E*SWT 2 represents today an innovative system that can give rise to a new and effective therapeutic approach for the treatment of various pathologies regarding soft tissues and the skeletal system. E*SWT 2 is a system allowing you to perform an innovative methodology called extra-corporeal shockwaves therapy. It is a versatile instrument, made for treating both soft (tendons and muscles) and hard tissues (bone). The thrust implemented by the end side of a suitable applicator, that the operator has to put in contact with the suffering region, gives rise to small impulses with high intensity that are transmitted into the tissue. This originates a resonance phenomenon causing antalgic processes, reduction of local phlogosis, new formation of blood vessels, reactivation of reparative processes. Although the unit E*SWT 2 and its application technique are a sort of derivation and adaptation of the shock wave therapy already used in other disciplines it represents for the physical therapy a novelty because of the lower energies employed and the therapeutic modalities that can take place in an ambulatory allowing to avoid any anaesthesia or sedation and furthermore any radiographic and/or ultrasound visualisation and/or monitoring system.