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. 2022 Apr 14;14(5):611–619. doi: 10.1002/pmrj.12790

TABLE 9.

Contraindications to extracorporeal shockwave therapy

Absolute contraindications (all energy treatments) Active infection (ie, osteomyelitis)
Malignant tumor (focused shockwave)
Pregnancy
Relative contraindications (high‐energy treatments) Brain or nerve in treatment focus
Lung or pleura in treatment focus
Significant coagulopathy
Epiphyseal plate in treatment focus
Important considerations Cardiac pacemakers or other implantable devices
Current nonsteroidal anti‐inflammatory druguse
Current anticoagulation use
Recent corticosteroid injections