This 2020 narrative review examines the application of extracorporeal shock wave therapy (ESWT) in treating various spinal pathologies. The review highlights ESWT's potential benefits in conditions such as degenerative osteoporotic neuro-spinal pathology, heterotopic ossification due to spinal cord injury, cervical spondylosis, scoliosis, sacroiliitis, and coccydynia. ESWT is noted to upregulate