Trigger Shock Wave Therapy (TST)

Which clinical pictures can be treated with (TST®)?

Trigger shock wave therapy offers new possibilities for the causal treatment of pain in the musculoskeletal system and sports medicine problems. Triggers are permanently shortened and thickened muscle fiber areas within a muscle, often palpable as hard knots and cords. They are the primary cause of neck, shoulder, back and extremity pain. In addition, they can cause so-called transmission phenomena such as pain, tingling, numbness or even muscle spasms. In this case, pain is felt far away from the place of its origin in the so-called trigger area. This makes it particularly difficult to identify the cause of the pain, since the localization of the pain and the site of origin are not identical.

In addition to reducing chronic complaints, it also significantly shortens the rehabilitation period after operations on the joints or spine. Overall, it can be concluded that trigger shock wave therapy can be successfully used in the treatment of many musculoskeletal complaints.

What are the consequences of triggers or shortened and thickened muscle fibers?

Trigger areas make the muscle vulnerable to injury because it is shortened, hardened and inelastic. Due to a partial loss of its elastic elements, the muscle is weakened, resulting in a decrease in strength and endurance. Due to a constantly increased tensile stress of the muscle, tendons, tendon sheaths and tendon insertions are overstressed, especially under load. The pressure in joints and intervertebral discs increases, premature wear and tear and increased susceptibility to injury are the result.

The TST® can be used for the following complaints:

  • Tension in the neck muscles
  • Intervertebral disc complaints
  • Sciatic pain
  • Muscle cramps
  • Headaches
  • Knee and elbow problems
  • Achilles tendon irritations


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Dr. med. Christoph Baltin
Specialist in orthopedics and trauma surgery
Certified therapist of chiropractic

Employed specialist in private orthopedic practice Bones & Brain

Opladener Str. 8
50679 Köln

Phone 0221 – 16 88 33 25
Fax 0221 – 16 88 33 29