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For several decades since its discovery, shock wave therapy has been undergoing an astonishing transformation. It is a destructive procedure that allowed the extracorporeal shock wave to enter medicine. In the 1980s, kidney stone fragmentation using shock waves revolutionized urology. However, the documentation of all the side effects of the novel treatment made it clear that the shock wave stimulates the healing of bone fractures far beyond the extent of normal healing.

The fact that Austria is now a world leader in the treatment of non-healing fractures is thanks to the initiative of Wolfgang Schaden. The former senior physician at the Vienna Trauma Center in Meidling is regarded as a pioneer of shock wave research in traumatology. His pioneering research at the Ludwig Boltzmann Institute of Traumatology and the AUVA led to the founding of the European and later International Society for Extracorporeal Shockwave Therapy (ISMST).

Shock wave treatment is already routine in AUVA accident hospitals. It is used as a preventative measure for particularly complicated fractures that are expected to show disruptions of the healing process. For a long time, it was assumed that the regenerative effects of the shock wave were linked to the many microscopic injuries that stimulate healing. However, these microtraumas have never been proven. Instead, studies at the LBI Trauma in collaboration with the University of Applied Sciences Technikum Vienna describe various cellular effects of the shock wave that could explain its healing properties.