Piezowave Shockwave Therapy
Focused acoustic pulses used for selected chronic tendon and soft-tissue conditions.
What it is
The short version
Piezowave shockwave therapy delivers focused acoustic pulses to a selected treatment area. It is used for some chronic tendon and soft-tissue conditions, but results vary by diagnosis and the evidence is not equally strong for every use. A clinician first evaluates whether it is appropriate, explains alternatives and limitations, and adjusts the treatment to your tolerance.
How it works
What to expect
- 01
Evaluate
We assess the painful area and determine whether shockwave therapy is appropriate.
- 02
Locate
The doctor targets the exact treatment area by feel and scan.
- 03
Treat
Focused acoustic pulses are applied for a few minutes per area.
- 04
Progress
We reassess between sessions and adjust as you improve.
Who it helps
Common reasons patients come in
- Plantar fasciitis
- Tennis or golfer's elbow
- Achilles and other tendon pain
- Chronic shoulder pain
- Trigger points and muscle knots
- Slow-healing soft-tissue injuries
Before care begins
Candidacy, limitations, and safety
- Candidacy
- Shockwave therapy is considered only after the painful structure and diagnosis have been assessed. Evidence and appropriate protocols differ by condition.
- Limitations and response
- Temporary soreness, redness, bruising, or symptom aggravation can occur. Benefit is not guaranteed, and some uses have inconsistent evidence.
- Safety and referral
- Disclose pregnancy, bleeding disorders or anticoagulants, infection, tumor, impaired sensation, recent injections, or implanted devices so the clinician can determine whether treatment should be avoided or modified.
The evidence
What the research shows
For refractory plantar fasciitis, NICE reports no major safety concerns but says efficacy evidence is inconsistent and recommends special arrangements for consent, audit, or research.
NICE: Extracorporeal shockwave therapy for plantar fasciitis
Frequently Asked Questions
Start with the $150 new patient exam.
Includes digital X-ray, sEMG scan, doctor consultation, and a care plan you understand.
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