PiezoWave2 FAQs

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  • How is the PiezoWave2 used?

    Myofascial Acoustic Compression Therapy (MyACT) is helpful in the management of acute and chronic pain in muscles, tendons and joints.

  • How does PiezoWave2 work?

    The PiezoWave uses focused sound waves directed at varying depths to provide a focused and pin-pointed deep tissue massage. MyACT can lead to increased circulation and pain relief – important components that support healing.

    The sound waves generated by the PiezoWave2 MyACT cannot be felt as they enter and pass through the body. They converge at a controlled point within the soft tissue to produce an intense, extremely short duration pressure pulse that delivers therapeutic massage in areas difficult to reach by other methods.

  • Can the PiezoWave2 be used to localize injuries?

    Pain is very complex and can sometimes seem to radiate from areas far from the actual generating source. This is referred pain and can make treatment more difficult.

    Defining referred pain and the location of the originating pain triggering points can be done quickly and accurately using the PiezoWave2. Compromised tissue can be “flared” which provides the clinician insight as to where to treat. The patient helps guide this process through verbal feedback to the clinician providing the treatment – reminding the clinician if the treatment is flaring their familiar pain.
  • How long does a course of treatment last?

    An individual MyACT treatment takes between 10 and 20 minutes and normally, 1-2 treatments per week are performed. A total of 4-7 treatments may be necessary to achieve lasting improvement but is patient dependent.

  • Are there known side-effects of MyACT?

    Side-effects are limited to reddened skin and/or minor soreness in some cases.

  • What should my patients expect during your MyACT treatment?

    1. The clinician will identify the treatment site or sites. They may mark these sites.


    2. They will then apply a thin coat of coupling gel. This gel helps to translate the acoustic sound waves generated by the therapy head to the body.


    3. The clinician will start the treatment at a very low output setting and increase the power to a level that will help to define what is best suited for your condition. The output level and acoustic wave frequency rate may vary from location to location based on the depth and type of tissue being treated.


    4. As the clinician moves the therapy source around the treatment area, you may feel a deep, dull ache that is familiar to you as being like the feeling your condition produces. The clinician will ask you to report when you feel the ache and will adjust the output of the device to the appropriate level for your treatment. They may also ask you to confirm that the therapy source is still creating the ache and may adjust the location of the treatment based on your feedback. If at any time the treatment becomes uncomfortable, mention this to the clinician and they will adjust the output level.


    5. After the treatment is completed, the coupling gel will be removed and the patient can return to normal activities. The patient may experience some minor aches or discomfort after treatment. It is not unusual for patients to notice flushed or reddened skin around the treatment site.

  • Do insurance companies pay for a MyACT treatment?

    Currently, insurance companies do not cover MyACT treatments. Most clinicians offer an affordable price for a MyACT treatment, often putting together a package for several treatments that align with the patient’s needs.

  • Is the PiezoWave2 the same as Therapeutic Ultrasound?

    Although they both utilize sound waves, these two technologies are very different. Ultrasound relies on high-frequency vibrations to generate a thermal build-up (heat) in the tissue. At the same time, the PiezoWave uses a relatively slow frequency and much higher intensity sound wave to generate compression of the target tissue. PiezoWave2 does not generate heat. The clinical goals for both therapies are different.

  • How is PiezoWave2 different from Laser?

    Laser utilizes columnated light at various wavelengths intending to penetrate through the tissue to a targeted depth, delivering a therapeutic light treatment. The resulting Photobiomodulation at a cellular level activates/increases cell metabolism and assists in jump-starting healing and reducing inflammation. The PiezoWave2 utilizes mechanical energy to elicit cellular reactions, a process known as mechanotransduction. The cellular response to mechanical stimulation increases vascular growth factors, modulates pain signals, increases naturally occurring intracellular lubrication and decreases inflammation. Both Laser and PiezoWave2 have similar therapeutic goals and are often used together.

  • What are the contraindications for PiezoWave2?

    PiezoWave2 MyACT should not be used:

    1. Infections
    2. Tumor tissue in the focal area
    3. Blood clotting disorders (it may necessary to check the patient’s coagulation status)
    4. Taking blood thinning medication
    5. Pregnancy
    6. Lung tissue in the focal area
    7. MyACT should not be used to treat the head
    8. Air-containing organs in the focal area such as the gastrointestinal tract, etc.
    9. Open epiphyseal cartilage in the focal area

  • Who can use the PiezoWave2?

    PiezoWave2 can be used by medical professionals where state boards have defined the use of electronic modalities, including sound, as within the scope of their professional practice. Generally, Physical Therapists, Chiropractors, and, in some states, Massage Therapists can use the PiezoWave2. Often, technicians within a medical practice will deliver MyACT to the patient. These technicians are trained and provide MyACT under close supervision from the clinician.

  • What is the intended use for the PiezoWave2?

    MyACT treats pain resulting from chronic painful myofascial trigger points in the areas of the:

    1. Upper extremities
    2. Cervical spine
    3. Shoulder girdle
    4. Thoracic spine and lumbar spine

  • Does the PiezoWave2 require a lot of expensive maintenance?

    The PiezoWave2 is relatively maintenance free and extremely economical compared to other focused soundwave devices.

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