Precise terminology is essential in medicine, and nowhere is this truer than in Shockwave medicine. A clear definition of Shockwave is essential for accurate research, safe patient care, and consistent outcomes. Yet, confusion still exists, particularly when Focused Shockwave and Radial Pressure Wave are mistakenly referred to as the same despite being distinct technologies with different mechanisms and clinical uses.
This comprehensive list provides clinicians with a straightforward, evidence-based glossary. Each section answers the question or definition directly, making it easy to revisit as a reference.
ESWT refers to Focused Shockwaves which penetrate deep into tissue and deliver targeted biological effects. These waves can reach 40–80 MPa within nanoseconds, traveling faster than sound in tissue. It is supported by robust clinical evidence and is a trusted option for:
By aligning with the accepted definition of Shockwave in medicine, ESWT provides reproducible outcomes and is recognized as the gold standard.
What is EPAT® / Radial Pressure Wave (RPW)?
Clinical uses include:
Radial Pressure Wave and Focused Shockwave are unique technologies, each with its own advantages and benefits. Additionally, the two modalities are highly complementary when used in combined treatment protocols.
Before Focused Shockwave and Radial Pressure Wave were applied in orthopedics, Extracorporeal Shockwave Lithotripsy (ESWL) was the first medical use of Shockwaves. In urology, ESWL fragments urinary stones, paving the way for broader use in musculoskeletal medicine.
This historical milestone set the stage for the development of modern Focused Shockwave treatment.
A noninvasive Shockwave-based technology used in neurology, primarily for Alzheimer’s dementia. TPS delivers low-intensity acoustic pulses through the skull to targeted brain regions, with studies suggesting benefits in blood flow, neuroplasticity, and cognitive function.
A non-invasive application of Shockwave technology in cardiology, CSWT delivers low-intensity pulses to ischemic heart tissue. Evidence indicates it may stimulate angiogenesis, improve myocardial perfusion, and support patients with coronary artery disease.
EMTT® generates high-frequency magnetic fields that penetrate deeply into tissue and ignite a cascade of biological effects, stimulating repair processes. Its clinical effects include:
It is important to note that EMTT® is not the same as PEMF. EMTT® delivers higher intensity, greater biological impact, and documented regenerative potential.
PEMF therapy applies low-frequency electromagnetic fields and has long been used in rehabilitation. However, compared to EMTT®, it is less intense and produces weaker biological effects.
The distinction between PEMF and EMTT® is important as it ensures that clinicians' treatment decisions are based on accurate definitions and realistic expectations.
Device choice should align with clinical indication and the definition of Shockwave in practice.
Physics drives outcomes, and reporting aligned with the definition of Shockwave parameters ensures reproducibility and comparability across studies. Key terms every provider should know include:
There are three primary methods of generating Shockwaves, each shaping the definition of Shockwave energy in clinical practice:
Understanding the definition of Shockwave and the technologies behind it ensures accurate communication, strengthens clinical decision-making, and aligns practice with evidence-based standards.
Accurate reporting and documentation aligned with IEC standards ensure consistent results and comparability across practices.
For additional information, watch the Institute Webinar: Demystifying Shockwave – The Technologies. The Evidence. The Truth. This informative webinar features Prof. Dr. Karsten Knobloch who cuts through common misconceptions and highlights what truly defines Shockwave medicine.
— Dr. Anthony DuBose, MD, Stanford University Occupational Health Center, DuBose Medical Group
CuraMedix is proud to represent STORZ Medical as the leading full-service U.S. distribution partner supporting the complete suite of Radial Pressure Wave, Focused Shockwave, and “High Energy” Magnetotransduction (EMTT®) devices.
👉 Check out the complete suite of CuraMedix devices, powered by STORZ Medical
✓ Focused Shockwave = deep targets; Radial Pressure Wave = fascia, closer to the skin’s surface; EMTT® = regenerative synergy.
✓ Always pair device use with rehabilitation and load management.
✓ IEC standards support reliable reporting and reproducible outcomes.
✓ Clarifies how Focused Shockwave and Radial Pressure Wave work individually and together for optimal results.
✓ Improves treatment decisions and patient safety.
✓ Builds consistency across protocols and specialties.
✓ EFD ≠ pressure; EFD is the gold reporting standard.
✓ Coupling quality directly affects energy delivery.
✓ IEC standards require documentation beyond “level” and Hz.
Precise terminology is critical in Shockwave medicine. To help reduce confusion and support evidence-based practice, this glossary summarizes key terms, devices, and generator types at a glance.
Clear language matters. It’s more than semantics, as it is essential to ensure safe, effective, and evidence-based use of Shockwave technologies. By distinguishing between ESWT, EPAT®/RPW, EMTT®, PEMF, and ESWL, medical professionals can avoid missteps, improve patient outcomes, and align their documentation and protocols with international standards.
Ready to learn how Shockwave and EMTT® can strengthen your practice? Connect with one of the experts on the CuraMedix team today to explore the best options for your patients and your practice.