In today’s chiropractic clinics, Shockwave Therapy is a standard of care for numerous conditions. Both Radial and Focused Shockwaves not only provide relief from pain but also work well with other therapeutic treatments.

In the Chiropractic Clinic

Forty to 50 % of all adults experience back pain, with some 30% of adults experiencing neck pain. Chiropractors are responsible for their relief. One of the most useful treatment options for chiropractors is Shockwave Therapy. Radial and Focused shockwave therapy can relieve pain and prevent it from returning, improving movement in the neck, shoulders, back, and torso and more.


Shockwave is beneficial in myofascial release, pain reduction, acupuncture points, trigger point therapy, and treating tennis elbow, shin splints, Osgood-Schlatter, Morton’s neuroma, hallux rigidus, and chronic pelvic pain syndrome, migraines, calcific rotator cuff tendonitis, biceps tendonitis, lower back pain, discogenic pain, bursitis, arthritic hips, jumpers knee.

Shockwave therapy’s efficacy isn’t just anecdotal; it’s deeply rooted in molecular and cellular mechanisms.


  • Therapeutic benefits include pain mitigation, calcification obliteration, and elasticity renewal without drugs or invasive surgical procedures.
  • Decreases pain by modulating substance P
  • Improves long-term outcomes of chronic pain
  • Many patients notice significant improvement after 3 visits
  • Breaks up and disperses scar tissue and increases the blood flow to local tissue, which in turn reduces pain and inflammation.
  • Safe, no long-term side effects
  • Provides a fast solution to chronic conditions that have been resistant to other modalities
  • Short treatment time – 4 minutes.

Molecular and Cellular Mechanisms:

Angiogenic Modulation: Shockwave therapy has been found to modulate angiogenesis, impacting markers such as vWF (von Willebrand factor), VEGF, eNOS, and PCNA.
Anti-Inflammatory Pathways: Shockwave therapy exerts anti-inflammatory effects by modulating markers like sICAM and sVCAM.
Bone and Tissue Regeneration: Shockwave therapy impacts bone and tissue healing markers, including BMP, osteocalcin, alkaline phosphatase, DKK-1, and IGF.
Immunomodulation: At a cellular level, shockwave therapy shifts the macrophage phenotype from M1 to M2 and increases T-cell proliferation, indicating its role in immune response modulation.

Dr.  C.J. Wang  FS   Shockwave Therapy induces neovascularization at the tendon bone junction. A study on Rabbits  Journal of Orthopedic Research 2003 Nov; 21 (6): 984-9

Improved patient outcomes = more referrals, improved retention

Ready to Add a Shockwave Therapy Device to Your Practice


See the evidence of success in shockwave studies. 

Extracorporeal shockwave therapy improves pain and function in subjects with knee osteoarthritis: A systematic review and meta-analysis of randomized clinical trials

Juan Avendan ̃o-Coy, Natalia Comino-Sua ́rez, Jesús Grande-Mun ̃oz, Carlos Avendan ̃o-Lo ́pez, Julio Go ́mez-Soriano

Efficacy and safety of extracorporeal shockwave therapy in chronic low back pain:a systematic review and meta‑analysis of 632 patients

Kun Liu, Qingyu Zhang, Lili Chen, Haoran Zhang, Xiqiang Xu, Zenong Yuan and Jun Dong

Shockwave Therapy for the Treatment of Chronic Hamstring Pain in Professional Athletes

Angelo Cacchio, Jan D. Rompe, John P. Furia, Piero Susi, Valter Santilli and Fosco De Paulis

Shockwave Results


Improved for Plantar Fasciitis


Improvement for Calcific Tendonitis of the shoulder


Improvement for Tennis Elbow 
(Lateral Epicondylitis)


Improvement for Achilles


Relief for Myofascial Trigger Point


Improvement for Patellar Tendonitis (Jumper’s Knee)


Improvement for Hamstring Injuries



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