An apparatus (100) for generating focused shockwaves and ultrasound waves comprises a concave reflector (110) holding a cylindrical coil (120) at its center axis (200). A power generator (310) comprising a combined shockwave and ultrasound generator (310) is connected to the coil (120) for alternatingly providing an ultrasound signal (325) and a shockwave signal (326) to the coil (120) such that the coil (120) alternatingly generates ultrasound waves and shockwaves.