What should I know before my Shockwave Therapy Treatment?


+ How is shockwave performed?

After a thorough patient history, detailed assessment, and the use of a musculoskeletal ultrasound, our practitioners will determine if shock wave therapy is for you. If you are a candidate for shock wave therapy, the primary area of pain is localized and a skin gel is applied to the treatment area to allow the shock waves to be properly transmitted into the body. In addition to the localized area of treatment, a global approach to your care is considered, making sure that the dysfunctional movement patterns are rectified so that you do not have a recurrence of symptoms.

+ How many treatments of shockwave therapy do I need?

You are scheduled for an initial course of therapy which includes four (4) to six (6) treatments. Three of the treatments are only for shock wave therapy, which is often used in conjunction with laser therapy. You will also be scheduled for an active rehabilitation session to implement exercises that will be used to enhance the strength and endurance of your affected areas as well as increase the mobility of the entire area. A few other manual therapy sessions may be added to work on some of the other dysfunctional tissues either being the initial cause of the problem or that may have developed as a compensation of your symptoms.

+ How long does each treatment last?

A Shockwave therapy treatment takes about 15 minutes depending on the injury being treated and is often combined with other interventions such as exercise and stretches, taping, mobilizations, heat or massage to strengthen the area and enhance recovery.

+ How Effective is Shockwave Therapy?

The success rates range from 70% to 95%. Recovery time and expectations of treatment is our priority so that all patients understand how the healing process will occur. Although treatment healing times do vary, many patients report feeling an immediate change and improvement with their pain and function.

Shockwave therapy is a highly effective treatment that can be combined with exercise, and many other modalities and treatment options.



Shock wave treatment sessions can be uncomfortable, but they are usually well tolerated.





After a shock wave therapy session you will most likely be feeling no pain but you may experience throbbing pain 2-4 hours following the treatment. This throbbing pain may occur for up to 24 to 48 hours. In rare cases, patients may experience temporary skin reddening, pain or worsening of symptoms during the first few days after treatment.

It is important that following shock wave treatment activity levels are decreased for 48 hrs following the treatment.


  • Pre-ruptured tendons (greater than 50% tear of myotendinous junction)

  • If under the age of 18 (except of the treatment of Osgood-Schlatter or Sever's Disease)

  • During pregnancy

  • Cancer or diabetes

  • Heart or circulatory problems

  • If you have hemophilia or any blood-clotting disorder (including local thrombosis)

  • If patient is being treated with oral anticoagulants (blood thinning medications), such as Heparin or Coumadin

  • Treatment of tissue with local tumors or local bacterial and/or viral infections

  • If a patient has been treated with cortisone injections within the last six (6) weeks