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Extracorporeal Shockwave Therapy ESWT.Ef


At the En Equilibre center, this treatment is always associated as an adjuvant in the context of overall care (strength, mobility, activity, stability)

Physical principles

The shock waves are produced by a pneumatic system.  The device consists of a compressor and a head ending in a piston. This performs repetitive percussion on the treated surface and on the underlying tissues.

Mechanisms of action

Shock waves induce a change in the physical, chemical and biological composition of soft tissues

  • An immediate analgesic action explained by the phenomenon of “Gate Control”.

  • A release of analgesic substance at the local level.

  • Hypervascularization and an increase in the capillary network, aimed at improving metabolism.

  • Tissue defibrosis action.

  • An action on calcareous deposits in order to promote their reabsorption.


  • Plantar Fasciitis

  • Talagia

  • Calcaneal spur

  • Calcifying tendinopathy or not (epicondylitis, epitrochleitis, etc.)

  • Achilodinia



  • The physiotherapist locates the painful area by palpation. 

  • He applies a gel to the area to be treated, which allows better transmission of shock waves to the tissues, without loss of energy.

  • He then places the head of the shock wave on the diagnosed area.

  • The treatment lasts 5 to 10 minutes depending on the pathology

The physiotherapist can vary the frequency of impulses, the pressure and the number of strokes.  In general we start with a frequency of 8-10 HZ, depending on the pain sensitivity of the patient .

Side effect 

  • Subcutaneous hematoma

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