With age and use, the cartilage can wear down or become damaged. Muscles and tendons in the hip can get overused. The hip bone itself can be fractured during a fall or other injury. Any of these conditions can lead to pain and damage in the hip area. Shockwave therapy enhances the healing process, fights inflammation, eliminates the pain and tenderness and can prevent hip replacement surgery. In 79% of patients with necrosis Shockwave therapy also improves osteonecrosis of the femoral head.