Extracorporeal Shockwave Therapy | Mass General Brigham

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<span>Medical Education</span> </a> </li> </ul> </li> <li> <ul class="cmp-global-header-main-nav-expanded-children-wrapper"> <li class="cmp-global-header-main-nav-expanded-childHeader"> For trainees </li> <li class="cmp-global-header-main-nav-expanded-subChildren"> <a href="/en/education-and-training/graduate-medical-education/for-trainees/prospective" target="_self"> <span>Prospective trainees</span> </a> </li> <li class="cmp-global-header-main-nav-expanded-subChildren"> <a href="/en/education-and-training/graduate-medical-education/for-trainees/incoming" target="_self"> <span>Incoming trainees</span> </a> </li> <li class="cmp-global-header-main-nav-expanded-subChildren"> <a href="/en/education-and-training/graduate-medical-education/for-trainees/current" target="_self"> <span>Current trainees</span> </a> </li> </ul> </li> </ul> </div> </li> <li> <a class="cmp-global-header-main-nav-item no-children mainNavigation-inactive internal" 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class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a id="innovation-overview" href="/en/research-and-innovation/innovation" target="_self">Overview</a> </li> <li class="cmp-global-header-main-nav-expanded-childHeader"> About Innovation </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/innovation/about" target="_self" class="internal"> <span>About</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/innovation/about/team" target="_self" class="internal"> <span>Team</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/innovation/news" target="_self" class="internal"> <span>News</span> </a> </li> <li class="cmp-global-header-main-nav-expanded-childHeader"> For Industry </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a 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aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-5c9a97ee57":{"@type":"aem-mgb/components/text","repo:modifyDate":"2024-09-30T21:30:49Z","xdm:text":"<h2>What is extracorporeal shockwave therapy?</h2>\r\n<p>Extracorporeal shockwave therapy is a non-invasive treatment method that generates shockwaves most commonly through sound waves and pressure waves that can be applied to areas of pain and injury. The goal of this treatment is to help tissue heal and reduce pain. Extracorporeal shockwave therapy may be a viable option for patients who have not responded to more conservative treatments. Our clinicians have seen that most patients using this treatment experience some level of quality-of-life improvement.</p>\r\n<p>Shockwave therapy offered includes radial and/or focused shockwave. Radial shockwave generates pressure waves at low to moderate energy and has evidence for treatment over soft tissue of fascia, tendon, and muscle. Focused shockwave can be used to create higher energy settings which may be more appropriate to target bone such as stress fractures, arthritis, or calcific tendon disease.</p>\r\n<h2>Who may benefit?</h2>\r\n<p>Shockwave can be used to treat musculoskeletal conditions involving tendons, muscles, bones, and joints.</p>\r\n<ul>\r\n<li>Plantar fasciitis</li>\r\n<li>Tendon diseases (including Achilles, patella, hamstring, elbow, and shoulder)</li>\r\n<li>Bone injuries (including stress fractures and chronic fractures)</li>\r\n<li>Joint injuries</li>\r\n</ul>\r\n<p>Extracorporeal shockwave therapy is approved by the FDA for the treatment of plantar fasciitis and <a href=\"/content/mgb-global/global/en/patient-care/services-and-specialties/sports-medicine/conditions/hand-arm.html\">tennis elbow</a> and has been proven in clinical studies to help treat sports injuries such as Achilles and&nbsp;<a href=\"/content/mgb-global/global/en/patient-care/services-and-specialties/sports-medicine/conditions/knee/hamstring-injuries.html\">hamstring</a>&nbsp;tendonitis, and shoulder <a href=\"/content/mgb-global/global/en/patient-care/services-and-specialties/sports-medicine/conditions/tendinopathy.html\">tendonitis</a>.</p>\r\n<p>Your insurance may not cover extracorporeal shockwave therapy for all areas listed above. The level of coverage provided to you is determined by your insurer.</p>\r\n<h2>What are the risks of shockwave?</h2>\r\n<p>Shockwave is non-invasive and is safe with few reported complications in published research. We apply both clinical research with clinical expertise to help optimize results.</p>\r\n<p>Shockwave is safe for most patients, with few reported complications in published research.<b></b></p>\r\n"}}" id="text-5c9a97ee57" class="cmp-text"> <h2>What is extracorporeal shockwave therapy?</h2> <p>Extracorporeal shockwave therapy is a non-invasive treatment method that generates shockwaves most commonly through sound waves and pressure waves that can be applied to areas of pain and injury. The goal of this treatment is to help tissue heal and reduce pain. Extracorporeal shockwave therapy may be a viable option for patients who have not responded to more conservative treatments. Our clinicians have seen that most patients using this treatment experience some level of quality-of-life improvement.</p> <p>Shockwave therapy offered includes radial and/or focused shockwave. Radial shockwave generates pressure waves at low to moderate energy and has evidence for treatment over soft tissue of fascia, tendon, and muscle. Focused shockwave can be used to create higher energy settings which may be more appropriate to target bone such as stress fractures, arthritis, or calcific tendon disease.</p> <h2>Who may benefit?</h2> <p>Shockwave can be used to treat musculoskeletal conditions involving tendons, muscles, bones, and joints.</p> <ul> <li>Plantar fasciitis</li> <li>Tendon diseases (including Achilles, patella, hamstring, elbow, and shoulder)</li> <li>Bone injuries (including stress fractures and chronic fractures)</li> <li>Joint injuries</li> </ul> <p>Extracorporeal shockwave therapy is approved by the FDA for the treatment of plantar fasciitis and <a href="/en/patient-care/services-and-specialties/sports-medicine/conditions/hand-arm">tennis elbow</a> and has been proven in clinical studies to help treat sports injuries such as Achilles and <a href="/en/patient-care/services-and-specialties/sports-medicine/conditions/knee/hamstring-injuries">hamstring</a> tendonitis, and shoulder <a href="/en/patient-care/services-and-specialties/sports-medicine/conditions/tendinopathy">tendonitis</a>.</p> <p>Your insurance may not cover extracorporeal shockwave therapy for all areas listed above. The level of coverage provided to you is determined by your insurer.</p> <h2>What are the risks of shockwave?</h2> <p>Shockwave is non-invasive and is safe with few reported complications in published research. We apply both clinical research with clinical expertise to help optimize results.</p> <p>Shockwave is safe for most patients, with few reported complications in published research.<b></b></p> </div> </div> <div class="title aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"title-0b73991e04":{"@type":"aem-mgb/components/title","repo:modifyDate":"2024-09-30T21:30:49Z","dc:title":"What to expect"}}" id="title-0b73991e04" class="cmp-title"> <h2 class="cmp-title__text">What to expect</h2> </div> </div> <div class="accordion panelcontainer aem-GridColumn aem-GridColumn--default--12"> <div id="accordion-0667d53e7f" class="cmp-accordion" data-cmp-is="accordion" data-cmp-data-layer="{"accordion-0667d53e7f":{"shownItems":[],"@type":"core/wcm/components/accordion/v1/accordion","repo:modifyDate":"2024-09-30T21:30:49Z"}}" data-placeholder-text="false"> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-0667d53e7f-item-9d03ec73d2":{"@type":"aem-mgb/components/accordion/item","dc:title":"Before the procedure"}}" id="accordion-0667d53e7f-item-9d03ec73d2"> <h3 class="cmp-accordion__header"> <button id="accordion-0667d53e7f-item-9d03ec73d2-button" class="cmp-accordion__button" aria-controls="accordion-0667d53e7f-item-9d03ec73d2-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">Before the procedure</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-0667d53e7f-item-9d03ec73d2-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-0667d53e7f-item-9d03ec73d2-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-9d03ec73d2" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-9ba89720fa":{"@type":"aem-mgb/components/text","repo:modifyDate":"2024-09-30T21:30:50Z","xdm:text":"<p>Shockwave is performed in outpatient clinics.&nbsp;</p>\r\n"}}" id="text-9ba89720fa" class="cmp-text"> <p>Shockwave is performed in outpatient clinics. </p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-0667d53e7f-item-71c2604fe1":{"@type":"aem-mgb/components/accordion/item","dc:title":"During the procedure"}}" id="accordion-0667d53e7f-item-71c2604fe1"> <h3 class="cmp-accordion__header"> <button id="accordion-0667d53e7f-item-71c2604fe1-button" class="cmp-accordion__button" aria-controls="accordion-0667d53e7f-item-71c2604fe1-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">During the procedure</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-0667d53e7f-item-71c2604fe1-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-0667d53e7f-item-71c2604fe1-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-71c2604fe1" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-0cda41fdc4":{"@type":"aem-mgb/components/text","repo:modifyDate":"2024-09-30T21:30:50Z","xdm:text":"<p>The physician performs the initial treatment to develop the treatment plan. Our technicians will perform the subsequent sessions under the supervision of the provider.&nbsp; You will continue to communicate with your physician throughout your shockwave treatments to determine treatment response and ensure optimal treatment and clinical plan.</p>\r\n<p>Verbal communication with the person performing your shockwave session is encouraged to ensure the shockwave device is targeting the areas of your pain. The process of clinical focusing (treating over sites of maximal pain) is utilized, as this has been shown to improve treatment outcomes. The goal is to keep pain level tolerable during treatment which is targeted to injured tissue. Each session takes about 15 minutes.<b></b></p>\r\n"}}" id="text-0cda41fdc4" class="cmp-text"> <p>The physician performs the initial treatment to develop the treatment plan. Our technicians will perform the subsequent sessions under the supervision of the provider.  You will continue to communicate with your physician throughout your shockwave treatments to determine treatment response and ensure optimal treatment and clinical plan.</p> <p>Verbal communication with the person performing your shockwave session is encouraged to ensure the shockwave device is targeting the areas of your pain. The process of clinical focusing (treating over sites of maximal pain) is utilized, as this has been shown to improve treatment outcomes. The goal is to keep pain level tolerable during treatment which is targeted to injured tissue. Each session takes about 15 minutes.<b></b></p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-0667d53e7f-item-1e25863340":{"@type":"aem-mgb/components/accordion/item","repo:modifyDate":"2024-09-30T21:30:50Z","dc:title":"After the procedure"}}" id="accordion-0667d53e7f-item-1e25863340"> <h3 class="cmp-accordion__header"> <button id="accordion-0667d53e7f-item-1e25863340-button" class="cmp-accordion__button" aria-controls="accordion-0667d53e7f-item-1e25863340-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">After the procedure</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-0667d53e7f-item-1e25863340-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-0667d53e7f-item-1e25863340-button"><div class="text"> <div data-cmp-data-layer="{"text-1e25863340":{"@type":"aem-mgb/components/text","repo:modifyDate":"2024-09-30T21:30:50Z","xdm:text":"<p>After the treatment, you may experience temporary soreness, tenderness or swelling as shockwaves stimulate an inflammatory response. Patients may continue daily activities after shockwave and should continue physical therapy with few exceptions. Focused shockwave has a low reported risk of tendon tearing, so modified activity may be recommended for some patients. In most patients who experience improved pain, resuming activity may be reasonable after 48 hours. Return to sport participation and physical exercise is guided by your physician.</p>\r\n<p>The inflammatory response may help with tissue healing, so it’s important not to take anti-inflammatory medications during treatment, including, non-steroidal anti-inflammatory medications (NSAIDs, including prescribed or over the counter medications of ibuprofen or Aleve or oral medications such as steroids).</p>\r\n<p>Acetaminophen can be used for pain relief. Topical icing may be considered if pain does not respond to acetaminophen.<b></b></p>\r\n<p>Patients receive weekly shockwave treatment for three to four total sessions, depending on their condition. Results can vary. Some patients say they begin to feel pain relief after just one treatment. For others, it can take longer for pain relief to begin. The full healing effects may take 3 months to experience from initiating shockwave.&nbsp;</p>\r\n"}}" id="text-1e25863340" class="cmp-text"> <p>After the treatment, you may experience temporary soreness, tenderness or swelling as shockwaves stimulate an inflammatory response. Patients may continue daily activities after shockwave and should continue physical therapy with few exceptions. Focused shockwave has a low reported risk of tendon tearing, so modified activity may be recommended for some patients. In most patients who experience improved pain, resuming activity may be reasonable after 48 hours. Return to sport participation and physical exercise is guided by your physician.</p> <p>The inflammatory response may help with tissue healing, so it’s important not to take anti-inflammatory medications during treatment, including, non-steroidal anti-inflammatory medications (NSAIDs, including prescribed or over the counter medications of ibuprofen or Aleve or oral medications such as steroids).</p> <p>Acetaminophen can be used for pain relief. Topical icing may be considered if pain does not respond to acetaminophen.<b></b></p> <p>Patients receive weekly shockwave treatment for three to four total sessions, depending on their condition. Results can vary. Some patients say they begin to feel pain relief after just one treatment. For others, it can take longer for pain relief to begin. The full healing effects may take 3 months to experience from initiating shockwave. </p> </div> </div> </div> </div> </div> </div> <div class="vertical-spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-vertical-spacer cmp-space-small" aria-hidden="true"></div> </div> <div class="experiencefragment aem-GridColumn aem-GridColumn--default--12"> <div id="experiencefragment-a9b4c11fff" class="cmp-experiencefragment cmp-experiencefragment--sports-medicine-expandable-form-phone"> <div id="container-c4316acfde" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-8fa0d32830" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="global-extended-teaser teaser cmp-global-teaser-featured-lead-in-with-image aem-GridColumn aem-GridColumn--default--12"> <div id="teaser-4ecd8a56cf" class="cmp-teaser" data-cmp-data-layer="{"teaser-4ecd8a56cf":{"@type":"core/wcm/components/teaser/v2/teaser","repo:modifyDate":"2024-02-07T14:04:48Z","dc:title":"Request an appointment","dc:description":"<p>Request an appointment with a Mass General Brigham Sports Medicine specialist. The call center is available Monday–Friday, 8:00 am to 8:00 pm. Our dedicated team is committed to providing expert care for your sports injury. Please use the form below or call <a href=\"tel:6177260500\">617-726-0500</a> to determine the care that is best for you. </p>\r\n"}}"> <div class="cmp-teaser__content"> <h2 class="cmp-teaser__title"> Request an appointment </h2> <div class="cmp-teaser__description"><p>Request an appointment with a Mass General Brigham Sports Medicine specialist. The call center is available Monday–Friday, 8:00 am to 8:00 pm. Our dedicated team is committed to providing expert care for your sports injury. Please use the form below or call <a href="tel:6177260500">617-726-0500</a> to determine the care that is best for you. </p> </div> </div> <div class="cmp-teaser__image teaser__image-active"> <div data-cmp-is="image" data-cmp-src="/content/experience-fragments/mgb-global/global/en/expandable_forms/sports-medicine-expandable-form-phone/master/_jcr_content/root/container/global_extended_teas.coreimg{.width}.png/1707314688068/microsoftteams-image--34-.png" id="teaser-4ecd8a56cf-image" data-cmp-data-layer="{"teaser-4ecd8a56cf-image":{"@type":"aem-mgb/components/image","repo:modifyDate":"2024-02-07T14:04:48Z","xdm:linkURL":"/en/patient-care/services-and-specialties/sports-medicine/programs/regenerative-medicine/extracorporeal-shockwave-therapy"}}" data-cmp-hook-image="imageV3" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="/content/experience-fragments/mgb-global/global/en/expandable_forms/sports-medicine-expandable-form-phone/master/_jcr_content/root/container/global_extended_teas.coreimg.png/1707314688068/microsoftteams-image--34-.png" loading="lazy" class="cmp-image__image" itemprop="contentUrl" alt="drawing of a person with a speech bubble"/> </div> </div> </div> </div> <div class="vertical-spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-vertical-spacer cmp-space-small" aria-hidden="true"></div> </div> <div class="title aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div data-cmp-data-layer="{"title-2e2af46226":{"@type":"aem-mgb/components/title","repo:modifyDate":"2024-02-07T14:04:48Z","dc:title":"Fill out our contact form and we’ll be in touch"}}" id="title-2e2af46226" class="cmp-title"> <h3 class="cmp-title__text">Fill out our contact form and we’ll be in touch</h3> </div> </div> <div class="title aem-GridColumn--phone--hide aem-GridColumn--default--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--1"> <div data-cmp-data-layer="{"title-f1769c0142":{"@type":"aem-mgb/components/title","repo:modifyDate":"2024-02-07T14:04:48Z","dc:title":"Talk with a representative at our call center"}}" id="title-f1769c0142" class="cmp-title"> <h3 class="cmp-title__text">Talk with a representative at our call center</h3> </div> </div> <div class="expandable-form aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div class="cmp-expandable-form"> <div class="cmp-expandable-form-container"> <button class="cmp-expandable-form-button-trigger" type="button" aria-expanded="false"> View contact form 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title="Last name" class="required"></div> </div> </div> <div class="oneField field-container-D hintsBelow " id="tfa_460-D"> <label id="tfa_460-L" class="label preField reqMark" for="tfa_460">Phone Number</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_460" name="tfa_460" value="" autocomplete="tel" aria-describedby="tfa_460-HH" title="Phone Number" class="validate-integer required"><span class="field-hint-inactive" id="tfa_460-H"><span id="tfa_460-HH" class="hint">Do not include () or - in your phone number.</span></span> </div> </div> <div class="oneField field-container-D " id="tfa_456-D"> <label id="tfa_456-L" class="label preField reqMark" for="tfa_456">Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_456" name="tfa_456" value="" autocomplete="email" title="Email" class="validate-email required"></div> </div> <div class="oneField field-container-D " id="tfa_457-D"> <label id="tfa_457-L" class="label 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