Is Shockwave Therapy Safe?

What You Need to Know About Shockwave Therapy Safety
May 23, 2024
By Nick Lorem

Shockwave therapy uses sound waves to address pain and promote healing, offering an alternative to more invasive procedures.
Safety is paramount when considering any medical treatment. Understanding the safety of shockwave treatment, including potential side effects and complications, helps patients feel confident about their health choices.
How Safe is Shockwave Therapy?
Numerous clinical studies prove the safety and efficacy of shockwave therapy. Research indicates it significantly reduces pain and aids healing for conditions like plantar fasciitis, tennis elbow, and Achilles tendinopathy. These studies report minimal side effects, underscoring the reliability of shockwave therapy for pain relief and healing.
Regulatory bodies like the Therapeutic Goods Administration (TGA) verify that shockwave therapy devices meet stringent safety standards. These organisations evaluate and approve medical treatments to protect patient health.
By understanding the safety of shockwave treatment, patients can confidently consider this option for managing pain and enhancing their healing process.
Practitioner Qualifications Matter
Receiving shockwave therapy from well-trained practitioners is crucial for both safety and effectiveness. Here are the key aspects of practitioner qualifications:
- Specific training in ESWT
Practitioners must undergo rigorous training specific to shockwave therapy. This training includes understanding the mechanics of various shockwave devices. With this knowledge, practitioners can effectively target conditions like plantar fasciitis and tennis elbow. - Proper device handling
Accurate handling of ESWT devices is essential. Practitioners must maintain the right pressure and positioning throughout the procedure. This precision helps deliver effective treatment and minimises the risk of injury or discomfort to the patient. - Staying updated with the latest research
Continuous education is a vital part of a practitioner’s role. Staying informed about the latest research and updated protocols means that treatments are based on the most current methods. This ongoing learning helps in delivering safe and effective therapies. - Minimising risks and complications
Choosing a qualified practitioner significantly reduces the likelihood of shockwave treatment complications and side effects. Properly trained professionals can tailor treatments to the patient’s specific needs. This enhances the overall benefits of shockwave therapy while maintaining high safety standards.
Patients can receive tailored shockwave therapy by selecting practitioners with the right qualifications. This approach maximises benefits and maintains safety throughout the treatment process.
Screening and Assessment Process
Determining whether a patient is suitable for shockwave therapy involves thorough screening and assessment. Practitioners evaluate multiple factors to determine the appropriateness and safety of the treatment for each individual.
- Medical history review:
Practitioners begin by reviewing the patient’s complete medical history, including past injuries, surgeries, and ongoing health conditions. This helps identify any potential risks associated with shockwave therapy. - Current condition evaluation:
The specific condition being addressed is assessed in detail. Shockwave therapy is often used for musculoskeletal conditions like plantar fasciitis and tennis elbow, among others. The severity and duration of the condition are considered to evaluate the therapy’s appropriateness. - Physical examination:
A thorough physical examination pinpoints the exact location of pain and inflammation. This helps target the shockwave treatment precisely where it is needed. - Contraindications check:
Certain conditions and situations make shockwave therapy unsuitable. Patients with active infections, malignancies near the treatment area, or severe circulatory disorders are generally not considered for this therapy. - Pain and functional assessment:
It is important to evaluate the pain level and its impact on the patient’s daily activities. This assessment helps set realistic expectations for the therapy’s outcomes. - Patient goals and preferences:
It is essential to understand what the patient hopes to achieve with shockwave therapy. This includes the level of pain reduction, functional improvement, and overall recovery goals.
By carefully evaluating these factors, healthcare providers can determine if shockwave therapy is safe and effective. This assessment helps minimise potential issues and improve the overall impact of the treatment.
What to Expect: Managing Common Side Effects
Patients might experience various shockwave treatment complications and side effects. It is crucial to understand these potential issues and how to manage them effectively.
- Mild pain during and after treatment:
Mild pain during and after shockwave therapy is normal and usually subsides within a few days. This pain occurs due to the stimulation of nerve endings. Patients can use over-the-counter pain relief medications to manage the pain. Applying a cold compress to the affected area can also help reduce swelling and discomfort. - Skin redness, bruising, and swelling:
These symptoms are common and resolve within a week. They occur as a result of increased blood flow and minor tissue irritation. Cold compresses can be applied to the area to help reduce redness, bruising, and swelling. - Numbness or tingling sensations:
These sensations are often due to nerve irritation and are usually temporary. Resting and avoiding heavy lifting can alleviate these symptoms. If numbness or tingling persists, it is advisable to consult with the practitioner. - Haematoma (localised blood collection outside blood vessels):
Haematomas can develop due to the rupture of small blood vessels during the treatment. They typically resolve on their own within a couple of weeks. To alleviate discomfort, patients can use a cold compress and keep the affected area elevated when possible. If the condition does not improve, medical advice should be sought. - Increased pain:
Some patients may experience increased pain after the treatment, which can occur as the body responds to the therapy. This is usually temporary and can be managed with over-the-counter pain relief medications and rest. If the pain persists, patients should consult their healthcare provider. - Persistent redness, swelling, or bruising:
If these symptoms last beyond a week, medical advice should be sought to rule out any shockwave treatment complications. It is important to monitor these symptoms and seek prompt medical attention if necessary. - Signs of infection (severe swelling, redness, or pus):
Any signs of infection, such as severe swelling, redness, or pus, require immediate medical attention. Prompt treatment is essential to prevent further complications.
General tips:
- Avoid high-impact activities and heavy lifting:
Rest for a few days after treatment to aid healing. Avoid running, jumping, and heavy weightlifting to facilitate recovery. - Engage in gentle exercises and physical therapy:
Support healing through gentle activities like walking, swimming, and stretching. Follow your practitioner’s recommendations. Physical therapy may include leg lifts, gentle yoga, or using resistance bands.
By understanding potential side effects and proper management, patients can better navigate their shockwave therapy. Regular follow-ups with the practitioner help monitor progress and address concerns promptly.
Concluding Thoughts on Shockwave Therapy

Shockwave therapy offers a promising, noninvasive treatment option for those dealing with musculoskeletal pain and injuries. Clinical research supports its safety and efficacy well, and regulatory bodies check that the devices meet high safety standards.
With the proper qualifications of practitioners and a thorough screening process, patients can expect a safe and effective treatment experience. Understanding and managing potential side effects is crucial for a smooth recovery.
By staying informed and maintaining open communication with healthcare providers, patients can confidently explore the benefits of shockwave therapy for their health and well-being.
Why High-Powered Laser Therapy?
Accelerated Healing Process
High-powered laser therapy stimulates cellular activity, promoting faster recovery from injuries and reducing overall healing time.
Reduced Pain and Inflammation
The therapy targets pain pathways and decreases inflammatory markers, leading to significant pain relief during recovery.
Improved Blood Circulation
Laser therapy enhances blood flow to the treatment site, allowing essential nutrients and oxygen to reach healing tissues effectively.
Non-Invasive Treatment Option
This therapy is a safe, non-invasive alternative to surgery or medication, minimising risks and side effects for patients.

Learn More About Shockwave Therapy
Discover how shockwave therapy uses acoustic waves to promote healing and alleviate musculoskeletal pain.

Learn More About The Treatment Process
Learn about the step-by-step treatment process of shockwave therapy and what to expect during your sessions.

Learn More About The Cost
Understand the cost structure of shockwave therapy and how it offers value for your healthcare investment.

Learn More About The Benefits of Shockwave Therapy
Explore the diverse benefits of shockwave therapy, including pain reduction, improved mobility, and accelerated recovery.
Frequently Asked Questions On The Safety of Shockwave Therapy
If you’re considering shockwave therapy for back pain, you might have a few questions about the treatment. Here, we answer some of the most common queries to help you understand the effectiveness of shockwave therapy and what to expect.
Is shockwave therapy suitable for all ages?
Yes, shockwave therapy is suitable for most age groups. It is a non-invasive treatment that can address various musculoskeletal conditions across different ages.
- Children:
Shockwave therapy is generally not recommended for very young children due to their developing bones and tissues. However, there are specific instances where it can be beneficial. Research has shown that shockwave therapy can effectively manage muscle spasticity and improve motor function for older children with cerebral palsy. It is crucial that this treatment is conducted under strict medical supervision and tailored to the child’s specific needs. - Young Adults:
Young adults, especially those active in sports or physically demanding activities, may benefit significantly from shockwave therapy. This treatment can help with conditions such as tendinitis and plantar fasciitis, promoting faster recovery and reducing pain, thus enabling them to return to their activities more quickly. - Adults:
For adults, shockwave therapy is a practical option for managing chronic pain and musculoskeletal conditions like calcific shoulder tendinitis, tennis elbow, and hip pain. This non-invasive treatment can help reduce the need for surgical interventions and long-term medication use, providing relief and improving quality of life. - Seniors:
Seniors can benefit from shockwave therapy for conditions related to aging, such as osteoarthritis and chronic back pain. However, it is essential to consider the overall health and bone density of older patients before proceeding with treatment. A comprehensive medical assessment is necessary for safety and effectiveness.
Shockwave therapy offers many benefits, but it is crucial to undergo a personalised assessment to meet individual health needs.
What should I do before and after a shockwave therapy session?
To achieve optimum results, it is essential to prepare adequately before your session and take appropriate steps afterwards to support the healing process.
Before the session
- Consult your healthcare provider:
Discuss your condition and treatment plan with your healthcare provider to determine if shockwave therapy is suitable for you. Mention any ongoing medications and existing health conditions. - Avoid certain medications:
In the days before your appointment, try to avoid taking anti-inflammatory medications. These can interfere with the natural healing response that shockwave therapy aims to stimulate. - Wear comfortable clothing:
Opt for loose, comfortable clothing that allows easy access to the addressed area. This will make the process more efficient and comfortable for you. - Stay hydrated:
Drink plenty of water before your session. Proper hydration can help improve blood flow and enhance the effectiveness of the treatment. - Understand the procedure:
Familiarise yourself with the procedure, including the potential side effects of shockwave therapy and the expected outcomes. This can help reduce anxiety and make you feel more comfortable during the session.
After the session
- Rest the area:
Give the area some time to recover. Avoid strenuous activities or exercises that could aggravate symptoms or impact healing. - Apply a cold compress:
If you experience discomfort or swelling, apply a cold compress to the area for 15-20 minutes. This can help reduce inflammation and provide pain relief. - Stay hydrated:
Continue to drink plenty of water post-treatment. Good hydration aids in flushing out toxins from the body and supports the healing process. - Monitor for side effects:
Be aware of any side effects of shockwave therapy, such as minor bruising or increased pain. These are usually temporary but should be monitored. If any serious side effects occur, contact your healthcare provider immediately. - Avoid anti-inflammatory medications:
Avoid anti-inflammatory medications for a few days after the session to allow the natural healing process to continue uninterrupted. - Gradually resume normal activities:
While rest is essential, it’s also crucial to gradually return to your normal activities. Gentle movements can help maintain blood flow and promote healing without causing further strain on the area.
Following these guidelines can help make your shockwave therapy sessions be as effective and comfortable as possible. Stay in touch with your healthcare provider for personalised advice and support throughout your treatment journey.
Additional points to consider
- Personal pain tolerance: Everyone’s pain thresholds vary, so it’s important to communicate with your therapist about your comfort levels during the treatment.
- Chronic pain management: Shockwave therapy can be part of a comprehensive pain relief treatment plan, especially for those dealing with chronic pain conditions.
- Follow-up appointments: Schedule and attend follow-up appointments as recommended to assess progress and adjust your treatment plan as necessary.
Adhering to these steps can optimise the benefits of shockwave therapy while minimising potential complications, making your recovery process smooth and effective.
Can shockwave therapy be used for chronic conditions?
Yes, shockwave therapy can be used for chronic conditions. It effectively addresses chronic pain, tendinopathies, and joint issues by stimulating blood supply and collagen production.
Conditions like plantar fasciopathy, Achilles tendinopathy, and calcific tendinitis have positively responded to this non-invasive treatment. The therapy reduces pain and inflammation, offering an alternative to surgery with minimal side effects like redness and swelling.
The safety of shockwave treatment and its effectiveness for chronic conditions make it a valuable treatment option.
Is shockwave therapy safe for pregnant women?
No, shockwave therapy is not considered safe for pregnant women. It is generally advised to avoid shockwave therapy during pregnancy due to potential risks. These risks include possible effects on the developing fetus and the lack of comprehensive studies on the safety of this treatment during pregnancy.
It’s important to consult with a healthcare provider to explore alternative, safer treatments during pregnancy. The safety of shockwave therapy is a priority, and caution is essential for expecting mothers.
Are there any long-term side effects of shockwave therapy?
No, there are no significant long-term side effects of shockwave therapy. This treatment is generally safe when administered by qualified professionals. However, some patients may experience minor, temporary side effects.
- Mild pain:
Some individuals might feel a slight increase in pain after the treatment. This is usually due to the stimulation of the body’s healing processes. If this occurs, resting the treatment area and avoiding strenuous activities are recommended. Over-the-counter pain relievers can be taken if necessary, but it is advisable to consult with your healthcare provider. - Redness and swelling:
The affected area may temporarily become red and slightly swollen due to increased blood flow and the body’s inflammatory response to the treatment. Applying ice and keeping the area elevated can help reduce these symptoms. These effects subside within a few days. - Bruising:
Minor bruising can occur at the application site, usually due to the pressure applied during the treatment. This is generally harmless and resolves on its own within a week. To minimise bruising, avoid activities that may strain the treatment area and follow any aftercare instructions provided by your healthcare provider.
Shockwave therapy is widely used for various conditions, and its safety has been well-documented, making it a reliable option for many patients.
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