Millions of people experience chronic pain caused by tendon injuries, repetitive strain, sports injuries, and other musculoskeletal conditions. While medication or surgery may be appropriate in some cases, many patients are looking for non-invasive treatments that support the body's natural healing process. That's why one of the most common questions patients ask is, "What is shockwave therapy?"
Shockwave therapy, also known as Extracorporeal Shockwave Therapy (ESWT), has become a popular treatment option for chronic tendon and soft tissue injuries because it may help reduce pain, improve mobility, and stimulate tissue healing without surgery or lengthy recovery times.
At Clement Chiropractic in West Des Moines, IA, Dr. Andrew Clement provides evidence-informed chiropractic care and advanced therapies tailored to each patient's condition and recovery goals. Shockwave therapy may be recommended as part of a personalized treatment plan to help patients return to the activities they enjoy.
In this guide, you'll learn how shockwave therapy works, the conditions it may treat, its potential benefits, possible side effects, recovery time, cost considerations, and how it compares to SoftWave Therapy.
If you're looking for a non-surgical treatment to relieve chronic pain, heal tendon injuries, or improve recovery from soft tissue damage, you may be asking: what is shockwave therapy?
Shockwave therapy is a non-invasive treatment that uses high-energy acoustic waves to stimulate healing in injured muscles, tendons, ligaments, and other soft tissues. Also known as Extracorporeal Shockwave Therapy (ESWT), this treatment is commonly used for chronic musculoskeletal conditions that have not responded well to rest, physical therapy, or other conservative treatments.
Unlike injections or surgery, shockwave therapy does not involve incisions or general anesthesia. Instead, a handheld device delivers controlled acoustic waves through the skin to the affected area. These sound waves create mechanical stimulation that may encourage the body's natural healing response, helping reduce pain and improve function over time.
Shockwave therapy is not designed to simply mask symptoms. Its primary goal is to promote tissue repair, improve circulation, and support long-term recovery.
A common question patients ask is, what does shockwave therapy do?
Shockwave therapy delivers controlled acoustic energy directly to the injured tissue. This mechanical stimulation may encourage several biological responses that support healing and recovery.
Potential effects of shockwave therapy include:
Increasing blood circulation to the injured area
Stimulating the body's natural tissue repair process
Encouraging collagen production
Supporting healthy tendon remodeling
Reducing pain associated with chronic soft tissue injuries
Improving mobility and physical function
Rather than providing an instant cure, shockwave therapy works by helping the body repair damaged tissue over time. For many patients, it is most effective when combined with chiropractic care, corrective exercises, stretching, and lifestyle modifications.
Because every injury is different, results vary based on factors such as the severity of the condition, overall health, and following your provider's treatment recommendations.
Understanding how does shockwave therapy work helps patients know what to expect before beginning treatment.
Shockwave therapy uses a specialized handheld device that generates acoustic waves and delivers them into the targeted tissue. As these sound waves pass through the affected area, they create controlled mechanical stress that stimulates biological activity within the tissue.
Research suggests this process may help:
Improve local blood flow
Stimulate new blood vessel formation (angiogenesis)
Encourage collagen production
Promote cellular repair
Reduce chronic inflammation
Decrease pain sensitivity in damaged tissue
Unlike medications that temporarily reduce pain, shockwave therapy focuses on supporting the body's own healing mechanisms.
Healing does not happen overnight. Most patients experience gradual improvement over several weeks as tissues continue repairing after each treatment session.
Many patients ask why shockwave therapy is used instead of injections or surgery.
Healthcare providers often recommend shockwave therapy because it offers a minimally invasive option for chronic tendon and soft tissue conditions that have not improved with conservative care.
Shockwave therapy may be considered before surgery for patients experiencing persistent pain despite treatments such as:
Rest
Ice therapy
Physical therapy
Anti-inflammatory medications
Activity modification
Chiropractic care
The primary goals of shockwave therapy include:
Reducing chronic pain
Improving mobility
Supporting tissue healing
Helping patients return to normal activities
Avoiding unnecessary surgical procedures whenever appropriate
Because every patient is different, your healthcare provider will determine whether shockwave therapy is suitable based on your symptoms, medical history, and physical examination.
There are many conditions treated with shockwave therapy, particularly chronic musculoskeletal injuries involving tendons, ligaments, and soft tissues.
Common conditions include:
Shockwave therapy is frequently used for chronic heel pain caused by plantar fasciitis. It may help stimulate healing within the plantar fascia and reduce discomfort when other treatments have not provided sufficient relief.
The Achilles tendon is subjected to significant stress during walking, running, and sports activities. Shockwave therapy may help improve tendon healing and reduce pain associated with chronic Achilles tendinopathy.
Also called lateral epicondylitis, tennis elbow is a common overuse injury affecting the tendons around the elbow. Shockwave therapy may help reduce pain and improve grip strength.
Similar to tennis elbow, golfer's elbow affects the tendons on the inside of the elbow. Patients with persistent symptoms may benefit from shockwave therapy as part of a comprehensive rehabilitation plan.
Often referred to as jumper's knee, patellar tendinopathy commonly affects athletes who participate in running and jumping sports. Shockwave therapy may support tendon healing and improve knee function.
Calcium deposits within the shoulder tendons can cause significant pain and reduced mobility. Shockwave therapy may help break down calcifications while promoting healing of the surrounding tissue.
Pain on the outside of the hip is often related to tendon irritation around the greater trochanter. Shockwave therapy may help decrease pain and improve mobility in appropriate patients.
Depending on your diagnosis, shockwave therapy may also be considered for:
Rotator cuff tendinopathy
Hamstring tendinopathy
Shin splints
Chronic calf strains
Hip tendon injuries
Sports-related overuse injuries
Other persistent soft tissue conditions
A comprehensive evaluation is essential to determine whether shockwave therapy is the right treatment for your specific condition.
Patients often ask, which injuries are treated by shockwave therapy?
Shockwave therapy is primarily recommended for chronic overuse injuries that have lasted for several weeks or months and have not improved with conservative care.
These injuries often develop gradually due to repetitive stress rather than a single traumatic event.
Examples include:
Chronic tendon injuries
Running-related injuries
Sports overuse injuries
Repetitive workplace injuries
Chronic ligament irritation
Long-standing soft tissue pain
Shockwave therapy is generally not considered the first treatment option for acute injuries such as fresh muscle tears, fractures, or severe ligament injuries. Your provider will determine whether your condition is appropriate based on your symptoms, examination findings, and imaging if necessary.
Knowing what happens during a shockwave therapy treatment can help you feel more confident before your appointment.
A typical treatment session begins with a thorough assessment to identify the exact location of your pain and determine the most appropriate treatment area.
Your chiropractor or healthcare provider reviews your symptoms, medical history, physical examination findings, and any imaging studies if available.
A conductive gel is applied to the skin to improve the transmission of acoustic waves into the affected tissue.
A handheld device is placed over the treatment area and delivers a series of controlled acoustic pulses.
During treatment, you may notice:
Tapping sensations
Mild pressure
Temporary discomfort over sensitive tissues
Your provider can adjust the treatment intensity to improve comfort while maintaining effectiveness.
Most sessions last 10 to 20 minutes, depending on the condition being treated.
Many patients can return to their normal daily activities immediately after treatment, although your provider may recommend temporarily avoiding strenuous exercise involving the treated area.
Most treatment plans include three to six sessions, spaced over several weeks, to support the body's natural healing process and achieve the best possible outcome.
One of the most common concerns patients have is: Is shockwave therapy painful?
The answer depends on the condition being treated, the severity of the injury, and your individual pain tolerance. During treatment, the acoustic waves stimulate injured tissues, so it's normal to feel mild to moderate discomfort, especially over areas that are inflamed or have been painful for a long time.
Most patients describe the sensation as:
A tapping or pulsing feeling
Mild pressure on the injured area
Temporary discomfort that decreases as treatment continues
The good news is that the discomfort typically lasts only during the treatment session and fades shortly afterward. Your provider can adjust the intensity of the shockwaves to make the treatment as comfortable as possible while still delivering effective results.
Many patients find that each session becomes easier as their pain decreases and healing progresses.
There are many shockwave therapy benefits for patients dealing with chronic musculoskeletal pain and tendon injuries. Because the treatment stimulates the body's natural healing response, it addresses the underlying condition rather than simply masking symptoms.
Potential benefits include:
Reduced chronic pain
Improved blood circulation
Enhanced tissue healing
Increased collagen production
Better flexibility and joint mobility
Faster recovery from chronic tendon injuries
Reduced inflammation
Improved athletic performance after recovery
Non-surgical treatment option
No incisions or stitches
Little to no downtime
Quick in-office treatment sessions
Many healthcare providers combine shockwave therapy with chiropractic adjustments, rehabilitation exercises, stretching programs, and lifestyle recommendations to help patients achieve the best long-term outcomes.
Individual results vary depending on your diagnosis, the severity of the injury, and how closely you follow your treatment plan.
A frequently asked question is, is shockwave therapy effective?
Clinical research suggests that shockwave therapy can be an effective treatment for several chronic musculoskeletal conditions, particularly those involving tendons and connective tissues.
Studies have shown positive outcomes for conditions such as:
Chronic plantar fasciitis
Tennis elbow
Achilles tendinopathy
Patellar tendinopathy
Calcific shoulder tendinopathy
Many patients report:
Less pain
Improved mobility
Better function
Faster return to daily activities
Reduced reliance on pain medications
However, no treatment works for everyone. Success depends on several factors, including:
Accurate diagnosis
Severity of the condition
Duration of symptoms
Overall health
Following post-treatment recommendations
Combining therapy with rehabilitation when appropriate
Your chiropractor or healthcare provider will determine whether shockwave therapy is likely to benefit your specific condition.
Patients often ask, how long does shockwave therapy take?
One of the advantages of shockwave therapy is that treatment sessions are relatively short.
Here's what you can typically expect:
Initial evaluation: 20–30 minutes
Treatment session: 10–20 minutes
Total appointment time: 20–40 minutes
Most treatment plans involve three to six sessions, depending on:
The type of injury
Severity of symptoms
Healing response
Your provider's clinical recommendations
Some chronic conditions may require additional treatments for optimal results.
Another common question is, how long is the recovery period from shockwave therapy?
Unlike surgery, shockwave therapy requires very little recovery time.
Most patients can:
Return to work the same day
Walk normally after treatment
Resume light daily activities immediately
However, your provider may recommend avoiding:
Heavy lifting
Running
Jumping
High-impact sports
Intense exercise involving the treated area
for 24 to 72 hours after treatment to allow the healing process to continue.
Healing occurs gradually, so many patients notice continued improvement over several weeks or even months following their final treatment session.
Patients frequently ask, are there any side effects of shockwave therapy?
Shockwave therapy is generally considered safe when performed by a qualified healthcare professional. Most side effects are mild, temporary, and resolve without additional treatment.
Common side effects may include:
Mild soreness
Temporary redness
Minor swelling
Bruising
Tenderness around the treatment area
Temporary sensitivity for one or two days
These reactions are often a normal part of the body's healing response.
Contact your healthcare provider if you experience severe pain, prolonged swelling, or symptoms that concern you after treatment.
Many people wonder, can shockwave therapy cause damage?
When performed correctly by an experienced healthcare provider, shockwave therapy is considered a safe and well-established treatment for many chronic musculoskeletal conditions.
Serious complications are rare because the treatment is:
Non-invasive
Drug-free
Performed without surgery
Carefully adjusted based on your condition
To minimize risks, your provider will evaluate:
Your medical history
Current medications
Existing health conditions
The exact location of your injury
Following your chiropractor's aftercare instructions can further reduce the likelihood of unwanted side effects and help optimize healing.
Although shockwave therapy is appropriate for many patients, it is not suitable for everyone.
Your provider may recommend avoiding treatment if you:
Are pregnant
Have an active infection near the treatment area
Have certain bleeding disorders
Take certain blood-thinning medications
Have cancer affecting the treatment area
Have open wounds where treatment would be performed
Have certain nerve or vascular disorders
Are still growing and have open growth plates (in some cases)
A comprehensive examination is essential to determine whether shockwave therapy is safe for your individual health needs.
If you've been asking yourself, is shockwave therapy right for you, the answer depends on your diagnosis and overall health.
You may be a good candidate if you:
Have chronic tendon or ligament pain
Have not improved with rest or physical therapy
Want to avoid surgery if possible
Are looking for a non-invasive treatment option
Have ongoing heel, shoulder, elbow, knee, or Achilles pain
Want to improve mobility and function
The best way to determine whether shockwave therapy is appropriate is to schedule an evaluation with an experienced chiropractor or healthcare provider.
A personalized assessment allows your provider to identify the underlying cause of your pain and recommend the treatment plan that's most likely to help you recover.
Many patients researching regenerative treatments compare Shockwave Therapy vs SoftWave Therapy. While both therapies use acoustic wave technology to support healing, they differ in how energy is generated, delivered, and applied.
Feature | Shockwave Therapy | SoftWave Therapy |
Technology | Uses focused or radial acoustic waves to target injured tissues. | Uses patented electrohydraulic broad-focused acoustic wave technology. |
Treatment Area | Primarily treats a localized area of pain or injury. | Covers a broader treatment zone while reaching deeper tissues. |
Common Uses | Plantar fasciitis, tennis elbow, Achilles tendinopathy, shoulder pain, and other chronic musculoskeletal conditions. | Musculoskeletal pain, soft tissue healing, chronic inflammation, and regenerative therapy applications. |
Energy Delivery | Focused or radial shockwaves directed at specific tissues. | Broad-focused acoustic waves distributed over a wider treatment area. |
Primary Goal | Reduce pain, stimulate tissue healing, and improve function. | Promote tissue regeneration, improve circulation, and activate the body's natural healing response. |
Clinical Evidence | Supported by extensive research for several chronic tendon conditions. | Growing clinical evidence with promising results across multiple regenerative applications. |
Treatment Selection | Depends on diagnosis, injury location, and severity of symptoms. | Determined by provider experience, patient goals, and clinical evaluation. |
Both therapies can be valuable treatment options. The right choice depends on your condition, symptoms, and your provider's recommendation after a comprehensive evaluation.
One of the most frequently asked questions is, is shockwave therapy covered by insurance?
Insurance coverage varies depending on your insurance provider, health plan, location, and the condition being treated. While some insurance companies may cover shockwave therapy for specific medical conditions, others may consider it an elective or investigational treatment.
Coverage often depends on:
Your diagnosis
Medical necessity
Your insurance policy
Whether conservative treatments have already been attempted
Your healthcare provider's documentation
Before beginning treatment, it's always a good idea to contact your insurance provider or speak with your chiropractic office to verify your benefits and determine whether any out-of-pocket costs apply.
Another common question is, how much does shockwave therapy cost?
The cost of shockwave therapy varies based on several factors, including:
Your geographic location
The provider's experience
The condition being treated
The number of sessions required
Whether insurance covers part of the treatment
Since every patient has different needs, there isn't a one-size-fits-all price. Some patients require only a few treatments, while others may benefit from a longer treatment plan for chronic conditions.
The best way to receive an accurate estimate is to schedule a consultation, where your provider can evaluate your condition and recommend a personalized treatment plan.
If you're searching for an experienced chiropractor in West Des Moines, IA offering advanced, non-surgical pain relief, Clement Chiropractic provides personalized treatment plans designed to help patients recover naturally.
Dr. Andrew Clement combines modern chiropractic techniques with evidence-based therapies to address the underlying cause of pain—not just the symptoms. Depending on your condition, shockwave therapy may be combined with chiropractic adjustments, spinal decompression, SoftWave Therapy, or Red Light Therapy to support faster healing and long-term recovery.
Patients choose Clement Chiropractic because we offer:
Personalized treatment plans
Advanced non-invasive therapies
Experienced chiropractic care
Modern diagnostic approach
Comfortable treatment environment
Focus on long-term wellness—not temporary pain relief
Whether you're dealing with plantar fasciitis, tennis elbow, Achilles tendinitis, shoulder pain, chronic tendon injuries, or other musculoskeletal conditions, our goal is to help you move better, feel better, and return to the activities you enjoy.
Location: Clement Chiropractic - West Des Moines, IA
Website: Chiropractor in west des moines, Ia
Phone: +1 515-224-9000
Yes. Most patients return to work and normal daily activities immediately after treatment. However, your provider may recommend avoiding strenuous exercise or heavy lifting for a short period, depending on the treated area.
Most patients benefit from three to six treatment sessions, although the exact number depends on your condition, symptom severity, and how your body responds to therapy.
No. While many patients experience meaningful pain relief and improved function, treatment outcomes vary. A proper diagnosis and individualized treatment plan are essential for achieving the best results.
Some patients notice improvement after the first or second treatment, while others experience gradual progress over several weeks as the body's natural healing response continues.
Yes. Many chiropractors combine shockwave therapy with chiropractic adjustments, corrective exercises, spinal decompression, and other conservative treatments to improve overall outcomes.
Not always. Shockwave therapy is often recommended before considering surgery for certain chronic tendon conditions, but it is not appropriate for every injury. Your provider will determine the most suitable treatment based on your diagnosis.
If you've been wondering what is shockwave therapy, it's important to understand that this treatment is designed to support your body's natural healing process—not simply provide temporary pain relief.
For many people living with chronic tendon injuries, heel pain, elbow pain, shoulder pain, or other musculoskeletal conditions, shockwave therapy offers a non-invasive option that may help reduce pain, improve mobility, and promote long-term tissue healing without surgery or extended downtime.
Because every patient is unique, the most effective treatment begins with a comprehensive evaluation. A qualified chiropractor can determine whether shockwave therapy is appropriate for your condition and develop a personalized treatment plan that supports your recovery goals.
If chronic pain is keeping you from doing the things you love, professional evaluation and early treatment can help you get back to living an active, healthy lifestyle.
Dr. Andrew Clement is a Des Moines native and the founder of Clement Chiropractic in West Des Moines, Iowa. With more than 15 years of clinical experience, he has helped thousands of patients find lasting relief from back pain, neck pain, sports injuries, chronic joint conditions, and other musculoskeletal disorders.
After earning his Doctor of Chiropractic degree from Northwestern Health Sciences University, Dr. Clement built his practice around honest communication, personalized care, and evidence-informed treatment. His approach focuses on restoring proper nervous system function through gentle chiropractic adjustments while incorporating advanced therapies such as spinal decompression, SoftWave Therapy, and Red Light Therapy when appropriate.
Dr. Clement is committed to helping every patient improve mobility, relieve pain naturally, and maintain a healthier, more active lifestyle through individualized chiropractic care.