Since the beginning of the 1990s extracorporeal shockwaves have been successfully used to treat chronic pain conditions. Extracorporeal Shockwave Therapy (ESWT) is highly efficient, non-invasive methods of treating chronic pain in the skeletal musculature.
The classic orthopedic indications for shockwave therapy (ESWT) are disorders of the tendon insertions, e.g. changes in the soft tissue of the rotator cuff in the shoulder, tennis or golfer’s elbow, patellar tip syndrome in the knee, or plantar fasciitis with heel pain. In sports medicine, the conditions of insertion tendinitis (enthesiopathies) are one of the standard indications for treatment with focused shockwave therapy.
Clinical studies assess the effects of ESWT in this area less on the basis of tissue destruction and more on the stimulation or activation of tissue substances which are able to play a role in the process of self-healing.