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What is Shockwave and How Does it Work?

Cutting-Edge Sound Wave Therapy for Chronic Pain and Injuries

Extracorporeal Shockwave Therapy (ESWT) represents the latest frontier in non-invasive medical treatments for individuals suffering from stubborn orthopedic conditions, persistent pain, or injuries requiring accelerated healing. This innovative modality evolved from its initial use in the 1980s as a surgical alternative for treating kidney stones to use at the 1996 Olympic Games and now in its present form with increased precision and a more compact machine form.

The mechanism behind ESWT involves precisely delivering high-energy acoustic pulses, similar to the percussive force of a volcano eruption or a supersonic jet breaking the sound barrier. These focused sound waves are applied directly to the injured area, triggering a controlled micro-trauma that stimulates the body’s innate healing processes with only minor transient discomfort – far less than a routine dental procedure.

At its core, ESWT capitalizes on the fundamental role of circulation in maintaining a healthy physiological state. By causing localized microvascular damage, it prompts the body to initiate revascularization (angiogenesis) and regenerate nerve fibers (neurogenesis) in the affected region. Additionally, shockwaves help disrupt existing scar tissue adhesions, dissolve calcific deposits, and activate stem cell recruitment – creating an optimal biochemical environment to facilitate tissue repair and remodeling of damaged ligaments, tendons, and bones.

FREQUENTLY ASKED QUESTIONS

Cutting-Edge Sound Wave Therapy for Chronic Pain and Injuries

Extracorporeal Shockwave Therapy (ESWT) represents the latest frontier in non-invasive medical treatments for individuals suffering from stubborn orthopedic conditions, persistent pain, or injuries requiring accelerated healing. This innovative modality evolved from its initial use in the 1980s as a surgical alternative for treating kidney stones to use in the at the 1996 Olympic Games and now in its present form with increased precision and a more compact machine form.

Today’s advanced ESWT systems have been adapted to address a wide array of musculoskeletal issues – from severe tendon and ligament injuries to fractures and conditions typically managed by physiotherapists, osteopaths, and chiropractors. Our practice has invested significantly in acquiring the most sophisticated shockwave technology available, which should not be confused with lower-powered devices sometimes used for cosmetic purposes or by some physiotherapy clinics.

The mechanism behind ESWT involves precisely delivering high-energy acoustic pulses, similar to the percussive force of a volcano eruption or a supersonic jet breaking the sound barrier. These focused sound waves are applied directly to the injured area, triggering a controlled micro-trauma that stimulates the body’s innate healing processes with only minor transient discomfort – far less than a routine dental procedure.

At its core, ESWT capitalizes on the fundamental role of circulation in maintaining a healthy physiological state. By causing localized microvascular damage, it prompts the body to initiate revascularization (angiogenesis) and regenerate nerve fibers (neurogenesis) in the affected region. Additionally, shockwaves help disrupt existing scar tissue adhesions, dissolve calcific deposits, and activate stem cell recruitment – creating an optimal biochemical environment to facilitate tissue repair and remodeling of damaged ligaments, tendons, and bones.

Shockwave Therapy, in conjunction with an appropriately prescribed exercise program by your health professional, has been shown to help with the following conditions:

  • Feet: Plantar fasciitis, Morton’s neuroma, nerve impingement or ligament injury
    Ankle: Chronic ankle pain, whether from osteoarthritis or ligamentous instability; a ligamentous defect in the ankle; gastrocnemius muscle strain or injury
  • Lower leg: Achilles tendonitis; gastrocnemius muscle strain or injury; retrocalcaneal bursitis (heel pain)
  • Knee: IT band; insertional pain; strain to the medial or lateral collateral (ligaments that form either side of the knee); jumper’s knee; patella tendinopathy
  • Upper leg: quad injury or hamstring strain or injury
  • Hand: strains and injuries
  • Elbow: Little leaguer’s elbow; tennis elbow; tricep or bicep elbow injuries
  • Hip: Gluteal muscle strain; bursitis; iliopsoas bursitis; hip flexor tendinosis
  • Shoulder: Calcinosis of the rotator cuff; partial tear of the rotator cuff; bicep injuries

Shockwave therapy has an excellent track record for providing significant pain relief and improving functional ability for many patients. While every individual case is different, studies show that 80-90% of patients (depending on the condition being treated) respond favorably to shockwave treatment alone, experiencing a significant reduction in pain/symptoms.

For many, Shockwave may completely resolve their condition. For others, it will substantially improve it, making symptoms much more manageable and allowing them to do more activities they previously could not. A comprehensive approach combining shockwave therapy, appropriate exercise/rehabilitation, and other adjunct treatments when necessary gives you the highest likelihood of achieving optimal results.

While there is no way to predict each individual response to treatment , the potential for Shockwave to facilitate true healing of your body’s tissues is very positive, especially for those struggling with chronic, stubborn conditions that have not responded well to other conservative treatments or those on a short timeline needing to “get back in the game” quickly. Working closely with your provider, exploring shockwave therapy could finally allow you to make meaningful progress toward overcoming your musculoskeletal issues.

During shockwave therapy, patients can expect to feel a series of rapid pulses along with a mild warming sensation in the treatment area. While some discomfort is typical and necessary to stimulate a response, our goal is to keep it at a manageable level.

“I advise patients that we aim for the discomfort to stay below a 5 or 6 on a scale of 10,” states James. “I prefer to call it ‘discomfort’ rather than outright pain. More pronounced sensations sometimes occur when administering shockwaves near bony regions but the intensity is always adjustable to the patient’s tolerance.”

In some cases, a small amount of swelling and redness may develop temporarily after the session. James explains, “As we deliver energy into the tissues, increased blood flow results – which can lead to minor bruising in some cases. However, we can easily adjust the machine’s intensity if the discomfort level starts to exceed that 5 or 6 out of 10 threshold, bringing it back down to a more comfortable range.”

The key is maintaining an open dialogue during treatment to ensure an experience that is tolerable while still providing a therapeutic stimulus. Patient feedback allows for real-time adjustments to optimize results while prioritizing comfort.

Shockwave therapy, along with most cutting-edge treatments, is generally not covered by standard health insurance plans. Insurance companies often do not cover newer therapies until they have been extensively researched and their effectiveness is well-established.

However, you can use funds from a Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for Shockwave therapy tax-free. While there is an out-of-pocket cost initially, we have made an effort to keep our pricing as affordable as possible so this game-changing technology is accessible to more patients.

Shockwave therapy utilizes high-energy sound waves to promote healing of injured tissues and provide relief from chronic pain. Choosing this innovative treatment may help you avoid more invasive and expensive procedures down the road, despite the upfront cost not being covered by insurance.

The Breakthrough Treatment That Changed Everything
Like most practitioners, James approached any new therapy with a healthy bit of skepticism. He had tried virtually every traditional treatment in the book to relieve his chronic Achilles tendinosis – a stubborn running injury that had plagued him for years. Eccentric progressive loading, manual therapy, stretching…nothing could quite break the cycle of flare-ups and frustration.
But as he stayed up-to-date on the latest research literature, one innovative treatment kept catching his eye: shockwave therapy. Trusted colleagues also reported impressive results, piquing James’ interest. Still, he remained somewhat doubtful. Could these focused sound waves really succeed where other methods had failed?

“I knew I at least owed it to myself and my patients to give shockwave therapy a fair shot,” James recalled. “But I have to admit, I went into my first session as one of the biggest skeptics.”
After just that initial appointment, however, James’ perspective began to shift. During a 3-mile run days later, he noticed a remarkable 25% decrease in his Achilles pain – the first significant relief he’d experienced in years.

“I was stunned, but still cautiously optimistic,” he said. “A 25% improvement felt monumental at that point, but I knew the real test would be sustaining and building on that progress.”
Committed to seeing it through, James continued his weekly shockwave treatments. And with each subsequent session, his results kept getting better and better. By the fifth visit, the pain that had once severely limited his activity was simply…gone!

“Not only could I run 5+ miles completely pain-free, but my Achilles kept improving over the next month,” James marveled. “Here I am 4 months later, and that chronic issue hasn’t resurfaced at all. As both a practitioner and an athlete, I was blown away.”

It was this first-hand experience that ultimately convinced James to pursue comprehensive shockwave training and make it a central component of treatment for the right conditions. Now, he’s grateful to provide patients access to the same option that finally freed him from years of debilitating injury.

“Shockwave therapy completely changed my outlook – not just for managing my own athletic activities, but for truly helping patients reclaim their active lifestyles,” James said. “If I can get results like these as one of the biggest initial skeptics, I can only imagine the impact for those who embrace it with open arms.”

Patients who have the following contraindications:

  • Coagulation disorders, thrombosis or occlusive vascular disease
  • Use of anticoagulants: Warfarin, Eliquis, Xarelto, etc.)
  • Tumor disease: carcinoma, cancer patients under treatment
  • Pregnancy
  • Polyneuropathy, in the case of diabetes mellitus
  • Acute inflammation associated with an infection
  • Children with open-growth plates

CONDITIONS SHOCKWAVE CAN TREAT

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Feet

Plantar fasciitis, Morton’s neuroma, nerve impingement or ligament injury

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Ankle

Chronic ankle pain, whether from osteoarthritis or ligamentous instability; a ligamentous defect in the ankle; gastrocnemius muscle strain or injury.

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Lower leg

Achilles tendonitis; gastrocnemius muscle strain or injury; retrocalcaneal bursitis (heel pain)

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Knee

IT band; insertional pain; strain to the medial or lateral collateral (ligaments that form either side of the knee); jumper’s knee; patella tendinopathy

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Upper leg

quad injury or hamstring strain or injury

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Hand

strains and injuries

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Elbow

Little leaguer’s elbow; tennis elbow; tricep or bicep elbow injuries

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Hip

Gluteal muscle strain; bursitis; iliopsoas bursitis; hip flexor tendinosis

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Shoulder

Calcinosis of the rotator cuff; partial tear of the rotator cuff; bicep injuries

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ABOUT

Meet James: Your Guide to an Active, Pain-Free Life

For James, there’s nothing more rewarding than helping people reclaim their active lifestyles and youthful vitality – even after years of dealing with aches and pains. With a passion for movement and an expertise in relieving musculoskeletal conditions, he’s dedicated to providing personalized solutions that put you back in control of your body and life.

On a daily basis, James treats clients searching for answers on how to stay active while decreasing their pain levels. He has become highly sought after by those determined to maintain an energetic lifestyle, offering specialized care tailored to each individual’s unique needs and goals. James believes a comprehensive, whole-body examination is paramount to developing an effective treatment plan.

In addition to his clinical work, James serves as a Captain in the United States Army Reserves, where he is responsible for providing programs and recommendations to maintain optimal physical fitness and readiness for his unit. His military experience further enhances his understanding of the importance of mobility, conditioning and preventative care.

After keeping up to date with the current research literature, it became unquestionable that he needed to pursue further knowledge and training in shockwave therapy as a treatment for his patients – and for himself as an athlete. Here’s James’ story in his own words:

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“I have to admit, I am very skeptical of most new treatments, but after hearing from trusted colleagues and reading through the research literature, I knew I owed it to my patients (and myself) to at least try shockwave therapy. I went ahead with treatment for a running injury I had dealt with on and off for years – an Achilles tendinosis that I just couldn’t shake no matter how much I treated it with traditional approaches. After the first shockwave treatment, I noticed around a 25% decrease in pain levels during a 3-mile run several days later. While not fully resolved, it was significant improvement, so I decided to continue weekly treatments. Needless to say, I would have been ecstatic with even 80-90% improvement overall. However, 5 visits later, I had no pain and could run 5+ miles without any return of pain. Here I am now 4 months later and still no return of my pain! It was at this point I knew I needed to provide this treatment as an option to my patients.”

Whether you’re struggling with chronic pain, a sports injury, or the natural effects of aging, James will take the time to understand your challenges and develop a customized strategy to restore your mobility, energy, and independence. With his guidance, you can look forward to recapturing the joys of movement and rediscovering your youthful vigor.

When he’s not empowering clients or serving his country, you can find James enjoying quality time with his wife and sons, hiking scenic trails, trying to keep up with his boys on running paths, playing piano, hitting the basketball court, or relaxing to good music. His balanced lifestyle and active pursuits are a testament to the pain-free living he hopes to inspire in others.

If you’re ready to break free from the limitations of musculoskeletal issues, request an appointment with James today. Together, you can create a customized plan – incorporating innovative therapies like shockwave when appropriate – to leave the aches and pains behind, so you can keep moving towards all life has to offer.

WHAT OUR CUSTOMERS ARE SAYING

BOOK SERVICES

Evaluation/Consultation

$200
Duration: 45 minutes

During this comprehensive evaluation, we will thoroughly assess your condition and discuss all potential treatment options. If you are a suitable candidate for Shockwave therapy, and you wish to proceed, we can initiate the treatments on the same day as your evaluation.

However, if we determine that your condition would be better managed through an alternative approach, we will advise you accordingly and provide recommendations for other healthcare providers as necessary.

Special Offer: If Shockwave treatment is not recommended for you, we will reduce the cost of your evaluation to $120.

Additional Shockwave Treatments

$150 per session
Duration: 30 minutes

Our Shockwave treatments utilize a combination of radial pressure waves, focused shockwaves, and hands-on therapy to deliver excellent outcomes. We will also provide you with a personalized home exercise program and guidance on how frequently it should be performed.

Other Services

$0
In addition to Shockwave therapy, we offer concierge services that bring treatments to your home or office. We also provide comprehensive year-round wellness services to support your overall health and well-being.

Telehealth Consultation

$0
This is for a free screening call with a physical therapist to determine the best course of action for your care. The quick assessment will help us come up with a plan on how to best assist you (even if we aren't your best option).

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