Tenocyte Growth With ESWT Highlighted

Ajsc Equine Adipose Tissue Proliferation

ESWT For Myafascia Pain Syndrome Highlighted

ESWT Lubricin InTendons Highlighted

Gur Et Al 2013 Highlighted

ESWT Achilles Tendinopathy

Piezo wave technical data

Tenocytes Functional Improvement

Elvation MuellerEhrenberg SD EN MSN0312

ESWT Lubricin in Tendons


Acoustic Compression Therapy (ACT) is a non-invasive procedure for the treatment of acute and chronic pain of the musculosketetal system. Acoustic shock waves are characterized by a pressure surge with an extremely short rise time, which is then followed by an exponential drop in pressure and a brief phase of negative pressure. The shockwaves used in ESWT focus or develop in target tissue at the point where the pain is originating from. They cause an improved local blood circulation and metobolism. The primary means by which extracorporeal shock waves affect living tissue is based on the transformation of mechanical stimuli into biochemical or biomolecular signals.

Conditions treatable with ESWT:

  • Tennis elbow
  • Calcific tendonitis of the shoulder
  • Golfer’s elbow
  • Trigger point treatment
  • Greater trochanteric pain syndrome
  • Patellar tip syndrome
  • Medial tibial stress syndrome
  • Plantar fasciitis
  • Achilles tendinopathy

Myofascial trigger point therapy

Myofascial trigger points (mTrP) are discrete, focal, hyper-irritable spots commonly located in a taut band of skeletal muscle but they may also be found in other soft tissues. They can trigger pain in an affected muscle and/ or associated region even outside the palpated area (referred pain).

With the Piezo shockwave technology trigger points can be located exactly, very easily, fast and even in deeper muscle layers that are not reachable by palpation. Then they can be treated very effectively with impressive therapeutic results even from the first treatment.


Extracorporeal shockwaves can be seen as a mechanical stressor that is able to induce biochemical changes in living tissue and which can ultimately influence gene expression in cells at the molecular level, consequently, when used selectively, they can produce a specific tissue reaction. This process is reffered to as mechanotrasduction.
Scientific studies and publications, using the higly accurate piezo-shockwave technology, have confirmed the effectiveness of focused shockwaves for ESWT as well as trigger point diagnosis and treatment.

ESWT is one of the very few medical technologies that is effective at treating chronic injuries. It is suggested that ESWT can “jump start” the healing process in chronic, non-healing injuries and reintroduce the acute phase of healing

Shockwave technologies

While there are numerous shockwave machines on the market today, they are all based on one of the three shockwave technologies, which are:

  • Electrohydraulic
  • Electromagnetic
  • Piezoelectric

There is a fourth technology – radial shockwave (RSWT) or more accurate described as pressure wave therapy, which differs from true shockwave technology because it does not focus pressure waves to create a shockwave. A review of the waveforms reveals that true focused shockwaves are very short and intense while radial pressure waves are slower, less intense, elongated and more sinusoidal in appearance. Because no actual shockwave is produced with RSWT, and because the waveform is so different, RSWT is not considered a shockwave technology. It is more accurately described as a pressure wave technology, and most researchers now use this term to distinguish it from shockwave technology In the united states ESWT is referred to as MyACT (Acoustic Compression Therapy)