The exact impact that shock wave impart to differentmusculoskeletal tissues is not understood completely. Relative tostone disintegration, the shock wave presumably cause high stressforces on the stone surface by the high pressure amplitude and theshort rise time, thus exceeding the elastic strength of the stone anddisintegrating its surface.The value of shock wave treatment was proven in the treatment ofpatients with fracture nonunions with a 60% success rate and therewas a positive effect in patients with tennis elbow, painful heel,and calcifying tendinitis of the shoulder.