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Alma Duo


Experience body transformation services with FDA cleared and non-surgically and minimally invasive procedures with little to no downtime. Alma Duo is a low-intensity shock wave device that is currently listed with the FDA as a therapeutic massager.

What is Shock Wave?

  • MOA: shock waves exert stress in tissue via 2 mechanisms:

  • Acoustic waves that carry energy and when propagating through a medium, can be targeted and focused noninvasively to affect a distant selected anatomical region
    • Direct mechanical stress associated with the high-amplitude shock wave

    • The growth and violent collapse of cavitation bubbles in fluid (injury within the blood vessels vs surrounding tissue). Smaller vessels (capillaries) will be subject to greater stress than larger vessels causing shear stress and damage of the endothelium resulting in neovascularization (formation of new blood vessels)

  • Variety of shock wave therapy exists: Focused LI-ESWT, Non-focused/Linear LI-ESWT, RSWT
  • Focused LI-ESWT originally introduced for kidney stones and since been used in the management of bone fractures, musculoskeletal disorders, cardiovascular disease and wound healing


Mechanism of Action

  • Peak pressure exerts direct mechanical stress

  • Longer-lasting period of negative pressure generates gas bubbles in fluid (i.e., blood vessels) that violently collapses (cavitation) causing trauma to the endothelium

  • Smaller vessels are subject to more trauma than larger vessels

  • Trauma sets off a cascade of wound healing responses that induces neovascularization and angiogenesis (formation of new blood vessels)


Am I the right candidate for this treatment?

Any man with the inability to develop and/or maintain an erection for satisfactory sexual intercourse is eligible to get our Alma Duo treatment. However, a virtual consultation is needed before any procedures in order to evaluate your medical condition.