ISMST · ESWT Certification Course · Clinical Module 5
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
One module of the official ISMST–ESWT online certification course.
Co-authored and validated by Prof. Ludger Gerdesmeyer.
24 chapters with 7 interactive activities and self-assessment checks.
Recommendations anchored in published clinical research, free of industry bias.
What you’ll learn
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.
Inside the module
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.
From the evidence
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 2003Incidence 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 & PathophysiologyWatch the experts at work
Every clinical module includes video demonstrations by the ISMST faculty — on real patients and in the WaveVision VR environment. No VR headset required.
Myofascial shoulder & neck pain — focused shockwaves · Dr. Sergej ThieleFull video available inside the course
Page last updated: 25 August 2026