top of page

Home / Info

High-Energy Extracorporeal ShockWave Therapy ESWT

Don't Suffer Anymore!

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

High-Energy Shockwave is a treatment option in orthopedic, podiatric and cardiovascular 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 had an invisible energy. 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 blasts kidney stones without surgical intervention. Today, over 98% of complex kidney stones are successfully treated with this technology. The use of shockwaves to treat tendon related issues began in the early 1990s.

A clinical shockwave is 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 (with or without 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 little benefit over placebo. This changed the whole structure for insurance companies paying 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, and 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, the same as Lithotripsy with no reports of any significant side effect in the thirty years it has been around.

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, others with regional or general anesthesia. High-Energy treatments can also be administered in an 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.

Shockwave Orthopedic Florida
Shockwave Orthopedic Florida
Multiple Orthopedic Applications

 Shoulder Tendinosis

   with or without calcification


Shoulder Bursitis


Lateral & Medial Epicondylitis


Patellar Tendinitis


Trochanteric Bursitis

Hip Flexor Injury 


Achilles Tendinitis


Plantar Fasciitis

  with or without Heel Spur


Non-Union Fractures


Trigger points (muscle knots)


Avascular Necrosis


 Tibial Stress Syndrome

(Shin Splints)


(Medial or Lateral)

Rotator cuff Injury

Frozen Shoulder


(Issues or Injury)

Ankle Injury

(Sprains / Tears)

Shockwave Orthopedic Florida

How does it work? 
The equipment generates pulses of high pressure sound waves 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.


What does it work on?

High Energy Extracorporeal Shock Wave Therapy is useful for a number of painful musculoskeletal conditions to help anyone “get back in the game.”


These conditions include:

ShockWave Therapy For Frozen Shoulder

Plantar fasciitis                           


Golfers elbow

Shoulder impingement

Elbow tendinitis



Back of knee pain

Tendinitis of wrist

Lower back pain

Patella tendinitis 

Carpal tunnel

Foot pain

Back pain

Knee pain

Muscle spasm

Shin Splints

Ankle Tendinitis

Rotator cuff injury

Bottom of foot pain


Bursitis knee

Supranational tendinitis

Tendinitis foot

Slipped disc

Upper back pain

Bursitis shoulder

Shoulder injuries

Elbow pain

Pain in arch of foot

IT band syndrome

Bulging disc

Piriformis syndrome

Tennis elbow

Metatarsal issues

Rotator cuff tendinitis

SI joint pain

Jumper's knee

Middle back pain

Runner’s knee

Bicep tendonitis

Shoulder pain

Pain on inside of knee

Tendonitis knee

Rotator cuff pain

Frozen shoulder

Shoulder blade pain

Adhesive capsulitis

Achilles issues




Low energy or pressure waves are like physical therapy and like physical therapy there are numerous treatments scheduled in a series. If you have been through PT and you still have the PAIN, then Low Energy will not help your Chronic Condition, it can be helpful in early stage for inflammatory conditions, that's about it.

Living with any tendinopathies that are in a Chronic State are not necessary to live with, and Invasive Surgery is NOT Your ONLY Option.


High Energy Extracorporeal Shock Wave Therapy (ESWT) Repairs damaged fascia and tendons in one 25 minute procedure, without Invasive Surgery.


Originally ALL ESWT was High Energy ESWT. Over time, manufacturers have started importing and selling cheap machines that are pressure waves or very low energy waves and marketing it as ESWT.


Don't be FOOLED by These Hand Held Devices, common sense alone tells you that

High Energy is Better than Low.

We know you are frustrated with your pain and ready to get relief. High-Energy ShockWave Therapy (ESWT), should have been your first choice. We would like to talk to you to see if Your Issue is something that High-Energy ShockWave can approach. Let us know which area is causing you pain. We will be happy to discuss in a free consultation, your options.

High-Energy ShockWave just may be the right treatment for you.

bottom of page