Shockwave Therapy

If you’re struggling with chronic tendon pain, soft tissue injury, or conditions that haven’t responded well to traditional treatments, Shockwave Therapy offers a powerful, non-invasive solution. Our clinic brings this advanced modality to help you recover faster, reduce pain, and return to your active life.

What is Shockwave Therapy?

When your body has “forgotten” how to heal a chronic injury, Shockwave prompts a renewed inflammatory / repair response.
Shockwave Therapy (also called Extracorporeal Shockwave Therapy, Radial Shockwave Therapy, or ESWT) delivers high-energy acoustic pulses into injured tissues. These pulses induce controlled microtrauma, stimulate blood flow, increase growth factors, and trigger a healing cascade in soft tissues, tendons, and joints.

Benefits & Advantages Over Other Modalities

Be honest: some discomfort during the application is normal, but your provider modulates intensity to patient tolerance. Post treatment soreness (like after a workout) is common.

Non-invasive (no incisions, no injections)
Minimal downtime, relatively quick procedure sessions
Often faster results compared to prolonged PT / manual therapy alone
Can reduce need for surgery or injections
Fewer side effects when performed by trained clinicians
Stimulates your own healing mechanisms (rather than just masking symptoms)

Conditions We Commonly Treat with Shockwave

Shockwave is effective for a wide array of chronic musculoskeletal and soft tissue ailments, including:
Plantar fasciitis / heel pain
Lateral epicondylitis (tennis elbow)
Achilles tendinopathy
Chronic tendon injuries (elbow, wrist, hip)
Patellar tendinopathy (“jumper’s knee”)
Myofascial trigger points / “knots”
Rotator cuff / shoulder pain / calcific tendonitis
Rotator cuff / shoulder pain / calcific tendonitis
Other recalcitrant joint / tendon injuries

If you have chronic pain or a “stubborn” injury that hasn’t improved, Shockwave may be a powerful adjunctive option.

How It Works: Mechanism & Science

Clinical studies report up to 84% success for calcific tendonitis, 91% improvement in tennis elbow, and 77-100% improvement in plantar fasciitis in many cases. 

The shockwaves are applied using a handheld applicator over the target zone (with gel coupling)

Energy pulses penetrate through soft tissue layers

Microtrauma + mechanotransduction signals stimulate fibroblast activity, neovascularization, and collagen remodeling

Over a series of sessions (typically 3-6), tissue quality improves, pain diminishes, and function returns

How We Treat

Consult / Evaluation

Comprehensive assessment to confirm the diagnosis, imaging review (if available), motion / strength tests.

Treatment Session

– Application of ultrasound gel

– Deliver shockwave pulses via handheld applicator in slow, sweeping motion

– Duration per site: ~5 to 10 minutes (varies by condition)

– You may feel mild discomfort or tingling; communicate, and your provider adjusts settings

Post-Treatment Recovery

– Some soreness or achiness (akin to after exercise) for 24–48 hrs

– Avoid aggressive stretching / stress to the area immediately

– Gentle movement / controlled loading encouraged

– Often scheduled 1 session per week (or every 3–7 days) for 3–6 total sessions

Reassessment & Integration

– Track improvement in pain, function, strength, mobility

– Combine with complementary therapies (manual therapy, rehab, strength work)

– Adjust plan based on response

Evidence & Clinical Outcomes

Shockwave therapy has been studied extensively over the last 20+ years, including randomized controlled trials, meta-analyses, and case series. Some highlights:
Impacted Patients
0 %
Improvements in tennis elbow in many cohorts
0 %
Strong evidence basis in plantar fasciitis, Achilles, rotator cuff, and other tendinopathies

Who Is a Good Candidate / Contraindications

Good candidates:

Chronic tendon or soft tissue injuries > 3 months
People who have not responded well to standard PT, injections, or modalities
Those seeking non-surgical alternatives
Contraindications:
Over open growth plates in children
Active infection or tumor in the area
Recent fracture / untreated bone pathology
Pacemaker / internal device near treatment area (depending on device)
Pregnancy (in zones near fetus)
Blood clotting disorders, local bleeding disorders
Corticosteroid injection in the area within recent months

Frequently Asked Questions

Some patients feel mild discomfort or tingling during treatment; our providers modulate intensity to your tolerance. Post-treatment soreness (similar to after a workout) is normal.

Most patients benefit from 3–6 sessions spaced about 1 week apart, though exact count depends on severity, body region, and response.

Many people notice reductions in pain or increased mobility within 1–3 sessions; optimal results often manifest by the final or subsequent weeks.

Yes, when delivered by qualified clinicians following protocols, Shockwave is considered low-risk. Contraindications are screened.

Coverage varies. In many cases, Shockwave is considered “out-of-network” or elective. Our team can provide superbills or documentation to submit for reimbursement where applicable.

Real Stories. Real Results.

Trusted by Our Patients

See what patients have to say about their experience with Impact Physical Therapy and the difference personalized, one-on-one care has made in their recovery, movement, and quality of life.

Dr. Eric has totally changed my life and totally changed my perspective. When he says you’re going to be here for an hour, he really works with you for an hour.

Bill

They really work with you to get you better and that community feel is what I always look for in businesses.

Justin

I started coming in only when I was getting hurt. Then I noticed if I came in for prevention, that was the game changer.

Chris

I have been coming here for a month now and my life has changed. They have taught me so much about not being afraid to move and learning how to move.

Connie

It’s so nice that you are one-on-one with a physical therapist and are getting 100% attention from them.

Diane

I did my first ever marathon and my piriformis was killing me. It was hurting with every step. We did cupping, dry needling, and manual work. Standing here right now I feel like honestly, I could run again!

Dr. Elmquist

The reason I enjoy coming to Impact Physical Therapy is that the treatments that you receive here are going to be one-on-one whether or not you come for 30 or 60 minutes.

Nick

Dr. Sarah has excellent communication skills. She was able to listen to me well enough to know where exactly where my greatest pain was.

Marjorie

After one session at Impact, I already felt better than after the months of physical therapy I was doing in San Francisco.

Liz