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Introduction
Physics and Biology of SW
Extracorporeal shock wave therapy (ESWT) for the
treatment of musculoskeletal diseases is a field that is de- Mechanisms of Action
veloping rapidly and attracting increasing attention. Cur- In physical terms, SW are rapid, short and distinct sin-
rently, ESWT is commonly used to treat many orthopae- gle fluctuations of acoustic energy from a positive to a
dic disorders such as plantar fasciitis, lateral epicondylitis negative phase. In the target tissue the induced energy
of the elbow, calcific tendinopathies of the shoulder and converges into ‘the focal area or focal volume’, whose size
non-union of long bone fractures. will depend on the nature of the physical therapeutic
References
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