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Over the past 15 years the use of extracorporeal lithotripsy, also know as Shockwave therapy, for the treatment of musculoskeletal disorders, such as chronic therapy-recalcitrant tendinopathies, has become a significant subject of research worldwide.


Radial shock wave therapy (rESWT) utilises a ballistic technique. A projectile,accelerated by compressed air and propelled at high kinetic energy, hits an applicator placed on the skin. By using a coupling medium such as ultrasound gel, this impulse is delivered to the tissue in the form of a shock wave. From this point the shock wave continues to spread inside the body in the form of aspherical "radial" wave. In this generating principle, the applicator surface constitutes the geometric point with the highest pressure and the highest energy density.


The treatment initiates an inflammation-like condition in the tissue that is being treated. The body responds by increasing the blood circulation and metabolism in the impact area which in turn accelerates the body's own healing processes. The shockwaves break down injured tissue and calcifications.

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