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Shockwave therapy · St. Louis

Shockwave Therapy for Tendon Pain

Shockwave therapy uses a handheld tool to drive pulses of sound-wave energy into an aching tendon or a muscle knot. The goal is less pain and a restart of repair in tissue that quit healing, with no more than one session a week.

You get this treatment only if your physician orders it, and your physician also sets how strong it is.

What is shockwave therapy?

Your technician holds a wand to the tendon or muscle named in your physician’s order and sends sound-wave energy into it in pulses.

How does it help after a crash or fall?

The pulses calm pain and help restart repair in tissue that stopped healing. It is given over a series of visits, never more often than once a week.

What does it feel like?

A hard, rapid tapping; for a few seconds it may feel unpleasant. Every 500 pulses, your technician asks for your pain number. The skin may look red or slightly bruised afterward.

Who should not have it?

  • Pregnancy
  • Blood thinners or a bleeding disorder
  • Cancer or an infection in the area
  • A steroid injection at that spot in the past 6 weeks
  • Anyone under 18 with growing bones near the spot
  • Near the chest, head, spine, a major artery or a major nerve
  • A pacemaker

Each session opens with your technician reading the safety questions aloud to you. A changed answer sends the decision to a physician before the machine is turned on. Saying stop ends the treatment, any time.

How long does it take?

Close to 10 minutes per session, with at least a week between sessions.

What to remember

  1. Once a week, at the most.
  2. Give your pain number each time we ask.
  3. A pink patch or a little bruise afterward is usually fine.

Show us you have it: If the treated spot puffed up or bruised badly at home, what would you do? Tell us. If any part is unclear, ask us to go over it again; there is no limit on that.

Shockwave is often used for heel pain from plantar fasciitis and for sore tendons around a hurt shoulder. If you had a bursa injection in the same spot, tell us the date.

Other treatments in the program

This page belongs to the Gateway Midwest physician-directed physiotherapy program. On Natural Bridge Road, the physician who examined you signs each order, and no treatment runs without a physician on site.

Hurt in an accident? Start here.

You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.

Monday–Friday, 8:00 a.m. – 4:00 p.m. Same-day appointments are often available for new accident and injury patients.