Extracorporeal shock wave therapy (ESWT) has become a highly accepted technology for treating musculoskeletal problems, soft tissue injuries and bone injuries in horses. ESWT is a non-invasive procedure that utilises the production of acoustic sound waves to produce high pressure waves that are focused at a point of tissue or bone to stimulate healing. Kelley has over 20 years of experience in using shock wave therapy on equine athletes.