ISMST · ESWT Certification Course · Clinical Module 13

Shockwave Therapy for Wound Healing & Skin Indications

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

Get certified One-time payment · €599 incl. VAT · 12 months full access

ISMST-certified curriculum

One module of the official ISMST–ESWT online certification course.

Led by Prof. Schaden

Co-authored and validated by Prof. Wolfgang Schaden.

Interactive clinical cases

31 chapters with 22 interactive activities and self-assessment checks.

Evidence-based

Recommendations anchored in published clinical research, free of industry bias.

What you’ll learn

From traumatic injuries to chronic ulcers

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.

After this module you will be able to:

  • Identify skin conditions applicable for ESWT
  • Explain key differences in application when targeting tissue surfaces
  • Justify open wound applications
  • Discuss suitable treatment plans, duration, and outcome expectations

Inside the module

5 guided study units, chapter by chapter

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.

State of the field

Skin Conditions – Clinical OverviewStandard TreatmentsAdvanced and Interventional OptionsLimitations and Unmet NeedsWhy Shock Wave Therapy?

Indications and Evidence Base

HistoryBiological RationalePost-traumatic/operative WoundsDecubital UlcersArterial and Venous UlcersBurn WoundsContraindications

Case Reports and Early Clinical Evidence

Role of Case-Based Evidence in Wound CareWound Types and Applied ESWT ProtocolsCase Report: Burn woundCase Report: Post-traumatic woundCase Report: Refused surgical interventionCase Report: Pressure UlcerCase Report: Fournier's GangreneReported Outcomes and Safety Profile

Clinical Applications – Treatment Journal

Clinical Workflow and Treatment PlanningTreatment Journal – Structure and DocumentationTreatment PlanningSession Preparation, Execution and Clinical MonitoringEstablished ESWT Protocols in Skin ConditionsDose Scaling in Skin ApplicationsOutcome Evaluation and Treatment Adaptation

Comorbidities and Modifying Factors

What are Comorbidities?Common Comorbidity ClustersManaging Affected PatientsIs ESWT Still Effective?

From the evidence

A taste of what the module teaches

75%

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 2007
57% vs 25%

Complete 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 2011

Watch the experts at work

Treatment demonstrations, step by step

Every clinical module includes video demonstrations by the ISMST faculty — on real patients and in the WaveVision VR environment. No VR headset required.

Clinical demonstration: shockwave treatment of a chronic wound by Prof. Wolfgang Schaden Treating chronic and subacute wounds · Prof. Wolfgang SchadenFull video available inside the course

Treat chronic wounds with confidence — get ISMST-certified.

Introductory price · approx. $699
€599 one-time · VAT included · 12 months access
Get certified For medical professionals · eligibility confirmed at registration · includes the complete certification course with all 10 clinical modules, foundations and exam · see the full course

Page last updated: 25 August 2026