OBH: Shockwave Therapy

Extracorporeal shockwave therapy (ESWT) is frequently discussed as a device-based intervention, but the more useful clinical questions involve mechanism, tissue response, patient selection, and dose. This eight-lesson Orthobiological Hacker digital course examines how mechanical energy interacts with biological tissue and how that science informs rehabilitation decision-making. Learners explore mechanotransduction, tissue remodeling, angiogenic signaling, treatment-parameter considerations, and the differences among clinical applications. The curriculum draws on published research across musculoskeletal conditions while distinguishing study findings from broad treatment promises. Instead of presenting one protocol as universally applicable, the course builds a framework for evaluating evidence, interpreting treatment variables, and positioning shockwave appropriately within multimodal rehabilitation.