Flagship Technology

The OrthoWave™
DualSync System

Focused ESWT + Radial Shockwave, synchronized in one system. The DualSync™ integrates Electromagnetic, Electrohydraulic, and Pneumatic Ballistic wave generation — all three deploying through a single handpiece with Dynamic Tissue Activation™.

Up to 10 Bars
Up to 21Hz Frequency
Up to 8,000 Pulses
Focused ESWT + Radial
The OrthoWave DualSync System
OrthoWave closeup detail
System Overview

Focused ESWT + Radial Shockwave. Synchronized in One System.

The OrthoWave DualSync™ combines Focused ESWT and Radial Shockwave into one synchronized platform — that is what DualSync™ means. The Focused ESWT side uses Electromagnetic and Electrohydraulic wave generation. The Radial side uses Pneumatic Ballistic technology. All three deploy through one handpiece automatically during treatment. No switching. No separate equipment. Most competitors sell focused and radial as separate devices. The DualSync™ delivers both in every session.

Focused ESWT — Electromagnetic + Electrohydraulic

The DualSync™ delivers true Focused ESWT through two integrated technologies — Electromagnetic, built inside the unit, and Electrohydraulic, integrated into the rear assembly. Both generate concentrated acoustic energy for deep, targeted tissue treatment. No separate focused handpiece required.

Dynamic Tissue Activation™

Dynamic Tissue Activation™ adds a pre-treatment pathway to the platform, helping clinics improve circulation, reduce tissue sensitivity, and structure both covered and cash-pay treatment workflows more effectively.

Precision Energy Control

With control over frequency, pressure, pulse count, treatment timing, and tip selection, providers can tailor how energy is delivered based on tissue depth, sensitivity, and treatment goal.

Dynamic Tissue Activation™

Pre-Treatment Energy Designed to Prepare Tissue Before Shockwave

Dynamic Tissue Activation™ is used before shockwave treatment to prepare tissue for deeper energy delivery and a better overall treatment experience. By increasing circulation, reducing inflammation, and lowering pain sensitivity, it helps create a more comfortable and clinically efficient path into treatment.

Clinical Purpose

Applied before treatment to help increase circulation, reduce inflammation, and prepare tissue for more effective downstream energy penetration.

Patient Tolerance

By reducing pain sensitivity prior to treatment, Dynamic Tissue Activation™ can help make shockwave sessions more comfortable and easier to deliver.

Workflow Advantage

Used as part of a guided pre-treatment workflow, it helps providers transition into therapy with greater consistency, confidence, and control.

Dynamic Tissue Activation™ Specs
Range
Clinical Use
Output Intensity
0.2–3.0 W/cm²
Adjustable based on tissue sensitivity and treatment goal
Frequency
1–10 Hz
Supports controlled pre-treatment tissue activation
Primary Role
Pre-Treatment
Used before shockwave to improve readiness and comfort
Dynamic Tissue Activation™ is intended to be used before treatment as part of a guided clinical workflow. Output selection should always be adjusted based on patient presentation, tissue response, and provider judgment.
Interface & Control

Guided Protocols. Timed Treatments. Greater Control.

The OrthoWave DualSync System interface is designed to simplify treatment delivery without sacrificing clinical control. Providers can move through guided workflows with timed treatments, protocol selection by body region, recommended tip guidance, and adjustable settings for frequency, pressure, and pulse count inside a clean, modern interface.

OrthoWave interface — body-part specific protocols

Body-Part Specific Protocols

The interface organizes treatment options by anatomical region, making it easier to navigate protocols across different body parts and clinical applications.

OrthoWave interface — timed treatment workflow

Timed Treatment Workflow

Treatments are timed directly within the system, helping providers deliver sessions with more structure, consistency, and clinical efficiency.

OrthoWave interface — tip guidance and setting control

Tip Guidance & Setting Control

The system helps guide tip selection while giving providers control over frequency, pressure, and pulse count for a more precise treatment setup.

Energy Delivery

Focused ESWT. Radial Shockwave. Dynamic Tissue Activation™.

The DualSync™ name says exactly what it is — Dual, meaning Focused ESWT and Radial Shockwave, and Sync, meaning both deploy through one handpiece simultaneously. The Focused ESWT side handles deep, concentrated, targeted treatment through Electromagnetic and Electrohydraulic wave generation. The Radial side handles broad coverage, fascia, trigger points, and large muscle groups through Pneumatic Ballistic technology. The system manages the delivery automatically.

Radial Shockwave — Pneumatic Ballistic

Up to 10 bar and 21 Hz through the handpiece. Ideal for broad tissue coverage, trigger points, fascia, muscle belly, and large musculoskeletal regions.

Focused ESWT — Electromagnetic + Electrohydraulic

Concentrated acoustic energy for deep, targeted structural treatment. The Electromagnetic component is built inside the unit. The Electrohydraulic component is integrated into the rear assembly. Both focused energy pathways are built in — no additional handpiece needed.

Tip-Driven Performance

The machine is the engine, but the tip determines how energy behaves — allowing providers to shift between broader and more targeted treatment styles inside one platform.

Precision Control

Frequency Controls Speed. Pressure Controls Impact.

OrthoWave is not just a device — it is a controllable energy platform. Providers can adjust both frequency and pressure to determine how energy is delivered into tissue, allowing for more superficial pain-relief applications, broader muscular work, or deeper therapeutic treatment depending on the clinical objective.

Frequency (Hz)

Frequency controls how fast pulses are delivered. Lower frequencies allow more effect per pulse and are typically used for deeper tissue interaction, while higher frequencies are used for more superficial, warm-up, or sensitive-area treatments.

Pressure (Bar)

Pressure controls how much force each pulse delivers. Higher pressure is used for dense tissue and deeper structures, while lower pressure supports comfort and more surface-level treatment.

Clinical Pairing

In general, lower Hz pairs with higher bar for deeper therapeutic work, while higher Hz pairs with lower bar for superficial treatment, pain relief, or more sensitive regions.

Treatment Goal
Hz Range
Bar Range
Neuromodulatory / Vascular
5–8 Hz
1.0–2.5 Bar
Standard MSK / Tendinopathy
10–15 Hz
2.5–5.0 Bar
Aesthetic / Broad Fascia
12–21 Hz
2.0–3.5 Bar
Targeted / Structural
2–5 Hz
6.0–10.0 Bar
Always start low and build based on patient tolerance. Maximum output settings are reserved for dense, deep tissue and are not intended for sensitive or bony areas.
Practice Advantage

Covered + Cash Pay in One Platform

One of the biggest advantages of the OrthoWave DualSync System is that it gives practices multiple treatment pathways inside one platform. With Focused ESWT + Radial Shockwave and Dynamic Tissue Activation™, clinics can build both covered and cash-pay workflows while presenting a more advanced and more versatile clinical offering.

Better Case Presentation

The system gives providers a more advanced clinical story to present to patients, which can improve confidence, understanding, and treatment acceptance.

Broader Revenue Opportunities

Clinics can support covered services while also building premium cash-pay treatment plans around advanced shockwave therapy care.

Higher-End Positioning

A more advanced device, cleaner interface, and broader treatment capability help position the practice as technology-forward and clinically differentiated.

One System, Multiple Applications

Designed for providers who want a flagship platform that can support multiple specialties, conditions, and treatment pathways inside one system.

OrthoWave Logo
OrthoWave · Flagship System
For professional use only. Clinical applications, billing pathways, treatment protocols, tip selection, output settings, and use parameters depend on provider scope, patient presentation, payer requirements, and applicable regulations.