Enraf-Academy Introduction Note

  • Users of Enraf-Nonius treatment devices must be trained in how to use the system properly and have the appropriate skills.
  • Any treatment instructions regarding treatment location, duration and strength require medical knowledge and should only be given by authorised doctors, therapists and health professionals. It is imperative that these instructions are followed.
  • Before using Enraf-Nonius equipment, read, understand and practice the instructions for use. Know the limitations and hazards associated with using the device. Also observe the precautionary and operational decals placed on the unit.

Shockwave Therapy

Extracorporeal shockwave therapy is used to treat a growing number of tendon, joint and muscle conditions. These include tennis elbow, where results in double blind studies are reported as excellent; chronic tendinitis of the knee and shoulder rotator cuff pain, achilles tendinitis, hamstring tendinitis and plantar fasciitis have also been treated successfully.

The above conditions are often difficult to treat using other methods and can become chronic. With ESWT patients report reduced pain and faster healing, without significant adverse side effects. ESWT is also used to promote bone healing and treat bone necrosis. It is an effective alternative to surgical treatment of non-healing fractures.
ESWT is used for wound healing and has shown positive results in short-term and long-term outcomes in diabetic patients suffering from foot ulcers.

Shock waves stimulate angiogenesis (new blood vessels) and neurogenesis (new nerve cells). The exact physiological mechanisms at this stage are poorly understood, but it appears that the cells undergo microtrauma which promotes the inflammatory and catabolic processes that are associated with removing damaged matrix constituents and stimulating wound healing mechanisms.

Want to know more?

For more information please go to

Enraf-Nonius Shockwave Therapy Equipment



Endopuls 811
A compact, and complete shockwave unit
Leaflet Manual Youtube


Endopuls 811 VM
A compact, and complete shockwave unit
Leaflet Manual Youtube

Shockwave Therapy Indications and Contra-Indications


  • Radial and ulnar epicondylitis
  • Calcific tendonitis of the shoulder / shoulder problems
  • Status post muscular injuries
  • Chronic patellar tendonitis
    Jumper's knee
  • Achillodynia
  • Plantar fasciitis
  • Heel spurs
  • Myofascial trigger point treatment e.g. neck
  • Myofascial trigger point treatment e.g. back, muscular back pain
  • Bursitis Trochanterica
  • Periostitis / shin splints (status post strain)


  • vascular diseases present in or near the treatment area
  • local infections in the treatment area
  • around malignant or benign tumours
  • directly on cartilage surfaces or near the small facet joints of the spinal column
  • directly over implanted electronic devices such as pacemakers, analgesic pumps, etc.
  • in areas, in which mechanical energy in the form of vibrations may lead to tissue damage such as metal implants after a fracture

In general we advise against treatment

  • if blood clotting disorders are present or the patient is receiving treatment that results in a change in the blood clotting behaviour
  • during pregnancy
  • on patients with neurological diseases resulting in impairment of the vasomotor function in the treatment area
  • over air-filled cavities such as treatment on the thoracic spine, etc.
  • on children, particularly around the epiphyseal plates

Care is required for patients

  • with impaired sensibility
  • with severe autonomic disorders
  • under the influence of drugs and/or alcohol as circulatory stresses and inadequate treatment responses cannot be excluded.

Please consult the Instructions for Use for more information on indications and contra-indications and for warnings and recommendations.

The above indications and contra-indications originated from the Endopuls 811 User Manual 1650751-41.

Downloads    |   Legal notices     |     Acknowledgement     |     Privacy policy     |     Contact     | Member of Zimmer Group

We use cookies

We use cookies on our website. Some of them are essential for the operation of the site, while others help us to improve this site and the user experience (tracking cookies).
You can decide for yourself whether you want to allow cookies or not.

Please note that if you reject them, you may not be able to use all the functionalities of the site.