Extracorporeal shock waves are those that have a strong pressure that causes energy to suddenly emit in a small space for a short period of time to stimulate damaged tissue and produce a therapeutic effect. Extracorporeal shock waves stimulate early expression of factors related to angiogenesis, eNOS (endothelial nitric oxide synthase), VEGF (vascular endothelial growth factor) and PCNA (proliferating cell anti-nuclear antigen). It promotes neovascularization, affects blood supply, and prevents spread. As a result, it activates nearby tissues and bones to reduce pain and improve natural healing effects. It also helps to repair bones.

Extracorporeal shock waves are known to have a therapeutic effect on chronic inflammation. Mast cells are the most important factor in the inflammation process. The extracorporeal shock wave activates the mast cells to stop the inflammatory reaction and help the normal treatment and recovery process.