The Shockwave device represents today an innovative system that can give rise to a new and effective therapeutic approach for the treatment of various pathologies regarding soft tissues and the skeletal system. The thrust implemented by the end side of a suitable applicator, that the operator has to put in contact with the suffering region, gives rise to small impulses with high intensity that are transmitted into the tissue. This originates a resonance phenomenon causing antalgic processes, reduction of local phlogosis, new formation of blood vessels, and reactivation of reparative processes. The Shockwave device is a specific instrument for the treatment of pathologies into the Physical Therapy and Orthopaedics field. The antalgic, osteo-inductive and vascular effects allow the treatment of a wide range of tendinous pathologies, but also allow the activation of processes involving the re-absorption of calcifications, especially when they are localised in the smallest joints, and help to increase the reparative processes (osteogenesis) in osteo-articular pathologies and fractures. Besides the manual setting, the Shockwave device has got a series of pre-set therapeutic protocols (whose values can be adjusted by the operator) and a memory for storing customized treatments.