A medical apparatus for treatment of the human or animal body by mechanical pressure waves or shock waves, comprises a device designed to generate the pressure waves or shock waves. The device for generating the pressure waves or shock waves have at least one applicator part which can be subjected to impacts at a proximal end in order to generate the pressure waves or shock waves and, at a distal end, applies the pressure waves or shock waves into the body. The apparatus is additionally designed to generate outside the body, and to apply into the body, at least one further physiological action parameter chosen from the group consisting of electrical current, electro-magnetic waves, in particular light, ultrasound and/or a further mechanical action.