Acoustic and Radial Shockwave Therapy ​and Physiological Massage

Nordic Health Center

Stimulation of microcirculation (blood, lymph) and metabolism (nitrous oxide, vasodilation, reduction of oxidative stress)

  • Mechano transduction – cell matrix stimulation
  • Release of NO (eNOS)
  • Antibacterial and anti-inflammatory effect
  • Stimulation of growth factors (e.g. VEGF)
  • Stimulation of stem cells i.e. cell proliferation, transport and differentiation (skin rejuvenation, tissue    regeneration) 

In 2012 Hayashi et al. showed that shock wave therapy enhances skin wound healing in diabetic mice. The study disclosed that eNOS (endothelial Nitric Oxide Synthase) and VEGF (Vascular Endothelial Growth Factor) significantly contribute to the beneficial effect of shock waves in wound healing. Both factors are responsible for the neovascularization and wound closure (see »Literature« on last page). 

About shock wave therapy 

....after 5th treatment....

It is noted that the surrounding skin has also improved its texture and health.

The treatment done by:

DC. E. Pedersen and Elisabeth Stark Wetke Hallgren, Denmark

……. and after 5 treatments. 

An European woman, 75 years old, with a typical non-healing wound over the anterior tibia bone.

It is noted that the skin of the surrounding skin is unhealthy but the bony structure is intact. 

Wound HealingCases


  1. Depending on the extent and type of the wound parameters can vary.
  2. Direct treatment of the wound with a sterile film and ultrasound gel for transmission, additional treatment of upstream tissue.
  3. Pre/after documentation (pictures/measurement of wound size)

     Conservative wound care is typically maintained during shock wave therapy.

Treatment process recommendation with C-ACTOR® hand piece 

  • Non-invasive therapy
  • Negligible side effects
  • No anesthesia
  • Ambulant procedure 
  • Long lasting effects 
  • Non-healing wounds
  • Diabetic gangrene
  • Ulcera (diabetic)
  • Ulcera (non-diabetic)
  • Skin burns  



SPECT recordings before and 6 months after shock wave treatment document clinical improvements* 

baseline                           6 months follow up        

Shock waves initiate healing processes 

Reliable electromagnetic shock wave generation

The method of electromagnetic shock wave generation is based on the physical principle of electro- magnetic induction, as used for example in loudspeakers. The arrangement of coil and membrane is optimized to generate powerful and short acoustic pulses, an ideal form of shock waves for indications close to skin surface, like non-healing wounds.

Electromagnetically generated shock waves are preferably used in the treatment of wound healing disorders. The energy level and the shock wave field warrant an exact treatment of the wound. 

Clinical experience with shock waves indicates a promising therapy in the field of wound healing. Originally only used for the disintegration of kidney stones, the shock wave treatment of cardiac and orthopedic indications became a recognized treatment option. Application of low energy shock wave stimulates blood flow and the formation of new capillary vessels (angiogenesis). Internationally, several research groups explore the wound healing using electromagnetic shock wave therapy.

Electromagnetic shock wave hand piece  - Shock wave treatment of a non-healing wound

SPECT recordings before and 6 months after shock wave treatment document clinical improvements* 

* Department of Cardiology (Director Prof. Dr. Raimund Erbel), Centre of Internal Medicine, University Hospital of Essen, Germany 

Experiences in wound healing treatment 

Before ESW treatment.....

Case from Thailand