Treatment is performed in the clinic. A healthcare provider will assess and identify the areas to be treated. A gel is applied, and a shockwave probe is moved in a circular motion over the targeted area. The intensity of the shockwaves varies per patient, starting low and increasing to a tolerable level. Higher energy levels often lead to quicker improvements and better results. You may feel mild to moderate discomfort, but the intensity can be adjusted for comfort.

ESWT typically requires 3 to 5 treatment sessions, depending on your condition and how you respond to therapy. Sessions are usually scheduled once or twice a week. Many patients notice improvement after the first 1 to 2 sessions, with optimal results often achieved a few weeks after completing the full course of treatment. Outcomes are better when ESWT is combined with other treatments such as exercise programs or platelet-rich plasma (PRP) therapy.

There is minimal to no downtime. You can resume normal activities immediately. Mild soreness, swelling, or redness may occur but usually resolve within 48 hours. You may take acetaminophen if needed, but avoid NSAIDs (ibuprofen, naproxen, aspirin, etc.) as they interfere with the healing process.

ESWT typically requires 3 to 5 treatment sessions, depending on your condition and how you respond to therapy. Sessions are usually scheduled once or twice a week. Many patients notice improvement after the first 1 to 2 sessions, with optimal results often achieved a few weeks after completing the full course of treatment. Outcomes are better when ESWT is combined with other treatments such as exercise programs or platelet-rich plasma (PRP) therapy.

ESWT is generally very safe with almost no side effects and does not require anesthesia. Unlike more invasive treatments, there is virtually no risk of infection. However, its safety has not been established for individuals with blood clotting disorders, those who are pregnant, or those with tumors or cancer.