Acoustic Shock Waves for Joint, Tendon, Muscle


Acoustic Shock Waves-(ESWT) Joint, Tendon, Muscle

What is it?

Extracorporeal Shockwave Therapy (ESWT) is when ultrasonic sound waves are produced leading to explosion and evaporation. One way to envision what shockwave therapy is, is to imagine an opera singer and her voice breaking a large glass wall in front of her. The sound waves break up the bonds of the material allowing for the formation of something new. When it comes to the body, shock waves cause tissue that is bound together to break. The breakage of bonds in the tissue allow for greater blood supply and growth hormones to circulate in the area being treated, which results in the regeneration of injured joint, tendons, and / or muscles. 

The transmission of a shock wave leads to transformation of physical energy into a biological response such as osteogenesis by osteoblast differentiation and then by increased proliferation, which has been demonstrated in vivo and in vitro. With tendon and ligaments the low pulse treatment can convert shock wave stimulation into biochemical signals via release of TGF-b1 and IGF-I for tendinitis repair.

Explanation of the biological response:

First the cell skeletal annexes are activated, which leads to the release of mRNA from the cell nuclei. This is followed by activation of cell organs such as the mitochondria and the endoplasmic reticulum and the cell vesicles, which release the specific proteins of the healing process.

What to expect?

The machine we use allows for a focused area to be treated. Patient’s generally receive 3-5 treatments over several weeks to receive optimum results. Results from shockwave therapy are seen over time as tissue begins to heal; results are not immediate. 


  • Decreases pain
  • Restores injured joint, tendon, and muscle
  • Requires minimal down time post- procedure
  • Non-invasive treatment 
  • Minimal discomfort.
  • Treatments are of short duration, typically  15-20 minutes.
  • High Energy Shockwave creates pulses that are effective at breaking calcifications.
  • Anti-inflammatory
  • Angiogenic
  • Anti-edema
  • Trophic effects in the modification of cartilage and subchondral bone
  • Enhanced muscle tone and elasticity
  • Increased microcirculation
  • Enhanced muscle performance and recoveryThe P-Treatment uses both Focused and Radial Storz Shockwave.

NOTE: For pre/post surgical, active wounds, acute injuries you must have permission from your provider with specific instructions conveyed to Dr. Dunn. 


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Please complete our contact form to reserve your session or if you have any questions. For immediate assistance please call us directly at (970) 476-7334

Acoustic Shock Waves for Joint, Tendon, Muscle is used in the following treatments

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