ISMST · ESWT Certification Course · Clinical Module 5

Shockwave Therapy for Shoulder Tendinopathies

From rotator cuff pain to calcific deposits, learn how Extracorporeal Shockwave Therapy (ESWT) reignites natural repair processes to bring back strength and mobility to the shoulder.

Co-authored and validated by: Prof. Ludger Gerdesmeyer · part of the official ISMST–ESWT online certification faculty

Get certified One-time payment · €599 incl. VAT · 12 months full access

ISMST-certified curriculum

One module of the official ISMST–ESWT online certification course.

Led by Prof. Gerdesmeyer

Co-authored and validated by Prof. Ludger Gerdesmeyer.

Interactive clinical cases

24 chapters with 7 interactive activities and self-assessment checks.

Evidence-based

Recommendations anchored in published clinical research, free of industry bias.

What you’ll learn

From rotator cuff pain to calcific deposits

In this module, you will explore the use of ESWT in the management of chronic shoulder tendinopathies, a frequent source of pain and functional limitation in adults. The primary focus is calcific rotator cuff tendinopathy, with additional coverage of non-calcific tendinopathies, adhesive capsulitis, and complex shoulder presentations.

Through structured clinical evidence, protocol guidance, interactive case examples, and self-assessment, you will develop a comprehensive understanding of how ESWT integrates into shoulder tendinopathy management.

Taught at physician level — structured clinical evidence, treatment rationale and interactive case examples, not device marketing.

After this module you will be able to:

  • Identify the clinical presentation, underlying pathology, and functional implications of chronic shoulder tendinopathies
  • Explain the rationale for ESWT in shoulder tendinopathies in comparison with other conservative and interventional treatment options
  • Justify the use of ESWT based on mechanistic principles and current clinical evidence for tendon healing and pain modulation
  • Discuss best practices in patient selection, anatomical targeting, and treatment planning for ESWT in shoulder tendinopathies

Inside the module

4 guided study units, chapter by chapter

Every chapter combines concise clinical text with imagery, interactive elements and knowledge checks. Here is what module 5 covers — the full teaching is inside the course.

Advancing Shoulder Tendinopathy Care with ESWT

Epidemiology and Clinical BurdenPathophysiology of Shoulder TendinopathiesConservative vs. Interventional Treatment OptionsRationale for ESWT in the ShoulderEvidence Base for ESWT in Shoulder TendinopathiesPractical Application of ESWT in the Shoulder

Evidence-Based ESWT Techniques

Classification of CalcificationsClinical Evidence and Literature IntegrationPatient Selection CriteriaRadiological Assessment and OutcomesTreatment ProtocolsFunctional Outcome Measures (Constant Score)

Radial Pressure Wave Therapy in Shoulder Disorders

Indications for RPWClinical Evidence and LiteraturePatient Selection and ContraindicationsRadial RPW ProtocolsFunctional and Clinical OutcomesDual RPW and ESWT Applications

Complex Shoulder Pain

Understanding Complex Shoulder PainPathophysiological Mechanisms beyond TendinopathyDiagnostic Challenges and Differential ConsiderationsEvidence-based InterventionsPsychosocial and Behavioural DimensionsIntegrating ESWT into Complex Shoulder Pain Management

From the evidence

A taste of what the module teaches

+31.0 points

Mean improvement in the Constant shoulder score six months after high-energy ESWT for chronic calcific rotator-cuff tendinopathy in a landmark randomized controlled trial — the module walks you through the evidence base study by study.

Gerdesmeyer et al., JAMA 2003
2.5–20%

Incidence of calcific rotator-cuff tendinopathy — and only about a third of Gärtner I–II deposits resorb spontaneously within three years. Learn to identify which patients genuinely benefit from ESWT, and when.

Module 5.1 — Epidemiology & Pathophysiology

Watch the experts at work

Treatment demonstrations, step by step

Every clinical module includes video demonstrations by the ISMST faculty — on real patients and in the WaveVision VR environment. No VR headset required.

VR treatment demonstration: focused shockwave therapy for myofascial shoulder and neck pain, shown on an anatomical model by Dr. Sergej Thiele Myofascial shoulder & neck pain — focused shockwaves · Dr. Sergej ThieleFull video available inside the course

Treat the shoulder with confidence — get ISMST-certified.

Introductory price · approx. $699
€599 one-time · VAT included · 12 months access
Get certified For medical professionals · eligibility confirmed at registration · includes the complete certification course with all 10 clinical modules, foundations and exam · see the full course

Page last updated: 25 August 2026