ISMST · ESWT Certification Course · Clinical Module 13
From traumatic injuries to chronic ulcers, see how Extracorporeal Shockwave Therapy (ESWT) transforms wound management by combining targeted stimulation with biological regeneration.
Co-authored and validated by: Prof. Wolfgang Schaden · part of the official ISMST–ESWT online certification faculty
One module of the official ISMST–ESWT online certification course.
Co-authored and validated by Prof. Wolfgang Schaden.
31 chapters with 22 interactive activities and self-assessment checks.
Recommendations anchored in published clinical research, free of industry bias.
What you’ll learn
In this module, you will explore the use of ESWT in the treatment of chronic and acute wounds. ESWT for skin indications uses low-energy focused or broad focus acoustic waves to stimulate healing processes in chronic, non-healing wounds. These include diabetic foot ulcers, venous and arterial ulcers, pressure sores, and burns. Unlike high-energy bone-focused treatments, skin-directed ESWT aims to modulate inflammation, enhance neovascularization, and stimulate cellular activity to accelerate re-epithelialization and wound closure. The therapy is non-invasive, well tolerated, and can be administered in an outpatient setting.
You will examine wound classification systems, evidence-based clinical indications, contraindications, and treatment protocols for ESWT in skin applications. The module also includes case studies, literature highlights, and interactive tools to solidify your clinical understanding of how ESWT supports wound care outcomes.
Taught at physician level — structured clinical evidence, treatment rationale and interactive case examples, not device marketing.
Inside the module
Every chapter combines concise clinical text with imagery, interactive elements and knowledge checks. Here is what module 13 covers — the full teaching is inside the course.
From the evidence
Complete epithelialization achieved with broad focus ESWT in a landmark 208-patient prospective trial of acute and chronic soft-tissue wounds — standard wound care alone typically reaches 25–39%. The module walks you through this foundational study in detail.
Schaden et al., J Surg Res 2007Complete healing of diabetic foot ulcers with ESWT versus hyperbaric oxygen therapy in a randomized head-to-head trial of 77 patients — alongside greater improvements in tissue perfusion and angiogenesis markers. Learn which wound patients genuinely benefit, and when.
Wang et al., Diabetes Res Clin Pract 2011Watch the experts at work
Every clinical module includes video demonstrations by the ISMST faculty — on real patients and in the WaveVision VR environment. No VR headset required.
Treating chronic and subacute wounds · Prof. Wolfgang SchadenFull video available inside the course
Page last updated: 25 August 2026