Focused Shockwave · Precise. Researched. Expansive.

DUOLITH^® T-Top

The STORZ MEDICAL DUOLITH® Ultra is a leading electromagnetic focused shockwave system designed for clinicians who need greater precision, depth, and treatment capability. It concentrates energy at a defined anatomical target while delivering consistent energy output over time, supporting reliable treatment from pulse to pulse. That combination makes it especially valuable for chronic tendinopathy, calcific conditions, bone-related pathology, and deeper or more difficult-to-resolve musculoskeletal cases. Backed by a strong body of clinical literature, the DUOLITH® Ultra gives physicians and rehabilitation professionals an evidence-supported tool for expanding what they can address with shockwave therapy.

Focused Energy. Defined Depth. Consistent Output.
Most Referenced System in Clinical Research
Built for Advanced Care from Tendon to Bone

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Clinical Use

Indications for the T-Top

Chronic Plantar Fasciitis

Deliver focused energy directly to the symptomatic plantar fascia and address with selectable treatment depth and precisely controlled dosing. The DUOLITH® Ultra is FDA-approved in the U.S. for heel pain associated with chronic proximal plantar fasciitis.

Calcific Shoulder Tendinopathy

Target calcific deposits and affected tendon with high-energy focused shockwave, an application supported by research and randomized controlled trials. Known for a reduction in pain, increased function and overall calcification resolution.

Chronic Lumbar Facet Pain

Reach deeper spinal structures with a defined focal zone for patients with chronic facet-mediated low back pain. A 2025 randomized sham-controlled trial reported sustained improvements in pain and function following high-energy focused ESWT, along with MRI changes in bone marrow edema.

Deep Tendinopathy & Enthesopathy

Direct mechanical energy to specific tendon insertions and deeper targets when the clinical goal calls for more localized treatment and controlled depth.

Bone Stress & Delayed Healing

Focused ESWT has an established research history in bone biology and continues to be investigated and used in selected stress injuries, delayed unions, and nonunions as a non-invasive regenerative stimulus.

Myofascial Pain & Trigger Points

Treat defined areas of persistent myofascial pain with focused energy that can be positioned according to the depth and location of the clinical target. STORZ identifies myofascial pain syndrome among the orthopedic applications for the platform.

Specifications

Built for daily clinical use

Technology	Focused Extracorporeal Shockwave Therapy — Electromagnetic Cylindrical Source
Energy Range	0.01–0.55 mJ/mm²
Frequency	1–8 Hz
Focal Zone Depth	0–65 mm depending on stand-off
Penetration Depth	Up to 125 mm
Display	Integrated SEPIA® handpiece controls and display; optional 10" touchscreen with patient management and treatment guidance
Who It Is For	Orthopedic surgeons, sports medicine physicians, physiatrists, pain and spine providers, podiatrists, regenerative medicine physicians, physical therapists, chiropractors and other MSK professionals looking for precise focused energy delivery across advanced clinical applications
What is Included	DUOLITH® Ultra system, SEPIA® focused shockwave handpiece and supplied stand-offs, plus Kinas Medical marketing and implementation support, technology training, service support, and more!