ESWT has been shown to be an efficient noninvasive physiotherapy treatment that may be used for the treatment of a wide range of diseases to treat a number of conditions. Nonunion of long bone fractures, plantar fasciitis, calcific Plantar fasciitis of the shoulder, and lateral epicondylitis of the elbow are some of the disorders that fall under this category. The two most common varieties of ESWT that are used are referred to as R-SWT, which stands for radial shockwave treatment, and F-SWT, which refers for focused shockwave therapy. There was a lack of sufficient scientific data that supported the use of R-SWT, which is the reason why the aforementioned guideline did not suggest its utilisation. At the time of the most recent follow-up, the author of a randomised controlled trial (RCT) that was recently published and investigated the efficacy of R-SWT in patients suffering from ALBP came to the conclusion that both groups significantly indicated improvement in all patient-reported outcome measures. This was the conclusion reached by the author of the R-SWT study. This is especially beneficial for patients who have had ESWT. In the realm of alternative treatments, the ability of ESWT to provide pain relief and functional improvement without the need of significant intervention makes it an appealing option to consider.