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a shock wave is a pressure wave- any action that displaces its surrounding mediuum is a shockwave. the ripple created when a stone is thrown into a pond is a shockwave. the shockwaves used in equine medicine are generated in a fluid medium inside a transducer head and are then transmitted radily through skin, fat and muscle. the hight energy waves are focsed within the transducer head so that the shockwave can be directed to the precise area of injury..syi