Background: To date we have seen an overuse of cortisone injections, NSAIDS, ice/heat combinations, homeopathic remedies, ointments, gels, heat, acupuncture, dry needling, etc. for chronic tendon injuries. Due to the repetitive nature of the golf swing, the large percentage of time spent practicing if this is your chosen career it is not surprising to find that 76% of professional golfers present with a chronic injury at some point, with the large majority being those of the upper limb. The aim of this study was to estimate changes in pain and function using a less invasive treatment such as Radial Shockwave Therapy, in conjunction with physical therapy.Methods: 25 professional male golfers that play on a professional circuit full time across, US PGA Tour, European tour, Japanese Tour, Australasian Tour and One Asia Tour. Treatment group was 20 = N being those that reported pain as being 7/10 or greater. They were given 3 consecutive sessions of Radial Shockwave Therapy using the same Swiss Dolorclast machine in a week.Results: In 80% of group, pain was less than 4/10 = M post treatment of the RSWT, after physical therapy to the wrist and hand pain had an M score of 2/10. This improved further after treatment of the shoulder, cervicals and thoracic spine on the affected side M score of 1/10. Treatment of the opposite hip and pelvis removed pain completely in 50% of the group. After 4 weeks M score of 4/10 for the group.Discussion: I think the results almost support the poor understanding that still occurs with the mechanics required of the golf swing. Why is there such a prevalence of upper limb injuries, why is there a significant improvement in pain after addressing other crucial body parts that remove stress from the upper limb. The RSWT is great to treat localized pain that limits movement and function but the real gains appear when you combine this with the treatment that removes the stress from the injured site. Obviously a small specific group, but 18 out of the 20 professionals managed to compete in those 4 weeks with minimal intervention which provides exciting prospects for the future of RSWT in a sports medicine field. Background: To date we have seen an overuse of cortisone injections, NSAIDS, ice/heat combinations, homeopathic remedies, ointments, gels, heat, acupuncture, dry needling, etc. for chronic tendon injuries. Due to the repetitive nature of the golf swing, the large percentage of time spent practicing if this is your chosen career it is not surprising to find that 76% of professional golfers present with a chronic injury at some point, with the large majority being those of the upper limb. The aim of this study was to estimate changes in pain and function using a less invasive treatment such as Radial Shockwave Therapy, in conjunction with physical therapy. Methods: 25 professional male golfers that play on a professional circuit full time across, US PGA Tour, European tour, Japanese Tour, Australasian Tour and One Asia Tour. Treatment group was 20 = N being those that reported pain as being 7/10 or greater. They were given 3 consecutive sessions of Radial Shockwave Therapy using the same Swiss Dolorclast machine in a week. Results: In 80% of group, pain was less than 4/10 = M post treatment of the RSWT, after physical therapy to the wrist and hand pain had an M score of 2/10. This improved further after treatment of the shoulder, cervicals and thoracic spine on the affected side M score of 1/10. Treatment of the opposite hip and pelvis removed pain completely in 50% of the group. After 4 weeks M score of 4/10 for the group. Discussion: I think the results almost support the poor understanding that still occurs with the mechanics required of the golf swing. Why is there such a prevalence of upper limb injuries, why is there a significant improvement in pain after addressing other crucial body parts that remove stress from the upper limb. The RSWT is great to treat localized pain that limits movement and function but the real gains appear when you combine this with the treatment that removes the stress from the injured site. Obviously a small specific group, but 18 out of the 20 professionals managed to compete in those 4 weeks with minimal intervention which provides exciting prospects for the future of RSWT in a sports medicine field.