- No incisions
- Condition-specific evaluation
- Targeted application
- Rehabilitation planning
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
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Conversation
Discuss symptoms, history, previous treatment and goals.
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Clinical assessment
An examination and diagnostics when needed help establish whether ESWT fits the diagnosis.
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Treatment sessions
A handheld applicator delivers acoustic waves; no surgery or incision is involved.
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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.
Related services and treatments
Clinical References
- 01 Schmitz C et al. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions (2015). British Medical Bulletin
- 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.