Extracorporeal shock wave treatment for skeletal muscle and soft tissue pain is a new therapy between conservative treatment and open surgery treatment, with more clinical indications, especially for chronic myofasciitis and tendon stopping point diseases, etc. It has the advantages of exact efficacy, safety, minimally invasive, no risk of infection, and rare side effects. Dispersed pneumatic ballistic shock wave is currently the most common type of shock wave used in the treatment of chronic pain, the probe generates pulsed pressure wave, compressed air reciprocally push the treatment handle in the projectile, the projectile and then impact the impact head, so that the treatment energy into the human target tissue. This form of shock wave energy is more dispersed, the output waveform is more gentle, to ensure that the average impact energy of each treatment is high enough to achieve the best therapeutic effect while minimizing local damage, very suitable for human skeletal muscle and other tissue (muscle, fascia, ligament) pain, especially for soft tissue adhesions and tendon inflammation, calcification has a very good effect. The main mechanisms of shock wave pain treatment: promote blood flow, reduce muscle tension, inhibit muscle spasm, accelerate the removal of pain mediators such as substance P; accelerate collagen production, stimulate microcirculation (blood, lymph), improve metabolism, and activate the body’s self-repair ability; accelerate the dissolution and decalcification of calcified fibroblasts; deplete substance P in C-fibers, and increase the pain threshold. Clinical indications: frozen shoulder; tendonitis (calcific, non-calcific); tennis elbow, golf elbow; inflammation of the fluid capsule of the shoulder, elbow or knee; neck and shoulder stiffness; Achilles tendon pain; patellofemoral syndrome; plantar fasciitis with or without bone spurs; tibial pain due to medial tibial pressure disorder; pain due to heel spurs; myofascial trigger point area; sacroiliac pain; bursitis; tendovaginitis; postoperative tendon adhesions. Course of treatment: 1 treatment every 5-7 days, 3-6 times a course of treatment.