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inflammation of the tendon attachment:painful inflammation of tendon attachments due to overexertion or improper strain,or due to degenerative processes. painful trigger points:acute and chronic pain in the back,shoulder,neck,etc.due to permanently shortened and thickened muscles. shoulder pain with or without calcification:painful limitation of shoulder movement. by the targeted application of the shockwaves, stress to the surrounding tissues is quite insignificant. the body is not burdened by pharmaceuticals, except the short-term effect of local anaesthesia, if used..syi