Extra-Corporeal Shock Wave Treatment (ESWT) for Tennis Elbow

people, healthcare and problem concept - unhappy man suffering from pain in hand over gray background


Extracorporeal Shock Wave Treatment (ESWT) uses pulses of energy (shock waves) to produce a mechanical force at the area of injury which would hopefully stimulate healing in damaged tissues. Many clinicians have held out ESWT as a safe alternative to more invasive procedures such as surgery.

RESCU Treatment Ratings

R = Risk      E = Effectiveness      S = Self-Care

C = Cost     U = Usefulness (overall rating)

1 = Least Favorable     5 = Most Favorable


RISK: 4/5


The procedure can be painful and has potential for localized bruising and tenderness. Overall, it is reasonably safe, and there were no serious adverse effects noted in recent studies.


Schmitz C, Császár NBM, Milz S, et al. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database. British Medical Bulletin. 2015;116(1):115-138.


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