
Regenerative Medicine of Tomorrow
Scientific Insights into Spark Wave® Therapy Applications
Muscle and Tendons
ESWT Reduces Pain & Inflammation and Promotes Tissue Repair
Extracorporeal Shockwave Therapy (ESWT) is a clinically proven, non-invasive treatment that supports the repair and regeneration of muscle and tendon tissues. Studies show up to a 81.5 % success rate in treating chronic tendinopathies, making ESWT a leading choice for musculoskeletal rehabilitation. [3]
How ESWT Works on Muscle and Tendon Tissue:
Pain Reduction through Nerve Desensitization:
Decreased concentration of Substance P, a key pain mediator, and desensitized nerve fibres result in rapid and long-lasting pain relief.
Enhanced Blood Flow & Vascular Growth:
Stimulates angiogenesis (the formation of new blood vessels), improving circulation and oxygen delivery to injured tissues. This acceleration of nutrtion transport and waste removal is essential for healing.
Cellular Regeneration & Collagen Remodeling:
Activates cell proliferation and stem cell activity, promoting increased collagen synthesis. This not only repairs damaged fibers but also improves tissue structure through targeted collagen remodeling.
Inflammation Modulation:
Influences macrophage activity, helping to regulate inflammatory processes. This targeted immune response reduces swelling, alleviates pain, and speeds up tissue repair.

Main biological effects of ESWT on tendon tissue.
The increase of biological factors leads to higher cell activity as well as collagen and blood vessel formation.
NO, nitric oxide; IL-6, interleukin-6; TGF-β, transforming growth factor-β; PCNA, proliferating cell nuclear antigen; IGF-1, insulin-like growth factor-1; VEGF, vascular endothelial growth factor; eNOS, endothelial nitric oxide synthase. Modified after Chen et al. [2] and Poenaru et al. [1]
Key Benefits
Proven clinical success in muscle and tendon recovery
Accelerated healing and reduced downtime
Non-invasive and drug-free treatment option
Improved tissue quality and long-term function
References
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Poenaru, D., Sandulescu, M. I., & Cinteza, D. (2023). Biological effects of extracorporeal shockwave therapy in tendons: A systematic review. Biomedical Reports, 18, 15.
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Chen, Y. (2022). Biological response of extracorporeal shock wave therapy in tendon repair: A comprehensive in vivo review. Frontiers in Veterinary Science.
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Fansa, A., Talsania, A. J., Kennedy, J. G., & O’Malley, M. J. (2021). Efficacy of unfocused medium‑intensity extracorporeal shock wave therapy (MI‑ESWT) for plantar fasciitis. Journal of Foot & Ankle Surgery, 60(3), 471–476.
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Auersperg, V., & Trieb, K. (2020). Extracorporeal shock wave therapy: An update. EFORT Open Reviews, 5(10), 584–592.
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Rhim, H. C., Shin, J., Kang, J., Dyrek, P., Crockett, Z., Galido, P., Wade, C., Hollander, K., Borg‑Stein, J., Sampson, S., & Tenforde, A. S. (2024). Use of extracorporeal shockwave therapies for athletes and physically active individuals: A systematic review. British Journal of Sports Medicine, 58(3), 154–163.
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Avendaño‑López, C., Megía‑García, Á., Beltrán‑Alacreu, H., Serrano‑Muñoz, D., Arroyo‑Fernández, R., Comino‑Suárez, N., & Avendaño‑Coy, J. L. (2024). Efficacy of extracorporeal shockwave therapy on pain and function in myofascial pain syndrome: A systematic review and meta‑analysis of randomized clinical trials. American Journal of Physical Medicine & Rehabilitation, 103(2), 89–98.
Intended for use by healthcare professionals only and Indications are approved under MDD 93/42/EEC. Product availability, regulatory approvals, and certifications may vary by country. For detailed information regarding local availability and regulatory status, please contact your local sales representative.

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