TOPIC: Shockwave Therapy

If you get the shockwave therapy make sure someone tracks to settings to ensure you are getting the most for your efforts.

Thanks Alittlebigger!
And i am not sure what you mean exactly


1.9 bar
11 herz
are the best settings?

what is the
2000
and the
26000

Or you mean being sure you get enough 'hits'?

If you get the shockwave therapy make sure someone tracks to settings to ensure you are getting the most for your efforts.

Thanks Alittlebigger!
And i am not sure what you mean exactly


1.9 bar
11 herz
are the best settings?

what is the
2000
and the
26000

Or you mean being sure you get enough 'hits'?

Please remember that every man's body is completely different and what may work great for one guy could potentially damage another. As long as you see a LiSWT provider who is well-trained, they are going to know what is most effective and safest for you. "More is always better" is not the case when it comes to anything having to do with your penis. You only get one. . .

There is no problem having PMMA for using shockwave, is there?

Just afraid of my Doc saying 'you did what!?' and him being 'better safe then sorry, i will not do shockwave here just because i don't want to be viable'

Thinking about just not telling him.

I guess i can just tell him i asked the PMMA doc and he said it's perfectly ok. (i did not, i just assume)

Dream wrote: There is no problem having PMMA for using shockwave, is there?

Just afraid of my Doc saying 'you did what!?' and him being 'better safe then sorry, i will not do shockwave here just because i don't want to be viable'

Thinking about just not telling him.

I guess i can just tell him i asked the PMMA doc and he said it's perfectly ok. (i did not, i just assume)

I’ve been watching Dr Emer’s videos for over a year or so and he uses shockwave treatment after doing filler on his patients so I would assume it’s safe. I also do hear much about him on this forum at all.

There is no problem having PMMA for using shockwave, is there?

Just afraid of my Doc saying 'you did what!?' and him being 'better safe then sorry, i will not do shockwave here just because i don't want to be viable'

Thinking about just not telling him.

I guess i can just tell him i asked the PMMA doc and he said it's perfectly ok. (i did not, i just assume)

LiSWT is perfectly safe if you've had PMMA. However, I will say that you should always tell the members of your medical team what you have done no matter what you think the outcome might be. To lie to or withhold information from a provider can be incredibly dangerous. If you don't feel comfortable being up front and honest with someone who is treating you, you need to find someone else who you are comfortable with talking to with 100% honesty.

First Visit to Shockwave doc:

He says the study-situation is very bad with shockwave, kinda doubtful it works (especially with healthy patients).

But he lets me do it - he shows me how to do it and then i just do it in his clinic by myself.
600eur for 8 times weekly, he says i can also do more free of charge.

He has Piezowave 2 (chatgpt says it costs around 40k and is used in studies, 'lstc-ed')
He had it at: 8 pulses per second, 'strength 20'
He said to do 4k pulses on penis and 4k on perineum, but i can also choose to do 8k on penis and 8k on perineum

He has a '0' appliance where effect start at 0 millimetres and goes 1.5cm inwards. So do this left side of penis, press penis a bit in, then the right side, and the whole penis should be covered. I guess mine is a bit larger but hardly.
Then a '10' appliance for the perineum, meaning it does not start at 0 millimetres but at 10 millimetres in i think.

So i did the 8k - 8k, cause i am already there anyway. But if i am correct 16k at 8 pulses per second take 34 minutes. Well, it didn't feel that long.

So far: I felt the pulses, there was slight pain, not too much to be unbearable.

He says the study-situation is very bad with shockwave, kinda doubtful it works (especially with healthy patients).

But he lets me do it - he shows me how to do it and then i just do it in his clinic by myself.
600eur for 8 times weekly, he says i can also do more free of charge.

He has Piezowave 2 (chatgpt says it costs around 40k and is used in studies, 'lstc-ed')

Low-intensity shockwave (LiSW) therapy does work and has been shown to work in the studies that have been done. The device this doctor is using is not LiSW but rather acoustic wave "shockwave" therapy, which has been shown not to work. Additionally, if he were using "real" shockwave, it would be incredibly dangerous and reckless for him to let you use it on yourself. The Piezowave 2 is an acoustic wave device, NOT LiSW.

Here's that video again I posted earlier in this thread that explains the differences:

Thanks!

I talked to Chatgpt (just ask your favorite AI about it), and it agrees with your video, just with the difference that the PiezoWave is a legit device:

LiSW vs. Li-ESWT – Same thing, different names:
Term Full Name Meaning
LiSW Low-intensity ShockWave ✅ Common shorthand in forums/videos
Li-ESWT Low-intensity Extracorporeal ShockWave Therapy ✅ Medical/research term (used in studies, PubMed, etc.)

The PiezoWave 2 is a true Low-Intensity Focused Shockwave Therapy (Li-ESWT) device — not a simple acoustic pressure wave system like radial "shockwave" devices.

PiezoWave 2:
- Uses piezoelectric crystals to generate focused shockwaves
- Produces real shockwaves, traveling faster than sound (Mach 1+), fulfilling all physical definitions of a shockwave:
✔️ Abrupt rise in pressure,
✔️ High peak,
✔️ Non-linear propagation,
✔️ Fast (1,500+ m/s)
- penetrating 4-6cm
- Delivers precise low-energy, high-penetration impulses

Examples for what is not a real shockwave:
Devices like:
- Storz D-ACTOR or BTL Radial
- GainsWave
- Z Wave
…use radial pressure waves, which:
- travel ~10 m/s (vs. shockwaves: ~1,500 m/s)
- don’t penetrate deep, don’t trigger angiogenesis
- are not Li-ESWT
These are not harmful, just often ineffective for ED.

If you want the most evidence-backed, ED-specific, and precise system:
✅ PiezoWave 2 or Direx Renova for linear-focused precision
✅ Storz Duolith SD1 Ultra if you value flexibility, presets, and multi-use applications (e.g., orthopedics)
-> all these were used in 2 peer reviewed published randomized controlled trials (gold standard) and had simillar positve outcomes

-> more important stuff in the pictures (graphs), and also pic of the device

Thanks!

I talked to chatgpt, and it agrees with your video, just with the difference that the PiezoWave is a legit device :

LiSW vs. Li-ESWT – Same thing, different names:
Term Full Name Meaning
LiSW Low-intensity ShockWave ✅ Common shorthand in forums/videos
Li-ESWT Low-intensity Extracorporeal ShockWave Therapy ✅ Medical/research term (used in studies, PubMed, etc.)

The PiezoWave 2 is a true Low-Intensity Focused Shockwave Therapy (Li-ESWT) device — not a simple acoustic pressure wave system like radial "shockwave" devices.

PiezoWave 2:
- Uses piezoelectric crystals to generate focused shockwaves
- Produces real shockwaves, traveling faster than sound (Mach 1+), fulfilling all physical definitions of a shockwave:
✔️ Abrupt rise in pressure,
✔️ High peak,
✔️ Non-linear propagation,
✔️ Fast (1,500+ m/s)
- penetrating 4-6cm
- Delivers precise low-energy, high-penetration impulses

Examples for what is not a real shockwave:
Devices like:
- Storz D-ACTOR or BTL Radial
- GainsWave
- Z Wave
…use radial pressure waves, which:
- travel ~10 m/s (vs. shockwaves: ~1,500 m/s)
- don’t penetrate deep, don’t trigger angiogenesis
- are not Li-ESWT
These are not harmful, just often ineffective for ED.

If you want the most evidence-backed, ED-specific, and precise system:
✅ PiezoWave 2 or Direx Renova for linear-focused precision
✅ Storz Duolith SD1 Ultra if you value flexibility, presets, and multi-use applications (e.g., orthopedics)
-> all these were used in 2 peer reviewed published randomized controlled trials (gold standard) and had simillar positve outcomes

-> more important stuff in the pictures (graphs), and also pic of the device

Yes, everything in that video is based off of peer-reviewed scientific research and information from SMSNA (Sexual Medicine Society of North America). We have been employing LiSW therapy for ED in our clinic for decades now and were the first in the US to import it from the EU. To my knowledge, the PiezoWave 2 employs acoustic waves. However, I hope it works well for you. Best of luck.