Shockwave therapy, also known as Extracorporeal Shockwave Therapy (ESWT), uses acoustic waves delivered in short bursts of high intensity, creating a shockwave that travels through the skin and into the targeted tissues. This triggers a series of physiological responses that promote healing to new and old injuries, such as the stimulation of blood flow and the formation of new blood vessels—this process is critical for the healing of injured tissues as it brings oxygen and nutrients to the site of injury, helping to speed up the healing process. The increased blood flow and tissue regeneration can reduce inflammation, relieve pain, and improve overall mobility in the treated area.


Generation of Shockwaves: Shockwaves are high-energy sound waves that are created using a device called a shockwave generator. This device typically uses compressed air or electromagnetic impulses to generate the shockwaves.

Transmission to the Target Area: The shockwaves are focused and transmitted to the specific area of the body where treatment is needed. This is usually done by applying a gel or conducting medium to the skin to help transmit the waves effectively.

Mechanical Effects: When the shockwaves reach the target tissue, they create mechanical forces that cause microtrauma within the tissue. This microtrauma stimulates the body’s natural healing response. It increases blood flow to the area, promotes the formation of new blood vessels (angiogenesis), and triggers the release of growth factors and other healing compounds.

Pain Reduction: Shockwave therapy can help reduce pain by disrupting pain signals and affecting the nerves in the treated area. It may also reduce muscle tension and improve range of motion.

Tissue Regeneration: The microtrauma induced by shockwaves encourages the body to repair and regenerate damaged tissue. This is particularly beneficial for conditions involving chronic inflammation, such as tendinopathies (e.g., Achilles tendonitis, rotator cuff tendinitis) and plantar fasciitis.

Cellular Effects: Shockwave therapy may also have direct effects at the cellular level. It can promote collagen production, which is essential for tissue strength and elasticity.

Stimulation of Healing Processes: Over time, the body’s natural healing processes help to resolve the underlying condition. Patients may experience reduced pain, improved function, and enhanced tissue healing as a result of shockwave therapy.

Shockwave therapy also stimulates the production of collagen, a protein that provides structural support to tissues such as tendons and ligaments, further promoting healing. By creating microtrauma to the targeted area, the therapy triggers the body to generate new growth cells and stem cells.

The combination of mechanical, biochemical, and physiological effects of shockwave therapy work together to promote tissue regeneration and reduce pain and inflammation in musculoskeletal conditions, thereby kickstarting the healing process in new and old injuries alike.