Physiotherapy it is always our aim to keep up with the latest treatments, whilst trying to give our clients the best ways to achieve their goals, whether it be pain relief, increased mobility or treatment for conditions such as arthritis or many other conditions related to the musculoskeletal system. For many years doctors have been using similar technology, acoustic shock waves, to break kidney stones without having to have surgery. This is called lithotripsy and is still used today. During the course of treating many thousands of people with Lithotripsy, some of those people mentioned that other ailments were also healed and so scientists began to examine the possibility that similar technology could have similar effects on other parts of the body. Shock Wave Therapy or ESWT is a relatively modern treatment, which has been approved by NICE (National Institute for Heath and Clinical Excellence) and is sometimes used prior to surgical intervention to alleviate pain and suffering for various joint and associated tissue problems.