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Alma Duo

Introducing a revolutionary treatment for men and women

First introduced in the 1970s for stone fragmentation, LI-ESWT has since evolved to successfully address medical concerns in orthopedics for its anti-inflammatory benefits and in cardiology to promote angiogenesis, the formation of blood vessels.

This patented shock wave therapy causes mechanical stress to the treatment* site, triggering a cascade of wound-healing responses to stimulate better blood flow and restore more natural function.

Thicker, harder longer...longer! It truly works anytime, anywhere.

SBEMale Patient

The Technology Behind Alma Duo

First introduced for stone fragmentation in the 1970s, focused low-intensity extracorporeal shock wave therapy (LI-ESWT) has since evolved to successfully address additional medical concerns in orthopedics for its anti-inflammatory benefits and in cardiology to promote angiogenesis, the formation of blood vessels.

What is LI-EWST?

Focused LI-EWST, delivered with Alma Duo’s patented electrohydraulic applicator, consists of a short pulse of about 0.5µs duration or a near instantaneous jump to a peak positive pressure, which is referred to as a ‘shock’, followed by a longer-lasting period of negative pressure. Shock wave peak pressure is nearly 1000X greater than the peak pressure in ultrasound waves.

I'm a breast cancer survivor, 10 years now. I had received the new Duo treatment. At first, I was really nervous, but it was painless and went well. I'm very pleased with the results and thankful Laura has this treatment to help people. It gave me the boost of confidence I really needed. Laura is awesome and her staff as well. They are so friendly and helpful and really care about their clients and their needs. Thank you again Majestic!

Female Patient

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How does LI-EWST work?

The peak pressure exerts direct mechanical stress. This shear stress sets off a cascade of wound healing responses that induces neovascularization and angiogenesis (formation of new blood vessels) to restore better blood flow and natural function to the treatment site.

Unlike other shock wave technologies Alma Duo’s patented electrohydraulic applicator is designed to reach in deeper depths (135mm) with 3X fewer pulses and lower energy to effectively treat not just the penile shaft but the penile crus – where 50% of the cavernous bodies that comprise the corpora cavernosa is located.

300 pulses are administered to 5 unique treatment sites, 3 along the penile shaft and 2 directed to the penile crus. Two treatments per week for three consecutive weeks is recommended.

The restorative properties of Alma Duo’s focused LI-EWST has been clinically validated, with the most studies published studies dating back to 2010 that includes hundreds of male patients around the world.


Developed by the pioneers of shock wave technology, the patented Alma Duo™ technology uses the gold standard shock wave therapy — focused low-intensity extracorporeal shock wave therapy (LIESWT) – to stimulate blood flow and support function for men and women, bringing spontaneity and pleasure back into their lives.

  • No downtime
  • Long-lasting results
  • Non-invasive and effective
alma duo

From our client...

It is so exciting that Laura has brought new and innovative technology to her office.  So many times women feel they have to have something wrong with them physically before they will seek a treatment opportunity for better sex. The DUO gives women the opportunity to increase their libido, increase sensitivity “down there” and (lubrication) just because they want to! I was in and out in about 15 minutes for each treatment and the results are better than I expected.  Any woman who wants to add a little more to their own sexual experience should try it because they want to!


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