A patient discussing shockwave therapy with a urology physician

A non-invasive approach to pain and recovery

Shockwave Therapy

Persistent tendon and soft-tissue conditions can limit movement and daily activity. Targeted acoustic waves may help selected musculoskeletal conditions after proper diagnosis.

  • 2013 Providing personalized care
  • A4M Board-certified physician
  • 20+ years Doctor-led experience

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What to know before treatment

ESWT is non-invasive, but is not a treatment for every type of pain.

Diagnosis first
A physical examination or further testing may identify the underlying condition.
Discomfort
Temporary discomfort during or after a session is possible.
Variable evidence
The strength of evidence and outcomes vary by condition.
Combined care
Exercise, rehabilitation or activity changes may also be recommended.

What is Shockwave Therapy?

Extracorporeal shockwave therapy (ESWT) delivers acoustic pressure waves to a targeted area without surgery or incisions. It has been studied for chronic musculoskeletal conditions, including tendinopathies and plantar fasciitis.

It may help reduce pain or improve function in some conditions, but the evidence and results vary by diagnosis. A clinical assessment determines whether shockwave therapy is suitable and whether rehabilitation, exercise or activity changes should be part of the plan.

Why choose Age Metrics Medical?

Dr. Jeff Ugalde reviews symptoms, prior treatments and diagnostic findings before recommending a modality. Patients receive an explanation of the evidence, limitations and possible discomfort rather than a promise that the therapy works for every type of pain.

Who may benefit from an evaluation?

Suitability depends on a specific musculoskeletal diagnosis and prior care.

  • Chronic tendon pain or tendinopathy
  • Plantar fasciitis
  • Selected elbow or shoulder conditions
  • Persistent soft-tissue pain
  • Symptoms not responding adequately to conservative care

What to expect

  1. Conversation

    Discuss symptoms, history, previous treatment and goals.

  2. Clinical assessment

    An examination and diagnostics when needed help establish whether ESWT fits the diagnosis.

  3. Treatment sessions

    A handheld applicator delivers acoustic waves; no surgery or incision is involved.

  4. Review response

    Session frequency and accompanying rehabilitation depend on the condition and response.

Frequently Asked Questions

Does shockwave therapy hurt?

Some people feel discomfort, particularly over a sensitive area. Treatment intensity can generally be adjusted.

How many treatments will I need?

The number depends on the condition, severity and response after evaluation.

How long is a session?

Sessions are generally brief, but duration varies by treatment area.

Is it the same as physical therapy?

No. ESWT is a modality that may be used alongside exercise or physical rehabilitation.

Can it treat any type of pain?

No. Evidence varies by diagnosis, so proper evaluation is important.

International patients

Why patients choose Costa Rica for their care

Patients traveling to Costa Rica may find selected medical and wellness services at a lower cost than at home, depending on the treatment plan. Individual diagnosis and follow-up remain the basis for recommending shockwave therapy.

Keel-billed toucan perched among tropical foliage in Costa Rica

Clinical References

  1. 01 Schmitz C et al. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions (2015). British Medical Bulletin
  2. 02 Korakakis V et al. Effectiveness of extracorporeal shockwave therapy for lower limb tendinopathy (2022). Journal of Orthopaedic & Sports Physical Therapy

Schedule Your Consultation

An evaluation can help determine whether shockwave therapy is appropriate for your condition and how it might fit an individualized plan.