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DolorClast® Focused Shock Waves

Extracorporeal shock wave therapy (ESWT) uses acoustic pulses to treat certain musculoskeletal disorders. It is a well-studied and commonly used treatment modality for a variety of musculoskeletal conditions. Focused Extracorporeal Shock Wave Therapy (fESWT) is used successfully for: 

  • Deep indications, such as Calcifying tendinitis of the shoulder
  • Sub-acute or chronic pathologies
  • Deep calcified lesions or myotendinous tears, nonunions fractures or enthesopathies located on the elbow and recalcitrant to heal

Do you wonder how focused shock wave therapy works? 
Click to access the recently published e-book:

Which shock waves are most effective?

The formula is simple: the more energy delivered into the tissue, the better the therapeutic outcome

The compression phase in focused ESWT is usually shorter than in radial ESWT.

The maximum pressure P+ in focused ESWT is usually higher than in radial ESWT.

Both focused and radial ESWT can reach an ED+ of 0.4 mJ/mm2, which has been clinically proven to be sufficient for almost all ESWT indications on the musculoskeletal system and the skin.


Pressure characteristics
Early phase

Focused shock wave visualization

1,000 pressure waves (P+ wave front) penetrate the skin and travel through the tissue focusing on a cigar-shaped volume (midpoint focus).

A depression phase (P-) follows, generating cavitation bubbles. These bubbles collapse causing secondary shock waves.

Late phase

fswt ebook

Download our e-book on the DolorClast® Focused Shock Waves

Download a complete e-book on focused shockwave therapy now and get answers to all your questions: 

- How are focused shockwaves created?
- How do they act on the musculoskeletal system? 
- How does the body react to fSWT?

And much more!


What is DolorClast® Focused Shock Waves? 


Extracorporeal Shock Wave Therapy (ESWT) is the application of Shock Waves in medicine.

It is clinically proven that pressure waves, when applied to injured tissues, stimulate metabolic reactions:

  • Reduction of pain felt by nerve fibers
  • Increase of blood circulation in surrounding soft tissues
  • Beginning of healing process triggered by stem cells activation