High-Energy Extracorporeal ShockWave ESWT

The One Technology that has Stood The Test of Time and Consistently Gets Amazing Results!

Shockwave is a relatively new treatment option in orthopedic, podiatric and rehabilitation medicine. The effect of shockwaves was first documented during World War II when the lungs of castaways were noted to be damaged without any superficial evidence of trauma. It was discovered the shockwaves created by depth charges were responsible for the internal injuries. This created a great deal of interest and research into the biological effects of shockwaves on living tissue. The first medical treatment developed from this research was lithotripsy. This allowed focused shockwaves to essentially dissolve kidney stones without surgical intervention. Today, over 98% of all kidney stones are treated with this technology. The use of shockwaves to treat tendon related pain began in the early 1990s.

A clinical shockwave is nothing more than a controlled explosion that creates a sonic pulse, much like a jet breaking the sound barrier. The primary effect of a shockwave is a direct mechanical force. The exact mechanism by which this shockwave acts to treat tendon pathology is not known. The leading explanation is based on the inflammatory healing response. It is felt the shockwaves cause microtrauma to the diseased tendon tissue. This results in inflammation, which allows the body to send healing cells and increase the blood flow to the injured site.

Shockwaves are used to treat many orthopedic conditions, including plantar fasciitis (heel spurs), Achilles tendinitis, patellar tendinitis (jumper’s knee), lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow) and shoulder tendinitis. Multiple studies have been conducted to assess the efficacy of shockwave. Many have shown positive response versus placebo treatment, while early published studies back when insurances were covering this procedure at $6,000.00 per case indicated having no benefit over placebo. This changed the whole structure for insurance companies having to pay out $6,000.00 per procedure, by labeling ESWT (Experimental). Effectively, no longer having to cover this Highly Effective Procedure.


This led to mass shutdown of Shockwave companies, which virtually cancelled any new research being done for the truth to be known about this Highly Effective Procedure. Basically, it is like saying that Lithotripsy is not effective, which is not the case at all, the same goes for High-Energy Shockwave ESWT. High-Energy Shockwave ESWT is a Highly Effective Modality and No studies have ever reported any significant side effects when utilized for Orthopedic conditions.

Contraindications to shockwave include blood thinning and pregnancy.


There are two main types of shockwave machines, low and high energy. High-Energy treatments are sometimes administered in the operating room with regional or general anesthesia. High-Energy treatments can also be administered in a Physician's Exam Room with a simple Block. Some Patient request NO anesthetic, stating that they have a High Tolerance for Pain. Some patients report immediate pain relief, but the healing response usually requires 6-8 weeks. Results are encouraging and research continues at multiple sites around the country.


How does it work? 
The equipment generates pulses of high pressure sound that travel through the skin (extracorporeal shock wave therapy) to initiate tissue repair.

Using an electro-hydraulic, or “spark gap” method of creating the shock wave, an electrode (spark plug) ignites an electrical charge within a water-contained, stainless steel, semi-ellipsoid chamber and contact membrane, evaporating a small portion of the water and creating a shock wave reflecting outward off the ellipsoid. The shock wave is generated within the reflector chamber and transmitted through the skin surface of the patient to the treatment site. Coupling solution is used on both the contact membrane and the patient's skin during treatments to enhance conductivity.

Multiple Orthopedic Applications

 Shoulder Tendinosis

   with or without calcification


Shoulder Bursitis


Lateral & Medial Epicondylitis


Patellar Tendonitis


Trochanteric Bursitis

Hip Flexor Injury 


Achilles Tendonitis


Plantar Fasciitis

  with or without Heel Spur


Non-Union Fractures


Trigger points (muscle knots)


Avascular Necrosis


 Tibial Stress Syndrome

(Shin Splints)

Extracorporeal shock wave therapy is useful for a number of painful musculoskeletal conditions to help anyone “get back in the game.” There are a number of musculoskeletal conditions that extracorporeal shock wave therapy is able to cure in a high percentage of patients. These conditions include:

Plantar fasciitis                           

Ball of foot pain

Tendinitis wrist

Tennis elbow

Foot pain

Golfers elbow

Shoulder impingement

Bulging disc

Lower back pain

Elbow tendinitis



Back of knee pain

Tendinitis of wrist

Lower back pain

patella tendinitis 

Carpal tunnel

Back pain

Knee pain

Neck pain

Muscle spasm

IT band syndrome

Shin Splints

Pain behind knee

Iliotibial band syndrome

Ankle Tendinitis

Lower left back pain

Back strain

Rotator cuff injury

Bottom of foot pain


Bursitis knee

Supranational tendinitis

Lower right back pain

Tendinitis foot

Slipped disc

Right shoulder pain

Upper back pain

Bursitis shoulder

Cervical spondylosis

Shoulder injuries

Elbow pain

Right side back pain

Pain in arch of foot

Tennis elbow

Metatarsal issues

Rotator cuff tendinitis

SI joint pain

Jumper's knee

Middle back pain

Runner’s knee

Bicep tendonitis

Shoulder pain

Lower back pain right side

Pain on inside of knee

Shoulder tendonitis

Back pain

Tendonitis knee

Rotator cuff pain

Neck and shoulder pain

Frozen shoulder

Shoulder blade pain


Left shoulder pain

Adhesive capsulitis

Achilles issues



Please let us know if you are frustrated with your pain and ready to get relief with shock wave therapy. Let us know which area is causing you pain and we will be happy to see you for a free consultation to evaluate your options. Shock wave therapy may be just the right treatment for you.


© 2020 by DreamWorks .