Overview
Extracorporeal shockwave therapy (ESWT) delivers acoustic (sound) pulses through the skin to an injured area. It is used for selected chronic tendon problems such as plantar fasciitis and certain shoulder, elbow and hip tendon conditions.
GSMC is led by Dr. Dharam Mann, who completed fellowships in pain management, cardiac anesthesia and critical care at Massachusetts General Hospital/Harvard.
It is non-invasive and performed in the office. Evidence varies by condition, and it is often not covered by insurance.
Watch: how Shockwave Therapy (ESWT) works
Video: “Shockwave Therapy or ESWT Explained” from UPMC Sports Surgery Clinic on YouTube. It loads from youtube-nocookie.com only when you press play. Shown for general education; GSMC did not produce it. Watch on YouTube
How it works
A handheld applicator is placed on the skin over the painful area with a gel. Pulses are delivered for several minutes per session, usually over a series of sessions.
Who it may be for
- Plantar fasciitis
- Chronic tendinopathy of the elbow, shoulder, hip or knee
- Symptoms that have not improved with conservative care
Your exam and imaging decide whether this treatment is appropriate for you.
What to expect
- Before: exam and, if needed, ultrasound.
- During: sessions of several minutes, usually weekly for a few weeks.
- After: continue your home exercise program.
Recovery
There is usually no downtime. Mild soreness or redness can occur. Your instructions may differ.
Risks and side effects
Every procedure has risks. Your physician will review them with you, including:
- Temporary pain or redness
- Bruising
- Swelling
Insurance and cost
Many plans, including Medicare, may cover this treatment when criteria are met. We verify benefits before scheduling. See accepted insurance.
Frequently asked questions
Does shockwave therapy hurt?
It can be uncomfortable during treatment. The intensity can be adjusted.
How many sessions are needed?
Commonly three to five sessions.
Is it covered by insurance?
Often not. We will give you cost information first.
This page is general patient education and does not replace advice from your own clinician. Individual results vary.