In the Institute of Physical Medicine and Rehabilitation was applied shock wave therapy. This therapy uses high acoustic energy shock waves that have an analgesic and regenerative effect on the target tissue. These waves are characterized by high positive pressure (up to 120 MPa at focusing or up to 10 MPa at radial ESWT) and low negative pressure (5-10 MPa) and are specific for rapid wave rise and short duration (in milliseconds).

In most cases, the analgesic effect occurs after the first therapy.

The assumption is that shock wave therapy positively modulates the initial inflammatory phase in the tendon repair process.

The natural healing process is stimulated by stimulating the metabolic reaction. The mechanical energy of shock waves is converted to chemical energy in connective tissue outside the cellular matrix – the effect of mechanically transduction. With the help of protein – integrins and ion channels, energy is channeled into the cell nucleus via the cellular skeleton, acting on gene transcription and expression, proliferation and stimulation of fibrocytes to form collagen fibers.