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Shock wave treatment Extracorporeal shock wave therapy (ESWT) is a pain relief and fat elimination therapy that was developed specifically for the treatment of chronic and acute muscle and tendon injuries. Shock wave therapy, also known as extracorporeal shock wave therapy (ESWT), is an effective treatment for a wide range of musculoskeletal injuries, including plantar fasciitis, patellar tendon disease (jumping knee), tennis elbow, Achilles tendon disease, and others.