12/24/2025
Recommendations for use of extracorporeal
shockwave therapy in sports medicine: an
international modified Delphi study
"In the present study, the authors review and discuss the principal biological mechanisms triggered by the application of extracorporeal shockwaves therapy to support the treatment of musculoskeletal injuries as a regenerative medicine technique. This non-invasive, medical procedure is capable of triggering cellular and molecular alterations that assist the regeneration of injured tissues. ESWT is mainly responsible for: pain relief, by acting directly on nerve fibers; tissue regeneration by stimulating vascularization; and reduction of calcium deposits in tissues. Numerous publications have proven the efficacy and safety of both radial and focused ESWT for the treatment of many musculoskeletal disorders, including osteoarthritis and different types of tendinopathies. ESWT should be considered in severe cases where conventional treatments prove to be of little success, especially in patients who prefer non-operative alternatives."
https://pmc.ncbi.nlm.nih.gov/articles/PMC7275282/