Thinking of Buying the PiezoWave² Machine?
- Just Healthy
- Aug 1
- 13 min read
Updated: Aug 2
The PiezoWave 2 is a precise, low-maintenance, and cost-efficient focused shockwave therapy machine designed for clinics treating musculoskeletal and soft tissue conditions, offering long-lasting performance, adjustable treatment depths, and strong clinical support.
If you’re a chiropractor, physiotherapist, or clinic owner wondering whether the PiezoWave 2 is the right shockwave therapy machine for you, the short answer is: it’s a durable, precise, and cost-efficient system designed to support a wide range of musculoskeletal and soft tissue treatments, with a long service life and minimal maintenance.
Making decisions about which pants to wear is one thing, but choosing the right device that meets your clinical needs, budget, and long-term goals is a whole other story.
This guide will walk you through the key features of the PiezoWave 2 system, including its technical specs, treatment capabilities, cost and maintenance factors, and how it compares to other shockwave machines on the market.
Our goal here is to make your life easier and help you make an informed, evidence-based purchase decision.
Key Takeaways
Built to Last, Easy to Use: Therapy sources last up to 12 million pulses. No recalibration, no consumables, no hassle.
Precise, Quiet, and Versatile: Adjustable depth, focused and linear therapy modes, and quiet operation make it ideal for a wide range of MSK conditions.
High Price, Quick Payback: It costs $32K–$38K upfront—but with no recurring supply costs and fast treatment times, clinics often break even in just a few months.
Table of Contents
Where It All Started PiezoWave 2: Key Information
What’s Actually Happening Inside the Tissue?
Target Deep or Superficial Tissue What Are the Clinical Applications of PiezoWave 2? Using the PiezoWave Machine in Clinics How Long Does the PiezoWave 2 Last? How Does It Stack Up? PiezoWave vs. Competitors What Is the PiezoWave 2 Price? Who Manufactures the Device? Support & Training Resources Is the PiezoWave 2 the Right Fit for You? FAQS Resources
Where It All Started
The PiezoWave 607, an earlier model developed by Richard Wolf GmbH, was one of the early devices used to deliver focused shockwave therapy for musculoskeletal care. It became widely used in orthopedic and sports medicine clinics because of its mechanical precision and reliability.
As clinical demands increased, with higher patient volumes and the requirement for more complex treatment protocols, shockwave therapy systems began to shift toward platforms that could offer improved efficiency, ergonomics, and depth targeting.
The PiezoWave 2
The PiezoWave 2 was developed as an updated platform to address those evolving clinical requirements. Compared to the 607, it is lighter by approximately 25%, has an improved interface, and offers more flexibility in targeting specific tissue depths using interchangeable gel pads.
The system uses piezoelectric technology to generate focused acoustic waves and is designed as a high-precision tool in a variety of clinical settings. It’s manufactured in Germany by Richard Wolf GmbH, assembled in the U.S., and distributed by Elvation Medical USA.
PiezoWave 2: Key Information
The PiezoWave 2 is a focused shockwave therapy device intended for use in musculoskeletal and rehabilitation clinics. It uses piezoelectric technology to produce precise acoustic waves suitable for treating both acute and chronic conditions.
This system features adjustable treatment depth through interchangeable gel pads, operates quietly, and includes a touchscreen interface for adjusting treatment parameters during sessions.
It is part of the Elevation Medical PiezoWave product line and is chosen for its balance of reliability, low maintenance, and flexible treatment options.
Key Features at a Glance
Dual Applicators for Versatility
Includes both focused and linear therapy options, allowing you to treat pinpoint areas and larger muscle groups without switching devices.
Plug & Play Simplicity
When you connect a treatment head (also called a therapy source), the machine instantly recognizes it. Then, it automatically adjusts to the correct power settings – no manual setup needed. This saves time and helps ensure every treatment is safe, accurate, and consistent. There are different types of therapy sources available, including focused, linear, and superficial applicators; each designed for specific treatment depths and areas of the body.
Adjustable Penetration Depth
Interchangeable gel pads allow you to adjust the focal zone depth meaning how deep the acoustic waves can reach to match the patient’s specific condition and anatomy. This greater range of depth is one of the key differences between focused systems like Piezowave 2 and many radial shockwave models, which provide less targeting precision.
Quiet Operation
Unlike many radial shockwaves, the PiezoWave 2 operates with minimal sound. Its quieter performance allows for a more comfortable experience for both you and your patients.
Touchscreen Interface
The high-resolution touchscreen makes it easy to adjust settings quickly. The upgraded PiezoWave2T model features a high-voltage generator that enhances energy control during advanced treatments.
Frequency up to 12 Hertz with T-Mode Technology
Well, a frequency equates to the number of shockwave pulses that are delivered per second. A higher frequency (like up to 12 Hertz) means more pulses in less time, which translates to faster treatments. This is quite useful for both clinicians and patients, as sessions are shorter, and larger areas can be treated more efficiently.
What's more is the built-in T-Mode technology, which ensures each pulse delivers consistent energy, even at higher speeds. This allows for faster, more efficient treatments that don’t compromise on power or precision. Without T-Mode, energy could weaken as the frequency increases, making treatment less effective. This way you get speed and consistent energy, which leads to better results in less time.
Supports MyACT Therapy
The PiezoWave 2 is compatible with Myofascial Acoustic Compression Therapy (MyACT), often used for managing chronic musculoskeletal pain by compressing and manipulating soft tissue through focused pressure waves.
Integrated Therapy Source Bracket
A built-in bracket keeps the therapy source within reach, a small ergonomic feature that saves time between patients and supports smoother clinical workflows.
Long Applicator Life
Each PiezoWave2 therapy source is rated for up to 5 million pulses, offering significant longevity compared to systems that require frequent rebuilds.
If you’re thinking, great, but what are pulses? Pulses are the individual shockwave bursts delivered during treatment. Basically, they’re the part that stimulates healing in the tissue. A higher pulse capacity means your applicator lasts longer, minimizing replacement costs, and supporting a more predictable, cost-efficient ownership experience.
What’s Actually Happening Inside the Tissue?
The PiezoWave 2 therapy machine delivers focused acoustic pulses using piezoelectric technology, a method in which precisely aligned crystals generate mechanical energy when electrically charged. These pulses are not simply mechanical vibrations; they act as biological stimuli.
This type of focused shockwave therapy initiates mechanotransduction, a process whereby mechanical stress is converted into biochemical activity at the cellular level.
The PiezoWave 2's ability to target defined tissue depths makes it suitable for a wide range of musculoskeletal applications, from tendon pathology to fascial restriction.
Cellular-Level Benefits
Current research shows that focused acoustic waves can:
Stimulate tissue regeneration and healing
Reduce inflammation in soft tissue and joints
Enhance synthesis of collagen and structural proteins
Improve blood flow and local metabolic activity
Promote lubricin production, which supports joint and tendon mobility
These physiological effects make the PiezoWave 2 therapy machine a strong option for clinics, particularly for those that prioritize evidence-based interventions. Understanding these mechanisms also informs comparisons like PiezoWave vs radial shockwave, where treatment depth, focus precision, and biological impact vary significantly between technologies.
For providers reviewing PiezoWave 2 for sale options or assessing long-term value, these factors contribute to decisions about clinical fit and return on investment.
Target Deep or Superficial Tissue
If you need precision, the PiezoWave 2 has your back – no pun intended. Its focused acoustic waves allow for precisely calibrated penetration. Rather than relying on estimated depths or broad energy dispersal, clinicians can select specific focal zones using interchangeable gel pads.
How It Works
By changing the gel pad attached to the therapy source, practitioners can control the focal point of energy delivery – ranging from approximately 20 mm to 100 mm. This enables accurate targeting of both superficial and deep structures without compromising treatment intensity.
Key advantages include:
Reduced energy dispersion outside the treatment zone
Greater consistency in outcomes across different anatomical targets
Improved safety profile with minimized risk to surrounding tissue
This degree of precision is particularly helpful in orthopedic rehab, pelvic health, wound care, and sports medicine – where anatomical variation and tissue depth require adaptable treatment settings.
What Are the Clinical Applications of PiezoWave 2?
Clinicians turn to the PiezoWave therapy for its precision and flexibility across a wide range of soft tissue and orthopedic conditions. This non-invasive technology is used daily in practices treating everything from chronic pain to performance recovery.
Musculoskeletal (MSK) Conditions
Plantar fasciitis and heel spurs
Patellar tendinopathy / Jumper’s knee
Calcific shoulder tendinitis
Trigger points and myofascial pain
Greater trochanteric pain syndrome
Stress fractures, shin splints, and pseudarthroses
Wound Care and Dermatology
Diabetic foot ulcers
Non-healing wounds
Dermatologic soft tissue injuries (especially within 20 mm depth)
Men’s Health / Sexual Medicine
Chronic pelvic pain syndrome (CPPS)
As you can see, many disciplines such as chiropractics, orthopedics or rehab, can benefit from the Piezowave 2 machine, due to its range of treatment depths and protocols.
Using the PiezoWave Machine in Clinics
The PiezoWave 2 therapy machine is made for those working in busy clinical environments. From clinics handling a few patients to those operating with a full schedule, the system’s features are built to support consistent workflow and reduce downtime.
Made to Improve Workflow
Therapy heads auto-detect: The machine recognizes the applicator you attach and adjusts settings automatically; no need to program it manually.
Simple touchscreen interface: The clear touchscreen makes it easy to change settings between patients, helping clinics stay on schedule.
Faster treatment options: Modes like T-mode and 12 Hz let you treat patients more quickly without losing precision, which is useful in high-volume settings.
Helpful digital tools: The ESWT and Trigger Point apps give you quick access to treatment protocols, right on your tablet.
Low maintenance needs: Unlike some other shockwave therapy machines for clinic use, the PiezoWave 2 doesn’t need frequent calibration or replacement parts.
Reliable support system: Users can access virtual training, maintenance help, and clinical education resources whenever needed.
For clinics comparing focused systems such as those researching PiezoWave 2 for sale or weighing PiezoWave vs. Shockwave options, workflow reliability and reduced maintenance often factor into long-term operational planning.
How Long Does the PiezoWave 2 Last?
When weighing the pros and cons of a device, one of the key considerations is operational efficiency and cost of the machine. In other words, how long will it last before I need to replace it.
This device is specifically designed for long-term, high-frequency use in clinical settings. Built with piezoelectric components, it maintains consistent energy output over time, which is an important factor for clinics delivering regular shockwave therapy sessions.
Each therapy source is rated for 8 to 12 million pulses, significantly more than the 1 to 2 million pulses typical of many other shockwave therapy machines for clinic use.
The system also comes with a five-million pulse warranty, one of the longest available in its category.
In practical terms, with most treatments using between 2,000 and 4,000 pulses per session, the PiezoWave 2 can operate for several years before the therapy source needs replacing. Unlike some systems where performance declines over time, the PiezoWave 2 delivers steady output across its full lifespan.
Key Longevity Stats
Typical lifespan: 8 to 12 million pulses per therapy source
Warranty coverage: 5 million pulses per therapy source
No expected wear-and-tear under normal clinical use
Stable energy output: consistent performance over time
Clinics commonly report multi-year use of the same therapy source – even with daily treatments – without the need for early replacement.
PiezoWave 2 Warranty Overview
The PiezoWave 2 therapy machine, developed by Richard Wolf GmbH and distributed by Elvation Medical, comes with the following standard warranty coverage:
Control unit and footswitch: 1 year
Therapy sources: 1 year or 5 million pulses, whichever comes first
Accessories (e.g., gel pads, cables): 30 days
An extended warranty option is available after the initial coverage period ends.
Additional Considerations
All repairs and servicing must be done by authorized providers to maintain warranty validity.
Annual maintenance is recommended, but not covered under warranty.
Loaner units may be available during service periods, subject to availability.
The warranty is non-transferable and does not apply if the unit is resold.
How Does It Stack Up? PiezoWave vs. Competitors
Shockwave therapy systems differ widely in lifespan, maintenance, noise, and usability. The PiezoWave 2 shows clear differences compared to other technologies.
Many electromagnetic focused shockwave devices require servicing or part replacement after about 1 million pulses, which adds to ongoing costs. Radial shockwave machines often need rebuilds between 70,000 and 500,000 pulses, depending on use and brand. These systems tend to be louder and bulkier.
By contrast, the PiezoWave 2 uses piezoelectric technology that doesn’t depend on consumable parts or cartridges. Its therapy sources last between 8 and 12 million pulses. The device runs quietly and is smaller and lighter, making it easier to handle in clinical settings.
Key Points of Comparison
Lifespan:
PiezoWave 2: 8–12 million pulses
Electromagnetic focused: ~1 million pulses before servicing
Radial machines: 70,000–500,000 pulses between rebuilds
Noise Level:
PiezoWave 2: Quiet operation
Radial machines: Louder, with mechanical noise
Maintenance:
PiezoWave 2: No consumables or frequent rebuilds
Others: Regular servicing and part replacement
Form Factor:
PiezoWave 2: Lightweight and compact
Others: Bulkier and less mobile
Support:
PiezoWave 2: Access to ongoing technical and clinical support
Feature | PiezoWave 2 | Focused Competitor | Radial Competitor 1 | Radial Competitor 2 |
Technology | Piezoelectric / Direct Focused | Electromagnetic | Electrohydraulic | Electrohydraulic |
Cost | $32K–$38K | $45K–$55K | $59K+ | $80K+ |
Max Depth | 100 mm | 55 mm | 40–50 mm | 40–50 mm |
Noise Level | Quietest available | Moderate | Loud | Loudest |
Rebuild Cycle | 8–12M pulses | Rebuild every 1M | Rebuild every 70K | Service every 100K–500K |
Consumables | None | Yes ($2,000+ per cycle) | Yes ($1,750) | Yes ($1,750–$3,000) |
What That Means for Your Clinic
Operating costs can be lower with the PiezoWave 2 since it does not use consumable parts and generally requires minimal maintenance. Its durable components help reduce the frequency of replacements, which can lower the total cost of ownership over time.
The device maintains stable energy output throughout millions of pulses, supporting consistent treatment quality across sessions.
Reduced downtime is possible because fewer parts need replacement and service intervals are longer compared to some other shockwave therapy machines. However, it’s important to factor in that when replacement therapy sources are needed, costs typically range from $5000 to $7,900 depending on the model.
Quiet operation and predictable performance can also contribute to a smoother experience for both patients and providers, which may be beneficial in busy or sensitive clinical environments.
What Is the PiezoWave 2 Price?
The PiezoWave 2 price generally ranges from $32,000 to $38,000 USD, depending on the configuration. Factors influencing cost include the number of therapy sources, software modules, and optional accessories. This places it in the higher tier of focused shockwave therapy machines, and notably above the pricing of most radial systems.
However, the PiezoWave 2 is engineered to minimize ongoing expenses. Unlike some platforms, it does not require:
Disposable applicator tips
Cartridge-based delivery systems
Routine recalibration
Frequent replacement of wear-and-tear parts
These features contribute to a lower long-term cost of ownership, especially when compared with devices that rely on consumables or frequent servicing. For clinics exploring the PiezoWave 2 for sale or evaluating different shockwave therapy machines for clinic settings, this cost structure is an important consideration in assessing overall value.
In clinical settings where treatment sessions are typically priced between $150-$250, many practices report recovering their initial investment within a few months of regular use. Because there are no recurring supply costs, each session tends to result in a higher net return over time.
Key Financial Considerations
When comparing focused shockwave therapy machines, the PiezoWave 2 stands out for its long-term cost efficiency. Key financial advantages include:
No Consumables or Frequent Recalibration. The system does not rely on single-use components like treatment tips or cartridge-based heads. Routine recalibration isn’t required, and the components are designed for extended durability.
Long Service Life of Therapy Sources. Therapy sources are rated for up to 8-12 million pulses, significantly reducing how often parts need to be replaced.
Replacement Costs to Consider. Replacement therapy sources typically cost between $5000 and $7,900, depending on the specific model. Elvation Medical offers trade-in pricing of approximately $5000 for the F7G3 source and $6000 for the FBL Linear source, with original list prices at $6,400 and $7,900 respectively. Parts may be replaced under warranty if applicable, and technical support is available to assist with replacements.
Return on Investment. Clinics often achieve break-even within a few months of regular use, although this varies depending on patient volume and reimbursement structures.
Ongoing Support and Resources: Users have access to digital tools such as the Elvation ESWT and Trigger Point apps for clinical reference, as well as continued technical and educational support.
These aspects collectively contribute to a lower total cost of ownership, which is an important factor when evaluating the PiezoWave 2 price and comparing it to other shockwave therapy machines for clinic use.
For clinics exploring budget-friendly options, PiezoWave Leasing offers tailored plans to help you bring this technology into your practice without a large capital expense. You can explore current leasing options at PiezoWaveLeasing.com.
Who Manufactures the Device?
The PiezoWave 2 is engineered and manufactured by Richard Wolf GmbH, a German company with decades of experience in medical and surgical device development.
In the United States, Elvation Medical is the exclusive partner responsible for U.S. operations. They manage:
Equipment logistics and delivery
Onboarding and initial setup
Technical support and service coordination
Clinical education, including in-person and virtual training
Elvation’s role extends beyond distribution. Their team provides practical guidance, troubleshooting assistance, and access to training programs designed to support effective and informed use of the device in clinical practice.
Support & Training Resources
Support for the PiezoWave 2 is provided through a combination of Elvation Medical, and KDT (Kinetic Decompression & Therapeutics). These organizations offer resources aimed at helping clinics with device setup, ongoing education, and technical support throughout the ownership period.
What’s Included
Installation and Onboarding
Assistance with initial setup, available both in-person and virtually
Training on device operation and treatment protocols
Tablet-Based Apps
ESWT App and Trigger Point App (available in English and German) for treatment guidance and clinical reference
Customer Toolbox (via Elvation Medical)
Clinical user manuals
Continuing education (CE) courses
User forum for questions and shared experiences
Podcast focused on treatment techniques and practical applications
Support from KDT
Additional clinical training materials
Practice marketing resources
Technical help for integrating the device into existing workflows
Service & Troubleshooting
U.S.-based customer support through Elvation Medical
Remote and onsite technical assistance as needed
This combined support structure aims to provide clinics with both clinical guidance and technical expertise tailored to different stages of device use.
Is the PiezoWave 2 the Right Fit for You?
The PiezoWave 2 is intended for clinics seeking a focused shockwave therapy system with clinical precision and durability. It supports a range of applications, including orthopedic conditions, sports injuries, men’s health, and chronic pain management.
Key design features include a long therapy source lifespan, minimal maintenance needs, and no consumable parts. The device offers adjustable treatment depth, dual applicators, and stable energy output to help maintain consistent treatment results.
For practices looking to incorporate evidence-based, non-invasive shockwave therapy with reliable equipment, the PiezoWave 2 presents a practical option aligned with those clinical goals.
FAQS
Who Manufactures the Device?
The PiezoWave 2 is manufactured by Richard Wolf GmbH, a well-established medical technology company known for precision and quality.
Can It Be Used on All Patient Types?
The PiezoWave 2 is suitable for a wide range of patients, but treatment protocols may vary depending on individual conditions and clinical judgment.
Where Can I Buy the PiezoWave 2?
Authorized distributors and the manufacturer’s official sales channels offer the device. Always purchase from verified sources to ensure warranty and support.
What Makes PiezoWave 2 Different from Other Shockwave Machines?
PiezoWave 2 uses patented piezoelectric technology providing precise, targeted therapy with adjustable depth settings and low maintenance, setting it apart from radial or other shockwave devices.
Is Training Included?
Yes. Elvation provides onboarding, clinical education, and expert-led workshops. For full details, see Support & Training Resources.
Can I Lease the PiezoWave 2?
Yes, flexible leasing options are available through PiezoWaveLeasing.com, helping clinics get started without large upfront costs.
What Is the Price of the PiezoWave 2?
Pricing depends on the configuration and accessories. With no consumables, minimal maintenance, and fast ROI, the PiezoWave 2 is a cost-effective long-term investment.
