Explore Shockwave Therapy

Deliver evidence-based treatment for tendinopathies, bone stress injuries, chronic pain and tissue healing using Focused Shockwave (FSW) and Radial Pressure Wave (RPW) technology.

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WHAT IS SHOCKWAVE THERAPY?

Shockwave therapy is a clinically proven, non-invasive treatment used to manage chronic pain, stimulate healing, and accelerate recovery.



Clinicians use shockwave therapy to treat conditions that have not responded to conventional approaches, such as chronic tendinopathies, plantar fasciitis, and calcific shoulder tendinitis.

Patients benefit from a safe, drug-free treatment that targets the source of chronic pain and dysfunction. Shockwave therapy stimulates natural healing processes, increases circulation, and reduces inflammation—offering a long-term solution to conditions that haven’t improved with stretching or manual therapy alone. Shockwave therapy can help speed up recovery from overuse injuries and chronic inflammation, supporting a quicker return to performance. Whether it’s Achilles tendinopathy, tennis elbow, or a hamstring strain, this technology restores mobility and function without downtime.

HOW DOES SHOCKWAVE THERAPY WORK?

A shockwave has two physical effects: the direct generation of mechanical forces (primary effect), and the indirect generation of mechanical forces by cavitation (secondary effect).



The primary effect is created by a sharp rise in positive pressure and the secondary effect during the resulting negative phase (tensile phase).



Secondary effect: INDIRECT MECHANICAL FORCE, the CAVITATION - the rapid formation, expansion, and subsequent implosion of air bubbles due to the negative pressure. The process in which the growth and collapse of acoustic waves including shock waves induce bubbles in liquid is called acoustic cavitation. Acoustic cavitation not only breaks calcific deposits, but also excites nerves, stimulates axons, and reduces pain. The energy released from the bubble during its collapse (implosion) creates micro jets of water with high temperatures. This action has a damaging effect, which at low energy will cause micro tissue damage that will also instigate the healing process. 



Cells react to these pressure changes in a process known as Mechanotransduction. Mechanotransduction, by definition, is the “mechanism by which cells convert mechanical stimuli into cellular responses to a variety of mechanical loads”. As a result, we find increased cell proliferation, differentiation, angiogenesis, collagen synthesis, increased expression of TGF-1 and MMP (Matrix metalloproteinases) molecules all assisting to expedite the healing process.

BENEFITS OF SHOCKWAVE THERPY

Shockwaves induce proliferation, migration, differentiation and apoptosis of cells, including stem cells, which significantly contribute to tissue healing and regeneration.



Physiological effects:



* Angiogenesis – Increased Blood flow (NO release)

* Analgesic effect through release of pain mediators and influencing the transmission of pain signals

* Tendon tissue regeneration

* Stimulation of osteoregenerative processes

* Pro-inflammatory action – Reboot the healing process in chronic conditions

* Fibrotic tissue and scar remodelling or resorption

* Reduce hypertonia in spastic muscles

Animation showing shockwaves penetrating person

WHAT DOES THE EVIDENCE SAY

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WHAT'S THE DIFFERENCE BETWEEN RADIAL PRESSURE WAVE AND FOCUS SHOCKWAVE

RADIAL PRESSURE WAVE

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FOCUS SHOCKWAVE

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WHAT CONDITIONS CAN SHOCKWAVE TREAT?

Both Radial Pressure Wave and Focus Shockwave can treat a range of conditions, including some of the following. It's always important to consult your products IFU for clinical indications.

Radial Pressure Wave (RPW)



Superficial tendinopathies

Large muscle groups

Trigger points

Muscle hypertonia

Plantar fasciitis

Achilles tendinopathy

Tennis elbow

Patellar tendinopathy

ITB syndrome

Trochanteric pain

Chronic myofascial pain



Focused Shockwave (FSW)



Deep-seated tendons

Calcific shoulder tendinopathy

Bone stress injuries

Delayed unions / non-unions

Osteoarthritis

Morton's neuroma

Carpal tunnel syndrome

Chronic pelvic pain syndrome

Erectile dysfunction

Wound healing

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WHY INVEST IN SHOCKWAVE THERAPY FOR YOUR CLINIC?

Shockwave therapy can help expand treatment options, attract new patients, and increase revenue opportunities.



When evaluating new treatment technologies, understanding both the clinical and commercial benefits is essential. Our ROI Calculator allows you to explore potential revenue, treatment capacity, and investment payback using assumptions specific to your clinic.



Use the calculator below to build your own business case and understand the potential return on your investment.

ROI CALCULATOR

FEATURED PRODUCTS

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FAQs

References

  1. Nambi G, Alghadier M, Ebrahim EE, Verma A, Aldhafian OR, Mohamed SHP, Alshewaier SA, Sirajudeen MS, Muthusamy H, Unnikrishnan R. MRI and Ultrasound Analysis of Corticosteroid Injection Combined with Extracorporeal Shockwave Therapy in Lateral Epicondylitis-A Prospective, Randomized, Double-Blinded, Placebo-Controlled Trial. J Pers Med. 2022 Nov 11;12(11):1892.
  2. Walewicz K, Taradaj J, Dobrzyński M, Sopel M, Kowal M, Ptaszkowski K, Dymarek R. Effect of Radial Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Efficiency, and Postural Control Parameters in Patients with Chronic Low Back Pain: A Randomized Clinical Trial. J Clin Med. 2020 Feb 19;9(2):568.
  3. Weninger P, Thallinger C, Chytilek M, Hanel Y, Steffel C, Karimi R, Feichtinger X. Extracorporeal Shockwave Therapy Improves Outcome after Primary Anterior Cruciate Ligament Reconstruction with Hamstring Tendons. J Clin Med. 2023 May 9;12(10):3350.
  4. Gollwitzer H, Saxena A, DiDomenico LA, Galli L, Bouché RT, Caminear DS, Fullem B, Vester JC, Horn C, Banke IJ, Burgkart R, Gerdesmeyer L. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015 May 6;97(9):701-8.
  5. Li H, Yao W, Xue X, Li Y, Hua Y. (2023), Therapeutic effects following extracorporeal shock wave therapy for insertional and non-insertional Achilles tendinopathy. Asia Pac J Sports Med Arthrosc Rehabil Technol. Oct 10;34:38-45.
  6. Cortés-Pérez I, Moreno-Montilla L, Ibáñez-Vera AJ, Díaz-Fernández Á, Obrero-Gaitán E, Lomas-Vega R. (2024), Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis: A systematic review and meta-analysis. Clin Rehabil. May 13.
  7. Wu Z, Zhou T, Ai S. (2023), Extracorporeal shock wave therapy for low back pain: A systematic review and meta-analysis. Medicine (Baltimore). Dec 29;102(52):e36596.
  8. Zhang J, Zhong S, Tan T, Li J, Liu S, Cheng R, Tian L, Zhang L, Wang Y, Liu F, Zhou P, Ye X. (2021), Comparative Efficacy and Patient-Specific Moderating Factors of Nonsurgical Treatment Strategies for Frozen Shoulder: An Updated Systematic Review and Network Meta-analysis. Am J Sports Med. May;49(6):1669-1679.
  9. Silva AC, Almeida VS, Veras PM, Carnaúba F, Filho JE, Garcia M, Fonseca DS. (2023), Effect of extracorporeal shock wave therapy on pain and function in patients with knee osteoarthritis: a systematic review with meta-analysis and grade recommendations. Clin Rehabil. Jun;37(6):760-773.
  10. Ou-Yang LJ, Chen PH, Lee CH, Li TY, Wu YT, Jhou HJ, Yu TY. (2022), The Effect and Optimal Timing of Extracorporeal Shock-wave Intervention to Patients with Spasticity After Stroke: A Systematic Review and Meta-Analysis. Am J Phys Med Rehabil. Apr 5.
  11. Hayon S, Panken EJ, Bennett NE. (2024), Variations in Low Intensity Shockwave Treatment Protocols for Erectile Dysfunction: A Review of the Literature and Guide to Offering Treatment. World J Mens Health. Apr;42(2):283-289.
  12. Dunn SL, Olmedo ML (2016), Mechanotransduction: Relevance to Physical Therapist Practice-Understanding Our Ability to Affect Genetic Expression Through Mechanical Forces. Phys Ther. May;96(5):712-21.
  13. Schmitz C, Császár NB, Milz S, Schieker M, Maffulli N, Rompe JD, Furia JP. (2015), Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database. Br Med Bull;116(1):115-38.


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