Extracorporeal Shockwave Therapy (ESWT) is a non-invasive treatment used to modulate pain and enhance the rate of healing in soft tissue and bone disorders. Shockwaves are high energy acoustic waves that transmit energy to deeper structures in the body, causing a biological response at the cellular level. It stimulates new cell growth, improves circulation, and encourages healing. Think of shockwave therapy as creating “controlled re-injuries” which remind the body to heal itself. ESWT may be recommended for horses suffering from acute or chronic sources of pain. It is commonly used to treat back pain, hock pain, and injuries of tendons or ligaments in the body. The equipment is portable and can be performed at the client’s farm. The patient may be sedated for the treatment, which typically lasts about 15 minutes. Treatment protocols vary depending on the injury or site, but there are typically 2-3 treatments spaced 2 weeks apart. Horses should be rested for several days following shockwave therapy, due to its short-term analgesic effects.