May 23, 2024
By Nick Lorem
How is Shockwave Therapy Performed?
Most patients ask the question, “How is shockwave therapy performed?” because they want to understand the process before starting treatment. A specialised technique called shockwave therapy applies acoustic waves directly to body areas affected by musculoskeletal conditions. It is commonly used for conditions such as plantar fasciitis, tennis elbow, and calcific tendinitis.
This information is intended for educational purposes only and should not replace advice from a qualified healthcare professional. While individual experiences may vary, learning about the process can help patients feel more prepared.
This blog aims to help readers better understand what happens during a shockwave therapy session. To gain further insight into each step involved, continue reading for a clearer understanding of this treatment option. As always, it is recommended to seek professional medical advice for diagnosis and personalised treatment plans.
Summary of the Content:
- Shockwave therapy is a non-invasive treatment used to manage certain musculoskeletal conditions by applying acoustic waves to targeted areas.
- Before treatment, the practitioner conducts a thorough assessment to determine whether shockwave therapy is suitable for the patient’s condition.
- Patients are positioned either lying down or seated to allow proper access to the area being addressed.
- A conductive gel is carefully applied to the skin to help the acoustic waves travel efficiently into the tissues.
- The handheld applicator delivers focused waves directly to the identified treatment area using controlled intensity.
- Patients often feel tapping or pressure sensations, which may cause discomfort but are usually manageable.
- Sessions typically last between 5 and 15 minutes, depending on the area and condition being addressed.
- Practitioners continuously assess comfort, adjusting settings or applicator position as needed based on patient feedback.
- Multiple sessions are often required, with progress monitored and treatment adjusted based on individual responses.
What is Shockwave Therapy?
Shockwave therapy is a non-invasive treatment that uses acoustic pressure waves to target injured or painful areas. These pressure waves travel through the skin, reaching deeper tissues without requiring surgery or invasive procedures. Originally developed for breaking down kidney stones, the technology has since expanded into musculoskeletal treatment. Healthcare providers now apply extracorporeal shockwave therapy to help manage various conditions affecting muscles, tendons, and ligaments.
The acoustic waves create mechanical pressure, stimulating blood flow and cellular activity in the targeted tissue. This process may encourage the body’s natural healing response by promoting tissue regeneration and reducing discomfort. However, individual responses vary, and healthcare professionals assess suitability based on each person’s condition and health history.
Types of Shockwave Therapy
Different approaches for delivering shockwave therapy exist; each is designed to address specific conditions and treatment goals. These methods vary in how they generate and direct acoustic waves into the body. Some techniques target deeper tissues with concentrated energy, while others disperse energy over a broader area.
Types of Shockwave Therapy
Focused shockwave therapy is often used in musculoskeletal care and rehabilitation settings. Below are key points explaining the technology involved, how focused shockwave therapy works, and its applications.
- Focused shockwave therapy directs concentrated energy to a specific area, allowing for the precise targeting of tissues at varying depths.
- This type of therapy uses specialised equipment, with three primary technologies being used to generate the shockwaves:
- Electromagnetic systems use a coil and membrane to generate focused waves.
- Electrohydraulic systems produce shockwaves through the controlled release of an underwater spark.
- Piezoelectric systems generate waves through the rapid activation of numerous small crystals.
- Focused shockwave therapy is often applied in cases requiring accurate targeting, such as addressing deep-seated musculoskeletal conditions or specific calcifications.
- Focused shockwave therapy delivers energy in a more concentrated manner, allowing for the controlled targeting of localised areas.
- The depth and intensity of the treatment can be customised based on the location and type of tissue being targeted. This level of control makes focused shockwave therapy particularly suitable for areas requiring precision.
Focused extracorporeal shock wave therapy plays an important role in treatment plans that benefit from controlled and targeted energy delivery. It is particularly valuable in situations where precision is required to reach specific tissues for optimal care.
Radial Shockwave Therapy
Radial shockwave therapy, also called radial pressure wave therapy, is a non-invasive treatment that uses acoustic energy to target specific areas of the body. It is often used to address musculoskeletal conditions and reduce pain associated with soft tissue discomfort. Below is an overview of how this therapy works, its common applications, and the equipment involved.
- Radial shockwave therapy delivers energy in a radial pattern, with the energy dispersing outward from the applicator tip. The outward spread covers a broader area instead of concentrating on a single point.
- The outward distribution of energy allows radial shockwave therapy to cover a broader area during treatment. This pattern makes radial shockwave therapy more suitable for addressing conditions located closer to the surface of the skin. It is generally less effective for targeting deeper tissues or structures within the body.
- The therapy operates through a pneumatic mechanism, where compressed air propels a small projectile within the handpiece. The projectile’s impact against the applicator tip generates mechanical pressure waves, which are transmitted into the targeted tissues.
- The equipment used for radial shockwave therapy includes a handheld applicator connected to a main shockwave device. Different applicator heads are available to accommodate varying treatment areas and specific needs.
- Radial shock wave therapy is used to address conditions including plantar fasciitis, achilles tendinopathy, tennis elbow, and other soft tissue injuries. It is applied to areas where the affected tissues are located closer to the surface of the skin.
- Radial shockwave therapy is often incorporated into a broader treatment plan to address musculoskeletal concerns. Outcomes can vary depending on the specific condition, the individual’s response, and the other treatments provided at the same time.
This form of shockwave therapy may provide pain relief for some superficial musculoskeletal conditions. Its effectiveness can vary between patients, so it is important to have a clear understanding of potential outcomes.
Key Differences Between the Two Types
When comparing focused and radial methods, it is important to understand that both techniques are used in various clinical settings. Each method has distinct characteristics that influence its applications and effectiveness. The table below outlines the key differences between focused and radial methods. It highlights the mechanisms, depth of penetration, pressure and energy levels, applications, and commonly used equipment for each approach.
| Aspect | Focused Method | Radial Method |
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| Depth of Penetration |
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| Pressure/Energy Levels |
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| Applications |
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| Common Equipment |
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Both focused and radial methods have valuable roles within therapeutic settings. Each technique offers unique benefits depending on the treatment goals and anatomical targets involved.
Before the Procedure: What to Expect
Patients often wonder, “How is shockwave therapy performed?” especially when considering it for managing ongoing musculoskeletal concerns. Understanding the preparation process can help patients feel more comfortable and confident before starting treatment. Practitioners explain the process, address concerns, and discuss important details for safe, appropriate care. Each step supports patient safety and helps tailor the approach to individual needs and health conditions.
Consultation and Assessment
A thorough consultation and assessment are essential before commencing shockwave therapy. Here are the steps involved in the consultation and assessment process to guide safe and effective care:
- Medical History Review:
Practitioners begin by reviewing the patient’s comprehensive medical history, including previous injuries, chronic conditions, medications, and prior treatments. The information gathered helps identify potential factors that could influence the suitability of shockwave therapy. - Physical Examination:
A physical examination evaluates the affected area, assesses pain levels, and identifies any mobility limitations. Practitioners also observe for signs of swelling, tenderness, or dysfunction, which can help guide diagnosis and treatment planning. - Diagnostic Imaging (If Required):
Diagnostic imaging, including X-rays, ultrasound, or MRI scans, may be recommended when necessary. These imaging techniques help provide a clearer understanding of the underlying condition and support an accurate diagnosis. - Suitability Assessment:
Practitioners assess the condition’s type, severity, and location to determine if shockwave therapy is suitable for the patient. They also review any contraindications, including pregnancy, clotting disorders, nerve damage, or the presence of certain implants. - Discussion of Treatment Goals:
Patients are encouraged to share their treatment goals, personal preferences, and any concerns they may have during the consultation process. Open communication helps practitioners tailor the care plan to align with the patient’s needs. - Importance of Proper Diagnosis:
Establishing a clear and accurate diagnosis is essential to determining whether shockwave therapy is clinically appropriate for the patient’s condition. Not all conditions respond effectively to shockwave therapy, making accurate diagnosis a critical step in the treatment process.
A comprehensive consultation and assessment process supports effective care by identifying the most suitable treatment approach for each patient. It also helps patients feel confident in their personalised treatment plans. Practitioners carefully consider each patient’s concerns, goals, and health factors to develop an appropriate approach.
Preparation for Treatment
Preparing for shockwave therapy can help support a smooth and comfortable treatment experience. Individual requirements may vary depending on personal health factors and specific medical needs. Patients can follow these guidelines to help prepare for their appointments:
- Patients are generally advised to avoid anti-inflammatory medications for several days before their session. It is important that patients follow their healthcare provider’s guidance regarding medication adjustments.
- Patients are encouraged to wear loose, comfortable clothing to allow easy access to the area being addressed.
- Eating a normal meal before the appointment is important to avoid feeling lightheaded or unwell during the session.
- Patients need to provide a complete and accurate medical history before starting treatment. The medical history should include all current medications, chronic conditions, and any recent injuries. It is also important to provide details of any previous treatments related to the area being addressed.
- Patients should inform the practitioner if they have any implanted medical devices, including pacemakers. Providing details about any history of blood clotting disorders is also essential to help the practitioner assess risks.
- Open communication about any concerns or existing health conditions helps the practitioner tailor the treatment appropriately for safety and effectiveness.
Following these preparations can help patients feel more comfortable and confident ahead of the appointment. Providing accurate information allows the practitioner to tailor the session to suit individual health needs and treatment goals.
The Shockwave Therapy Procedure: Step by Step
Shockwave therapy follows a structured process designed to target specific areas experiencing discomfort or reduced mobility. Each step supports the proper application of sound waves for therapeutic effects. Understanding how shockwave therapy works helps patients feel more informed and confident about what to expect during treatment.
Environment and Setup
The environment and setup for shockwave therapy are designed to create a comfortable space while supporting effective treatment delivery. Below are important factors contributing to a professional and patient-centred treatment environment:
- Treatment Room:
The procedure takes place in a private, clean room equipped with a shockwave machine and appropriate clinical furniture. - Equipment Used:
The shockwave machine features a handheld applicator, and a conductive gel is applied to the skin for effective contact. - Patient Positioning:
Patients are positioned seated, lying down, or partially reclined, depending on the specific area being addressed. - Practitioner Communication:
The practitioner explains each step before and during treatment to help patients understand the process and address concerns. - Privacy Considerations:
Practitioners prioritise patient privacy, with appropriate draping or coverings provided when needed for comfort.
This type of environment supports accurate treatment delivery and helps patients feel more comfortable and confident throughout the session.
The Treatment Application Process
The treatment application process involves several important steps to deliver shockwave therapy effectively while prioritising patient comfort. Here are the steps involved in a standard shockwave therapy session:
- Gel Application:
The practitioner applies a conductive gel to the targeted area to enhance contact and improve shockwave transmission. - Treatment Area Identification:
The practitioner locates the precise area requiring treatment by assessing symptoms, patient feedback, and physical examination. - Applicator Placement:
The handheld applicator is positioned directly on the skin over the identified treatment area. - Shockwave Treatment:
The machine generates and delivers controlled shockwaves through the applicator into the underlying tissues. - Sensations Experienced:
Patients typically experience rhythmic tapping or pressure sensations that may cause mild discomfort but are usually tolerable. - Comfort Monitoring:
The practitioner regularly checks patient comfort and may adjust the intensity to suit individual tolerance levels. - Treatment Duration:
Each session typically lasts between 5 and 15 minutes, depending on the condition and area being addressed.
This step-by-step approach helps apply shockwave therapy accurately while addressing patient feedback throughout the session.
Monitoring During Treatment
Effective communication between practitioner and patient plays an important role in shockwave therapy, maintaining comfort and treatment effectiveness. Below are some of the ways practitioners monitor and adjust treatment to support safe and effective care.
- Practitioners frequently ask patients for feedback to gauge discomfort levels and adjust the intensity to maintain tolerable sensations.
- They monitor patient reactions and may adjust the applicator position to target better areas showing signs of tenderness.
- Practitioners often use their clinical assessment skills alongside patient responses to identify precise areas requiring treatment focus.
- Standard safety protocols are followed, including regular equipment checks to maintain proper function throughout the session.
- Protective measures, including proper applicator handling and selecting appropriate machine settings, help minimise risks during treatment.
Ongoing monitoring and clear communication allow practitioners to balance therapeutic effectiveness with patient comfort and safety.
After the Procedure
Post-treatment care and monitoring are important aspects of shockwave therapy to support recovery and assess treatment effectiveness. Patients often receive guidance on managing common effects and understanding the healing process. Clear communication with healthcare professionals helps support the appropriate treatment of individual recovery needs and responses.
Immediate Post-Treatment Effects
Patients can experience some immediate effects after shockwave therapy, which are short-term and related to the body’s healing response. Below are some common responses patients may notice following their treatment session.
- Redness and Swelling:
Temporary redness or mild swelling around the addressed area is a common response after shockwave therapy. - Tenderness or Discomfort:
Tenderness or mild discomfort may occur immediately after treatment; this sensation often resembles muscle soreness experienced after physical activity. - Temporary Symptom Increase:
Some patients may notice a temporary increase in symptoms, which usually subsides within a few days. - Natural Healing Response:
These responses are part of the natural healing process as the body reacts to the acoustic waves. - Symptom Management Advice:
Practitioners often advise on symptom management strategies to help reduce discomfort after treatment.
Monitoring and understanding these immediate effects can help patients feel more prepared and confident about their recovery process.
Recovery Period
Recovery timelines after shockwave therapy can vary and can be influenced by individual health and the underlying condition. Below are evidence-based care recommendations and realistic expectations patients can follow during their recovery.
- Activity Resumption:
Many patients return to light activities within a day, although some prefer short rest periods for the addressed areas. - Managing Tenderness:
If the practitioner recommends it, applying ice packs can help manage tenderness or swelling after the session. - Avoiding Intense Activities:
Patients are advised to avoid high-impact activities or intense exercise for 24-48 hours following treatment. - Temporary Symptom Flare-ups:
Temporary symptom flare-ups can occur as the body responds to treatment and activates natural healing processes. - Gradual Improvement:
Full recovery timelines vary, with some patients noticing gradual improvement over weeks as tissue healing progresses.
Following professional advice and maintaining realistic expectations can help patients manage their recovery effectively and support healing outcomes.
Follow-up Sessions
Follow-up sessions play an important role in assessing treatment progress and adjusting the approach to meet individual needs. Here are the key aspects of how follow-up sessions are managed to support positive outcomes:
- Standard Treatment Plan:
Treatment plans consist of three to six sessions and are scheduled one to two weeks apart, depending on the condition. - Progress Monitoring:
Practitioners assess pain levels, mobility improvements, and changes in symptoms during each follow-up appointment. - Treatment Adjustments:
Based on the patient’s response and reported experiences, adjustments to treatment intensity or targeted areas may be made. - Session Variability:
Some individuals may require fewer sessions if they respond quickly, while others may benefit from additional treatments. - Individual Factors:
The number of sessions needed varies depending on each patient’s condition, response to therapy, and overall health.
Ongoing evaluation during follow-up sessions helps practitioners track progress and adapt treatment plans to support each patient’s recovery journey.
Safety Considerations and Contraindications
Shockwave therapy is considered reliable when qualified professionals perform the treatment in appropriate clinical settings. It’s common for people to ask, “How is shockwave therapy performed?” particularly when they’re curious about its side effects. Certain medical conditions and individual health factors can make the treatment unsuitable for some patients. The table outlines important safety considerations, side effects, and situations where medical attention may be necessary.
| Category | Details |
| Contraindications |
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| When to Seek Medical Attention |
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Patients are encouraged to share their full medical history with their healthcare provider before starting shockwave therapy. Providing comprehensive information helps the healthcare provider determine whether the treatment is suitable for your needs.
Effectiveness and Expected Outcomes
Current research indicates that shockwave therapy can improve certain musculoskeletal conditions, though results vary between individuals. Below are key points highlighting what patients may expect and the factors influencing outcomes.
- Improvements often develop gradually over several weeks as the body responds to the acoustic waves and tissue stimulation.
- Research suggests conditions such as calcific shoulder tendinopathy and plantar fasciitis may respond well, though not all patients benefit equally.
- Treatment success can be influenced by factors including the severity and the patient’s adherence to post-treatment advice.
- Some studies highlight positive results for chronic conditions, but evidence for newer applications remains limited and requires further research.
- Practitioners discuss realistic expectations before treatment, advising that some patients may require combined therapies to achieve effective results.
Understanding these potential outcomes helps patients gain valuable insights and set realistic expectations throughout their treatment journey.
Final Thoughts
Shockwave therapy involves the targeted application of acoustic waves to specific areas identified during a thorough assessment. Proper diagnosis helps determine whether this treatment suits a patient’s condition and overall health. Each step, from positioning to intensity adjustment, supports accurate wave delivery for effective therapeutic results. Professional guidance throughout the process helps support safe application and patient comfort during treatment.
This information aims to provide educational insights into how shockwave therapy is performed. It does not replace personalised advice from qualified healthcare professionals. Individual responses to shockwave therapy can vary based on condition severity and overall health. Patients should discuss treatment suitability with experienced practitioners who can provide tailored recommendations for their specific needs.
