Shock waves are high-energy acoustic waves characterized by an initial rise of high pressure within a very short rise time, followed by a low tensile amplitude. Extracorporeal shock wave therapy has been documented to have various effects on bones and soft tissue. ESWT acts through mechanotransduction and leads to biological responses at cellular level including the release of angiogenic growth factors known to play an important role in wound healing, associated with neovascularization, improved blood supply, cell proliferation and a significant bacterial effect.