The athermal mechanical mode of action of DEEP OSCILLATION® can induce the following clinically documented effects in treated tissue to an 8cm depth:


pull upsolangel

Clinical effects


The athermal mechanical mode of action of deep oscillation can induce the following clinically documented effects in treated tissue:


  • Strong pain-alleviating potential. This applies to acute traumatic as well as to chronic pain conditions [2-11].
  • Anti-inflammatory effect [12, 13].
  • Prevention and reduction of secondary and primary lymphoedema, as well as reduction of oedema in lipoedema [2, 4, 6, 14-17].
  • Prevention of fibrotic remodelling processes, reduction of fibrosis [2, 14, 15, 18].
  • Muscle relaxation, mobilisation, functional improvement and improved ROM [4, 7, 18-20].
  • Support of wound healing processes [1, 21, 22].
  • Normalisation of haemodynamic parameters of the skin, correction of aesthetic-neurotic problems and influence on biological ageing through preventive effects on premature ageing [23].
  • Accelerated recovery after intensive physical workout [24, 25]
  • Decongestion and functional improvement in obstructive pulmonary conditions [26, 27]





All References


Simin Atashkhoei1, Solmaz Fakhari2 (2016) Management of Breast Cancer Related Lymphoedemae ISSN 2148-9696 Vol. 3, No. 4, October 2016, 111-112


Aliyev R., Mikus E.W.S., Reinhold J.G. (2008): Hochsignifikante Therapieerfolge mit DEEP OSCILLATION® in der orthopädischen Rehabilitation. Orthopädische Praxis 44, 448-453.

English title: Significant Therapy Improvements with DEEP OSCILLATION® in Orthopaedic In-patient Rehabilitation.


Aliyev R.M., Reinhold J., Seidov I.I., Mikus E.W.J. (2009): Ergebnisse mit DEEP OSCILLATION® bei Verletzungen des oberen Sprunggelenkes. Orthopädische Praxis 45, 502-506.

English title: Results with DEEP OSCILLATION® for Injuries to the Upper Ankle Joint.


Aliyev R. (2009): Klinische Wirksamkeit des Therapieverfahrens Tiefenoszillation bei Sportverletzungen. Sportverl Sportschaden 23, 1-4.

English title: Clinical effects of the therapy method deep oscillation in treatment of sports injuries.


Aliyev R.M. (2012): Better Functional Results of Conservative Treatment in Fresh Lateral Ligament Injuries of the Ankle with Additional Deep Oscillation. Phys Med Rehab Kuror 22, 9–15.


Andreev A. (2015): Deep oscillation, kinesiotaping and exercises in amateur football players after ACL reconstruction. XXIV International Conference on Sports Rehabilitation and Traumatology. London, PB06. 


Boisnic S., Branchet M.C. (2013): Anti-inflammatory and draining effect of the Deep Oscillation(R) device tested clinically and on a model of human skin maintained in survival condition. Eur J Dermatol 23(1), 59-63.


Bolaños F. (2009): Efectividad de las oscilaciones profundas Hivamat personal en la patalogía artrósica de rodilla: Estudio de caso en adultos mayores. Universidad Santa Paula.


Fistetto G., Iannitti T., Capone S., Torricelli F., Palmieri B. (2011): Deep Oscillation®: esperienze terapeutico-riabilitative con un nuovo innovative strumento ad azione elettrostatica. Minerva Med 102(4), 277-88.

English title: Deep Oscillation: therapeutic-rehabilitative experiences with a new electrostatic device.


Gao Y.-C., Peng C.-C., Peng R.Y. (2015): A long term chronic fibrotic adhesion of elbow muscles alleviated by applying hivamat 200 deep oscillation therapy. International Journal of Multidisciplinary Research and Development 2(1), 286-289.


Gasbarro V., Bartoletti R., Tsolaki E., Sileno S., Agnati M., Coen M., Conti M., Bertaccini C. (2006): Ruolo dell´oscillazione profonda (Hivamat® 200) nel trattamento fisico del linfedema degli arti. La medicina estetica 30(4), 473-478.

English title: The role of deep oscillation therapy (Hivamat® 200) in the physical treatment of the lymphoedema of the limbs.


Gasbarro V., Bartoletti R., Tsolaki E., Sileno S., Agnati M., Conti M., Bertaccini C. (2006): Role of Hivamat® (deep oscillation) in the treatment for the lymphedema of the limbs. EJLRP 16(48), 13-15.


Han M.A., Ivanova D.A., Ljan N.A., Lukina O.F. (2012): Application of the pulse low-frequency electrostatic field at bronchial asthma of children. Russian Journal of Rehabilitation Medicine 1, 21-32.


Hernández Tápanes S., Suárez A., Bravo Acosta T., Wilson Rojas R., Fernández Prieto B., Cabrera Morales M. (2009): Valor de la terapia con oscilaciones profundas en la cicatrización de las quemaduras AB. Rev Cub MFR 2(1) [revista en la Internet]. Cited 05.02.2016; available from

English title: Value of deep oscillation therapy in the healing of AB burns.


Hinman M.R., Lundy R., Perry E., Robbins K., Viertel L. (2013): Comparative Effect of Ultrasound and DEEP OSCILLATION® on the Extensibility of Hamstring Muscles. Journal of Athletics Medicine 1(1), 45-55.


Horn A., Mischler B. (2015): Kurzzeitwirkung von Tiefenoszillation auf die Fein- und Grobmotorik bei Multiple-Sklerose-Patienten und -Patientinnen mit Funktionseinschränkungen der Hand: Eine Einzelfallstudie. Berner Fachhochschule Fachbereich Gesundheit.


Jahr S., Schoppe B., Reisshauer A. (2008): Effect of treatment with low-intensity and extremely low-frequency electrostatic fields (Deep Oscillation) on breast tissue and pain in patients with secondary breast lymphoedema. J Rehabil Med 40(8), 645-50.


Johanning-Csik F. (1994): Behandlung postpartaler Brustschmerzen und -spannungen mit dem Intensivierungssystem Hivamat. Medical dissertation. Erlangen - Nürnberg.


Kashilska Y., Petkov A., Micheva P., Batashki A., Batashk Z. (2015): Improving the quality of life through effects of treatment with low intensity extremely low-frequency electrostatic field with sound - DEEP OSCILLATION® in patients with breast cancer with secondary lymphoedema to patients treated with standard lymph equipment. Medicine V(1), 381-387.  Precis in English in PCNR  Issue 11, July 2016


Korkina L., Reinhold J., Rota L., Primavera G., Raskovic D. (2007): Treatment of Gynoid Lipodystrophy (Cellulite) with Deep Oscillation®: A Pilot Clinical Study. 29th Annual Meeting of The Bioelectromagnetics Society. Kanazawa, 2.


Kraft K., Kanter S., Janik, H. (2013): Safety and effectiveness of vibration massage by deep oscillations: a prospective observational study. Evid Based Complement Alternat Med.;2013:679248. doi: 10.1155/2013/679248. Epub 2013 Oct 3.


Mikhalchik E., Titkova S., Anurov M., Suprun M., Ivanova A., Trakhtman I., Reinhold J. (2005): Effects on blood parameters of Deep Oscillation. 1st International Conference on Skin and Environment. Moscow-St. Petersburg, 59.


Mikhalchik E., Titkova S., Anurov M., Suprun M., Ivanova A., Trakhtman I., Reinhold J. (2005): Wound Healing Effects of Deep Oscillation. 1st International Conference on Skin and Environment. Moscow- St. Petersburg, 71.


Systematic review: conservative treatments for secondary lymphedema
Mark Oremus1,2, Ian Dayes3, Kathryn Walker1,2 and Parminder Raina1,2* Oremus et al. BMC Cancer 2012, 12:6


Nourollahi S., Mondry T.E., Herbst K.L. (2013): Bucher’s Broom and Selenium Improve Lipedema: A Retrospective Case Study. Altern Integ Med 2(4), 119. 


O’Brien CP and Watson A (2016): Deep Oscillation® Therapy in the Treatment of Lateral Epicondylalgia: A Pilot Randomized Control Trial, J Sports Med Doping Stud 2016, 6:3


Reinhold J., Deeva I., Korkina L., Schaper K., Krummenauer F. (2014): Randomisierte Pilotstudie zur Quantifizierung des patientenseitigen Nutzens der Beeinflussung primärer Wundheilungsprozesse durch Tiefenoszillation. Z Orthop Unfall 152(3), 260-264.

English title: Randomised Pilot Study for Quantification of Benefit from the Patient's Point of View of Deep Oscillation Treatment in Primary Wound Healing.


Reinhold J. The Mechanisms of Deep Oscillation, 2017 MLDuk The Journal


Sänger H.-F. (1995): Der Einfluß von HIVAMAT® 200 (histologisch-variable Technik) auf die Entstehung der radiogenen Fibrose bei brusterhaltend therapierten Patientinnen mit Mammakarzinom. Medical dissertation, Erlangen - Nürnberg.


Scannavini P., Bitocchi M., Rossi M., Girvasi L. (2012): Lesioni muscolari da sport: percorsi di riatletizzazione. Scienze motorie, ortopediche, riabilitative 60, 31-35.

English title: Sports muscle injuries: athletic recovery paths.


Schönfelder G., Berg D. (1991): Nebenwirkungen nach brusterhaltender Therapie des Mammakarzinoms. Erste Ergebnisse mit Hivamat. gynäkol. prax. 15, 109-122.

English title: Side effects following conservative therapy for a carcinoma of the breast. Initial results with Hivamat.


Sporbeck B., Mathiske-Schmidt K., Jahr S., Huscher D., Becker M., Riemekasten G., Taufmann I., Burmester G.R., Pögel S., Reisshauer A. (2011): Effect of biofeedback and DEEP OSCILLATION® on Raynaud's phenomenon secondary to systemic sclerosis: results of a controlled prospective randomized clinical trial. Rheumatol Int 32(5), 1469-73.


Isobel Teo, Anna Coulborn, DA Munnoch 2016:  "Use of the HIVAMAT® 200 with manual lymphatic drainage in the management of lower limb lymphoedema and lipoedema.  Journal of Lymphoedema June 2016, Volume 11 Issue 1


Trybulski R. (2008): Wykorzystanie hivamat 200 w leczeniu ran. Rehabilitacja w Praktyce 1, 28-33.

English title: Using Deep Oscillation system in the treatment of wounds.


Trybulski R. (2016): Metoda DEEP OSCILLATION w leczeniu zespou stopy cukrzycowej. PRAKTYCZNA fizjoterapia & rehabilitacja 68, 22-29.

English title: DEEP OSCILLATION method in treatment of diabetic foot syndrome.


Trybulski R., Zebrowska A. (2016): Obrzek Limfatyczny/Lymphatic Oedema. Miedzynarodowa Konferencja Sekcji Limfologicznej Polskiego Towarzystwa Flebologicznego 22-23. Scientific Poster at International Congress of the Lymphology Section of Polish Society of Phlebology. Wrocaw, April 22-23.

English translation: LYMPHOEDEMA. The effect of physical stimulation of microcirculation on selected parameters of muscle fatigue.


Trybulski R., Zebrowska A., Marcol W., Roczniok R., Kepa K., Kiljanski M. (2016): Wykorzystanie glebokiej oscylacji i elektrostymulacji miedni gladkich w niwelowaniu wybranych parametrów zmeczenia miesniowego. Fizjoterapia Polska 2(16), 14-30.

English title: Application of Deep Oscillation and Electric Stimulation in Smooth Muscles to Minimize the Selected Parameters of Muscular Fatigue.


Yashkov A.V., Gazdieva E.M., Badyanova I.S. (2007): Efficacy of intermittent low-frequency electrostatic field in the sanatorium-based complex treatment of patients with chronic obstructive pulmonary disease. Kurortniye Vedmosti 3(42), 62-63.


Zehtindjieva M.G., Ioshinov B.R., Andonov D.R., Ilkov V.S., Bayraktarova A. (2013): Deep Oscillation – A Modern Additional Physical Modality For Analgesia In Patients With Back Pain. PRAEMEDICUS 29, 85-90.

Dr Anne Williams, Isobel MacEwan Practice Nursing | Vol 28 | No 7 | July 2017 | pp 284–289 "Lipoedema complicated by secondary lymphoedema"


Winkelmann ZK1, Roberts EJ1, Games KE1: Acute Effects and Perceptions of Deep Oscillation Therapy for Improving Hamstring Flexibility.J Sport Rehabil. 2017 Jul 17:1-25. doi: 10.1123/jsr.2017-0044. [Epub ahead of print]


Electrostatic massage therapy (Deep Oscillation®) — therapy is applied to the skin in a massaging movement by a therapist via gloved hands while the patient holds a linked electrode; this creates an electrostatic effect in the tissues that is suggested may reduce pain and inflammation (Teo et al, 2016).

Wounds UK. Best Practice Guidelines: The Management of Lipoedema. London: Wounds UK, 2017. Available to download from:


Other Publications


Anonymous (2010): Lymphödem nach Therapie bei Brustkrebs. Nutzen elektrostatischer Felder als Zusatzbehandlung zur manuellen Lymphdrainage. natur-heilkunde journal 10, 34-35.


Brenke R., Siems W. (1996): Adjuvante Therapie beim Lymphödem. Lymphol 20, 25-29.

English translation: Accompanying Therapy in Lymphoedema


Fickling M. (2015): Eight Years On - An MLD DLT Practitioners & Lymphoedema Therapist Review of {{do}} ({{h2}} Therapy. MLD UK "The Journal" Winter Issue

Fickling M. (2014): "It's about ability, not disabilities - DEEP OSCILLATION® For Pain Management" Empower Magazine Issue 2.


Fickling M., Cruickshank MacNicol E. (2014): "FAQ Regarding DEEP OSCILLATION Self Management Post Amputation" Empower Magazine Issue 6. Page 51


Fickling M. (2014): "DEEP OSCILLATION® making electrostatic waves in UK Healthcare" Choice Health and Wellbeing Magazine, Autumn Issue


Fickling M. (2014): "DEEP OSCILLATION® Electrostatic Massage Therapy - Helping Health Care Professionals improve care pathways for lymphoedema, lipoedema, lipo-lymphoedema sufferers" Primary Care Nursing Review (PCNR), Issue 1. Product Focus and Reviews 


Fickling M. (2013):  "A review of how a gentle, non-invasive, electrostatic massage therapy (applied through gloved hands) has changed the way in which therapists work, achieving very effective results for their clients" Choice Health & Wellbeing Magazine feature DEEP OSCILLATION® in Sept/Oct Issue.

Fickling M. (2010): "DEEP OSCILLATION® Deep tissue massage therapy - a major breakthrough for therapists" Choice Health and Wellbeing Magazine, April/May Issue. 
Fickling M. (2010): "DEEP OSCILLATION® helping change the lives of Lymphoedema Sufferers" Choice Health and Wellbeing Magazine, Dec/Jan Issue.
Fickling M. (2009):  {{do}} The Therapist, Spring Issue

Youn Hee K. (2009): deep oscillation, perfect body. BELLISSIMA KOREA 8, 110-111.


Kraus R. (2014): Intensivere Lymphdrainage durch Tiefenoszillation. LYMPHE & Gesundheit 2, 6-8.


Liebl M.E., Willems S., Hoffmann S., Schwedtke C., Meuche S., Hermann K.G., Reißhauer A. (2012): Fachübergreifende Frührehabilitation an der Charité. Interdisziplinäre und multiprofessionelle Maximalversorgung. Z f Physiotherapeuten 64(6) [special supplement].


Newbold T. (2010):  "{{do}} - A Therapist Review" Choice Health and Wellbeing Magazine. Autumn Issue


Onose G., Daia-Chendreanu C., Haras M., Popescu C., Andone I., Mirea A., Neculai M. (2009): DEEP OSCILLATION® Our Experience Concerning the Use of Deep Oscillation in the Therapy of Osteoarthritis. The Proceedings from the National Conference of Neurosurgery and Neurorehabilitation. Mamaia, 2nd edition.


Reisshauer A., Pögel S. (2010): Therapie des sekundären Armlymphödems bei Mammakarzinom. gynäkol. prax. 34, 489–499.


Schingale F.-J. (2006): Kopf-, Brust- und Genitallymphödem - eine besondere Herausforderung für den Lymphtherapeuten. vasomed 1, 30-31.


Soroczyn J. (2008): Magic Hands - {{do}} Massage World - The Massage and Body Therapists Magazine, April/May, 9-10, 16.


Talbot C. (2011): Lymphoedema Support Network periodical 'Lymphline', Spring Issue, {{do}} for lymphoedema


Watson A. (2010): Annual PGA Magazine, "New Treatment Helping You Out Of The Rough"


Watson A. (2010):  The Senior Times, Ireland, "Thumbs Up For Pain Free Gardening"


Watson A. (2010):  Choice Health & Wellbeing Magazine. "Highlight of a tough year... DEEP OSCILLATION® came to Ireland"


Wehner H., Wehner W. (2006): Physiologische Zusatzhilfe gegen Lymphstau, Ödem und Schmerzen. HIVAMAT® 200: Aus dem Klinik- und Praxisalltag nicht mehr wegzudenken. Die Naturheilkunde 4, 43-45.


Wehner H., Wehner W. (2005): HIVAMAT® 200 - Erfahrungen mit der apparativen Lymphdrainage und Tiefenmassage bei onkologischem Krankengut in einer Spezialklinik für integrative Medizin. Die Naturheilkunde 6, 41-44.


Weiss A. (2015): Intensivere Lymphdrainage durch Tiefenoszillation (Deep Oscillation®). Reflexe 6, 19-21.


Yerrissian S. (2008): New device on block. MLD UK 14(2), 5.


Yerrissian S. (2008): Deep Oscillation Therapy and the case of a swollen eyelid. MASSAGE WORLD. The Massage and Body Therapists Magazine Aug/Sept.


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Bossert F-P., Vogedes K. (2014): Deep Oscillation. In: Bossert F-P., Vogedes K. (Ed.): Elektrotherapie, Licht- und Strahlentherapie. 3. Aufl., Elsevier GmbH, 139-146.


Brenke R., Freund R., Strößenreuther R.H.K. (2010): Adjuvante Physikalische Therapie beim Lymphödem sowie bei ausgewählten Begleiterkrankungen am Bewegungsapparat. In: Földi M., Földi E. (Ed.): Lehrbuch Lymphologie. 7. Aufl., Elsevier GmbH, 508.


Hernández Tápanes, S. (2012), Terapia con oscilaciones profundas. Experiencias en cervicalgias, lumbalgias y epiconylitis., EdiReh-Latina.


Reißhauer A., Auler S., Bieringer S., Jahr S. (2009): Physikalische Entstauungstherapie. In: Reißhauer A., Auler S., Bieringer S., Jahr S. (Ed.): Kompendium der lymphologischen Kompressionsversorgung. Bundesfachsschule für Orthopädie-Technik, 42-57.


Seidl H. (2006): Das Verfahren HIVAMAT im Rahmen der Entstauungstherapie. In: Bringezu G., Schreiner O. (Ed.): Lehrbuch der Entstauungstherapie. 2. Aufl., Springer Medizinverlag, 245-250.


Lipiska A., Opuchlik A.(2014): Fizykoterapia w onkologii. In: liwiski Z., Siero A. (Ed.): Wielka Fizjoterapia. Elsevier GmbH, 289-294.

English title: Physical Therapy in Oncology.



Radio Interviews


Griffith W. (2010) PT TALKER with Jeff Worrell. Interview William Griffith about DEEP OSCILLATION®

Talbot C. (2010)  Holistic Hour "The Lymphatic System and Lymphoedema, how {{do}} has made a remarkable difference to patient care"



School of Animal, Rural and Environmental Sciences, Nottingham Trent University, Brackenhurst, Southwell,
Nottingham, UK, NG25 0QF     Email: Tel: 01636 817014
Lyn Hopegood : Physiological Effects of Massage and DEEP OSCILLATION® on the Horse See Poster Presentation