Shock waves are mechanical waves that require an elastic medium like water, air, or tissue to propagate. There are two main types of shock waves: focused shock waves, which have a steep pressure rise and higher energy density; and radial shock waves, which have a lower energy density. Focused shock waves can be generated using electromagnetic or piezoelectric technologies and have penetration depths between 15-50 mm, while radial shock waves use pulse transmitters and can penetrate deeper into tissues.