Shock wave therapy – Treatment

At private practice in Sanremo


“Shock wave therapy also called ESWT”

(Extracorporeal Shock Wave Therapy)

Shock waves produce microtraumas that accelerate the biological processes of body regeneration, thus enhancing blood supply and cell turnover.
Sessions generally last a few minutes and although painful, in most cases they are well tolerated by patients.

Radial shock waves are acoustic, imperceptible, high intensity waves: they radiate from a special probe and transmit through the skin surface to the area to be treated.

In medicine shock waves were used for the first time at the beginning of the 1980s to treat lithiasis-related pathologies (calculi) of the urinary tract.

After a few years they began to be used to treat orthopedic disorders and tissue-related diseases.
In recent years, their use has been extended extensively to physiotherapy, sports medicine and the treatment of skin lesions.

Shock waves trigger biological processes which lead to healing by accelerating metabolism and increasing blood supply.
The body releases substances stimulating the formation of new blood vessels and removing inflammatory factors.

Shock wave therapy indications in physiotherapy

Shock waves are not invasive, they do not have side effects and they are usually well tolerated by most patients.
They are often a valid alternative to surgery. After only a few sessions, patients perceive the positive effects of treatment such as pain relief and greater range of motion.


– Shoulder tendonitis
– Epicondylitis (tennis elbow)
– Epithrocleitis
– Tendonitis of the greater trochanter
– Patellar tendonitis of the knee
– Achilles tendonitis

– Heel spur
– Groin pain
– Bursitis
– Joint exostoses
– Contractures and muscle strains

Main effects of shock wave therapy

It has been scientifically proven that shock wave therapy basically acts threefold:

Anti-inflammatory action

It forms new blood vessels (angiogenesis) resulting in a local increase in blood supply.

Analgesic action

It reduces pain transmission by modifying the excitability of painful nerve endings and by releasing substances which decrease its perception.

Healing action

It stimulates the healing of lesions in the treated tissue and contributes to the improvement of tissue trophism.

Shock wave treatment: further clarifications


Treatment involves 3 to 5 sessions, 24 to 48 hours minimum and 15 days maximum apart. Each session lasts about 10 to 15 minutes.


Although patients report gradual improvement already after the second session, the peak biological effect of shock waves usually occurs after about 40 days and in some cases even later.

Contraindications to shock wave therapy

– Patients with malignancies or infections in the area to treat
– Pregnancy
– Young people with not yet welded growth plates
– Patients with conflicting pacemakers
– Patients with severe cardiovascular diseases

The treatments above are available only at my private practice in Sanremo.