OWNED SUBSIDARIES
(WHETHER DIRECT OR INDIRECT)

CORPORATE ENTITIES: Subsidiary State
Formed EIN Holder Class
Series Outstanding ClariPath Laboratories, Inc. DE 20-3572686 HealthTronics,
Inc. Common 1,000  Litho Management, Inc. TX 75-2679382 HealthTronics, Inc.
Common 1,000  Lithotripters, Inc. NC 56-1587298 HealthTronics, Inc. Common
40,000  Medstone International Incorporated DE 66-0439440 HealthTronics, Inc.
Common 1,000  Prime Management, Inc. NV 88-0343988 HealthTronics, Inc. Common
1,000  Prime Medical Operating, Inc. DE 13-2734997 HealthTronics, Inc. Common
1,000  Surgicenter Management, Inc. DE 54-2131620 HealthTronics, Inc. Common
1,000  Florida Lithology No. 2, Inc. FL 76-0702100 HealthTronics, Inc. Common
1,000  Litho Group, Inc. DE 52-2173283 HT Lithotripsy Management
Company, LLC Common 100  Amcare Health Services, Inc. PA 23-2204440 Litho Group,
Inc. Common 1,000  Amcare, Inc. CA 95-3806742 Litho Group, Inc. Common 60,823 
Integrated Hearing Services, Inc. DE 58-1843123 Litho Group, Inc. Common 100 
Integrated Lithotripsy of Georgia, Inc. GA 76-0702098 Litho Group, Inc. Common
100  Midwest Cambridge, Inc. IL 36-3299486 Litho Group, Inc.   10,000 
N.Y.L.S.A. #4 Inc. DE 36-3605989 Litho Group, Inc. Common 100  T2 Lithotripter
Investment, Inc. DE 58-2060925 Litho Group, Inc. Common 500  West Coast
Cambridge, Inc. CA 33-0114423 Litho Group, Inc. Common 10,000  Alabama Renal
Stone Institute, Inc. AL 63-0894773 Prime Lithotripsy Services, Inc. Common
1,000  Prime Kidney Stone Treatment, Inc. NJ 22-3167335 Prime Lithotripsy
Services, Inc. Common 1,000  NGST, Inc. TN 62-1611057 Prime Lithotripter
Operations, Inc. Common 2,260  Prime Lithotripsy Services, Inc. NY 11-2560396
Prime Medical Operating, Inc. Common 60  Prime Lithotripter Operations, Inc. NY
13-3044748 Prime Medical Operating, Inc. Common 200  Sun Medical Technologies,
Inc. CA 77-0254359 Prime Medical Operating, Inc. Common
Preferred-A
Preferred-B 5,385,313 
3,853,475 
12,703,265  Integrated Orthotripsy, Inc. DE 52-2098147 SurgiCenter Management,
Inc. Common 1,000 

[signature pages to First Amendment to Credit Agreement]

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SCHEDULE 3.12 CONTINUED

WHOLLY-OWNED SUBSIDIARIES
(WHETHER DIRECT OR INDIRECT)

NON-CORPORATE ENTITIES:

1. HealthTronics Group, L.P. DE 74-2757440 2. HealthTronics Medical, L.L.C. DE
26-0181319 3. HealthTronics Service Center, L.L.C. DE 22-2477772 4.
HealthTronics TotalRad, LLC DE N / A 5. HT Lithotripsy Management Company,
L.L.C. DE 58-2580207 6. HT Prostate Services, L.L.C. DE 20-0205272 7. HT
Prostate Therapy Management Company, L.L.C. DE 41-2055763 8. KCPR, LLC TX
26-0036765 9. Keystone ABG, LLC PA 23-3081712 10. OKS Prostate Services, LP DE
20-2556760 11. Rocky Mountain Prostate Thermotherapy LLC CO 84-1515539

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SCHEDULE 3.12 CONTINUED

WHOLLY-OWNED SUBSIDARIES
(WHETHER DIRECT OR INDIRECT)

FOREIGN ENTITIES:

Foreign Subsidiaries Country of
Formation 1. HealthTronics GmbH Switzerland 2. HMT Holding AG Switzerland

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SCHEDULE 3.12 CONTINUED

EXCLUDED SUBSIDARIES

% Owned by the
Companies

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1. Advanced Medical Partners, Inc. 7887 shares  2. Advanced Urology Services,
LLC 56.69 3. Alaska Extracorporeal Shockwave Therapy, LLC 20.00 4. Allied
Urological Services, LLC 19.10 5. ARKLATX Mobile Lithotripter Limited
Partnership 18.558 6.
Bay Area Partners, Ltd. 15.00 GP 
23.7547 LP  7. Beltway Urology Services Limited Partnership 10.00 8. Buckeye
Urological Services, L.P. 13.6652 9. Cascade Laser Services, L.L.C. 33.33 10.
Chesapeake Lithotripsy Ventures, Limited Partnership 5.00 LP  11. Chesapeake
Lithotripsy West, Limited Partnership 5.00 LP  12. ClariPath Laboratories, Inc.
90.00 13. Cobb Laser Services, L.L.C. 20.00 14. Cobb Stone Treatment Group, LLC
1.00 15. CryoPartners, LLC 11.00 16. Dallas Lithotripsy L.P. 28.573 17. Diamond
State Lithotripsy, LLC 7.14 LP  18. EDAP TMS 200,000 
American 
depository 
shares  19. Fayetteville Lithotripters Limited Partnership - Arizona I 43.112
20. Fayetteville Lithotripters Limited Partnership - Arkansas I 10.000 21.
Fayetteville Lithotripters Limited Partnership - Louisiana I 17.7650 22.
Fayetteville Lithotripters Limited Partnership - South Carolina II 20.000 23.
Fayetteville Lithotripters Limited Partnership - Virginia I 31.807 GP 
0.473 LP  24. Florida Lithology, Ltd. 25.025 GP 
20.000 LP  25. Galaxy Lithotripsy, LLC 24.00 26. Georgia Litho Group, LLLP 15.20
27. Great Lakes Laser Services, L.P. 15.000 28. Great Lakes Lithotripsy
Partnership Limited Partnership 17.073 GP 
0.599 LP  29. Greater Alabama Lithotripsy, L.L.C. 10.000 30. Greater Atlanta
Lithotripsy, LLC 34.439 31. Greater Nebraska Lithotripsy, LLC 55.90 32. Gulf
Coast II Lithotripsy, L.P. 25.00 33. Gulf South Lithotripsy 22.4302 34. High
Plains Lithotripsy, LLC 52.118 35. Kansas Lithotripsy, LLP 5.00 36. Kentucky I
Lithotripsy, LLC 18.512 37. Keystone Lehigh Valley Mobile Partners, L.P. 100% of
the GP 
interest & 
34.45% of the LP 
interest 

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% Owned by the
Companies

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38. Keystone Mobile Partners, L.P. 20.45 GP
14.00 LP 39. Keystone Mobile Services, L.P. 25 GP
25.89 LP 40. Lithotripsy Institute of Indiana, LLC 3.4482402 41. Lithotripsy
Leasing, LLC 5.26 42. Lithotripsy of Northern Indiana, LLC 49.999999 43.
Louisiana Lithotripters Investment Limited Partnership 1.202 GP
0.043 LP 44. Metro Lithotripsy, LLC 10.00 45. Midwest Urologic Stone Unit
Limited Partnership 15.937800 46. Mississippi Lithotripters Limited Partnership
20.00 47. Mississippi Orthotripsy Associate, L.P. 39.000 48. Mobile Bay
Lithotripsy, LLC 43.559 49. Mobile Kidney Stone Centers of California II, L.P.
41.803 50. Mobile Kidney Stone Centers of California III, L.P. 44.442 GP
21.112 LP 51. Mobile Kidney Stone Centers of California, Ltd. I 37.75 52.
Montana Urological Services, LLC 10.00 53. New Jersey Kidney Stone Center, LLC
9.243700 54. New Jersey Urological Services, LLC 20.00 55. Northeast Tennessee
Lithotripsy Partners L.P. 5.000 56. Northern Nevada Lithotripsy, LLC 20.00 57.
Orthotripsy Services of Atlanta, L.P. 19.00 58. OssaTron Services of Southern
Kansas, L.P. 98.00 59. OssaTronics of Houston, LLC 55.00 60. Pacific Medical
Limited Partnership 33.902 GP
15.648 LP 61. ProMobile Therapies, LLC 5.000 62. Prostate Laser Technologies,
LLC 20.00 63. Prostate Therapy Associates, L.L.C. 20.00 64. Red River Urological
Services L.P. 23.531 GP
49.412 LP 65. Reston Lithotripsy Limited Partnership 20.105 66. Rocky Mountain
Laser, L.P. 10.000 67. Sacramento ESL Services, L.L.C. 15.000 68. San Diego
Lithotripters Limited Partnership 28.162 GP
7.932 LP 69. SanuWave, Inc. 4054 shrs  70. SI Lithotripsy, L.L.C. 1.000 71.
South Kansas Lithotripsy, LLP 5.560 72. South Orange County Lithotripters,
L.L.C. 15.000 73. South Orange West Coast JV NA  74. Southern California Stone
Center, L.L.C. 32.50 LP  75. Sullivan County Lithotripsy Services 10.00 76.
Sunshine Urological Services, L.P. 20.00 GP
3.00 LP 77. Tennessee Lithotripters Limited Partnership I 23.012 78. Tenn-GA
Stone Group Two, a general partnership 15.168539 79. Texas Lithotripsy Limited
Partnership III L.P. 19.881

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% Owned by the
Companies

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80. Texas Lithotripsy Limited Partnership V L.P. 20.00 81. Texas Lithotripsy
Limited Partnership VIII 15.7383 GP
2.1873 LP 82. Theralogix II, LLC 15% Class B 83. TotalRad OpCo, LLC 29.80 84.
Treasure Valley Urology Services, LLC 10.00 85. Utah Lithotripsy L.P. 19.370 86.
Washington Urological Services, LLC 22.905 87. West Coast Litho Services, L.L.C.
54.638 88. Western Kentucky Lithotripters Limited Partnership 16.000 89. Wyoming
Urological Services, LP 22.403

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