In recent years, shockwave therapy has emerged as a powerful tool in the world of physical rehabilitation. Known for its non-invasive nature and effective results, this therapy has helped countless patients recover from chronic pain and soft tissue injuries.
But what exactly is shockwave therapy, and how does it fit into modern physical therapy? Here’s everything you need to know.
What Is Shockwave Therapy?
Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), uses acoustic waves to deliver mechanical energy to injured tissues. These waves stimulate the body’s natural healing processes, reduce pain, and improve mobility.
There are two main types:
- Radial Shockwave Therapy (RSWT) – for broader, superficial treatment areas
- Focused Shockwave Therapy (FSWT) – for deeper, more targeted therapy
How Shockwave Therapy Works
The shockwaves trigger a series of biological responses in the treated tissue:
- Increased blood circulation
- Stimulation of collagen production
- Breakdown of calcifications
- Reduction of substance P (a pain-mediating chemical)
These effects help accelerate tissue regeneration, reduce inflammation, and relieve chronic pain—often in conditions that have been resistant to other treatments.
Conditions Treated with Shockwave Therapy
Shockwave therapy is commonly used for musculoskeletal disorders, especially those involving tendons and ligaments. It is often prescribed for:
- Plantar fasciitis
- Tennis elbow (lateral epicondylitis)
- Calcific shoulder tendinitis
- Patellar tendinopathy (jumper’s knee)
- Achilles tendinopathy
- Shin splints
- Hip pain and trochanteric bursitis
It’s also increasingly used for treating trigger points, myofascial pain syndrome, and certain non-healing bone fractures.
Benefits of Shockwave Therapy in Physical Therapy
- Non-invasive – No surgery or injections required
- Minimal side effects – Mild discomfort or redness may occur temporarily
- Quick sessions – Most treatments last 10–20 minutes
- Faster recovery – Patients often experience noticeable relief within a few sessions
- Effective for chronic pain – Especially when other treatments haven’t worked
What to Expect During a Session
A typical session involves:
- Application of gel to the treatment area
- Use of a handheld device to deliver shockwaves
- Mild discomfort during treatment, similar to tapping or pulsing sensations
- No downtime—most patients can resume daily activities right after
A course usually involves 3–6 sessions, spaced out weekly, depending on the condition and severity.
Is Shockwave Therapy Right for Everyone?
While shockwave therapy is generally safe, it may not be suitable for:
- Patients with blood clotting disorders or on blood thinners
- Pregnant women
- Individuals with cancer in the treatment area
- Those with pacemakers or other implanted electronic devices
Always consult with a licensed physical therapist or physician to determine if shockwave therapy is appropriate for your condition.
Final Thoughts
Shockwave therapy is a valuable addition to physical therapy, offering a non-surgical, highly effective option for pain relief and healing. For those suffering from stubborn tendon injuries or chronic musculoskeletal pain, this innovative treatment may be the key to regaining comfort, function, and mobility.
As part of a personalized rehab plan, shockwave therapy helps patients get back to doing what they love—faster and with fewer complications.
