Shockwave uses sound waves that oscillate creating a direct mechanical force that results in the maximal beneficial pulse energy producing tensile force. The second phase creates air bubbles that generate a second wave of shockwaves. The resulting energy also stimulates a biologic response, an indirect effect. This unit is a radial shockwave unit that does not require anesthesia or sedation for treatment. This differs from focused shockwave as focused can penetrate 80mm with a small field of treatment and radial can penetrate 40mm and has a larger field of treatment. It can help with blood flow, repair of tissue, neurologic control, skeletal stem cell recruitement and inhibits inflammation. This is used for treatment of: nonunion fractures, avascular necrosis, stress fractures and ligament/tendon injuries among other uses.