Shock waves are based on lithotripsy systems. It is a therapy of recent appearance that consists of the application of high speed sound waves. They apply 1 to 4 waves per second in a liquid that transmits them in only one direction through a head that does not allow them to disperse in all directions and at the same time focuses them on the output.

As in the ultrasound equipment, it is interposed between the applicator head and the skin of the area that affects a gel that favors the conduction of the wave. The organic tissues will thus be subjected to an intense and deforming wave, which will advance until it is cushioned. The depth at which the wave arrives will be up to 12 centimeters (in the focal equipment) and 3 to 5 centimeters (in the radial equipment).

The shock waves will cause cellular and tissue damage, leading to tissue breakdown. This will cause an inflammatory response that will later produce repair and reconstruction of damaged tissues. Sessions will be spaced so that the restorative response has time to take effect.

Types of shock wave equipment

Focal: they reach deeper but produce more pain, anesthesia can be applied to relieve this pain.

Radial: they reach less depth but produce less discomfort.


Shock wave therapy is effective in 90% of cases.

Applications of shock waves

Chronic pain (3): low back pain, painful shoulder, epicondylitis, trigger points …

Calcifications, fractures and tendonitis: plantar fasciitis, calcaneal spur, frozen shoulder, osteoarthritis, achilodynia …

To regenerate soft tissues: sprains, muscular strains …

For the delay in bone healing

Advantages: non-invasive, drug-free, fast, pain-free and without side effects.

Where to go to be treated with shock waves

Many physiotherapy centers and clinics have shock wave equipment www.shockwavetherapie.org/stad/rotterdam/ Trust your physiotherapist who will evaluate you and apply the doses and sessions that are necessary for your improvement.