Shock Wave Therapy
Waugh et al. proposed a hypothesis that shock waves might promote proinflammatory and catabolic processes associated with the removal of damaged matrix constituents [48]. Repair processes promoted by extracorporeal shock waves have been attributed to tenocyte proliferation and collagen synthesis [45, 49]. It has also been speculated that shock waves might reactivate the healing process through microdisruption of avascular or minimally vascularized tissues [50], resulting in neovascularization, improved blood supply, and stimulation of tissue regeneration [51].
From
Magdalena Stania , Grzegorz Juras , Daria Chmielewska , et al. Extracorporeal Shock Wave Therapy for Achilles Tendinopathy, Biomed Res Int. 2019.