In focused shock wave therapy (ESWT), high-energy pulses are generated in an applicator, which can be focused and delivered to the tissue through a lens. The energy of the electromagnetically generated, focused shock waves is greater than that of pneumatically generated, radial pressure waves. Shock wave therapy is used for treat a wide range of indications in the fields of cardiology, urology, neurology and orthopaedics. The high penetration depth of focused shock wave therapy for reliable therapeutic success. The widened focus zone enables uncomplicated treatment with improved accuracy. With the help of two stand-offs, the focus zone can be individually adapted to each patient during therapy. The large penetration depth of 12.5 cm without stand-off enables even deeper areas to be treated.