The Role of Extracorporeal Shockwave Therapy in Treating Chronic Pain

by | Jul 18, 2025 | Chiropractor

Chronic pain affects millions of people worldwide, and for many, finding a long-lasting solution can feel like an ongoing struggle. Traditional treatments such as pain medications, injections, or physical therapy may offer temporary relief, but they often fail to address the root cause of the pain.

Extracorporeal Shockwave Therapy (ESWT) is emerging as a promising non-invasive treatment option for individuals suffering from chronic pain. This innovative therapy uses high-energy sound waves to stimulate healing in damaged tissues and alleviate persistent pain.

What is Extracorporeal Shockwave Therapy?

Extracorporeal shockwave therapy (ESWT)is a non-invasive treatment that utilizes acoustic waves to deliver high-energy pulses to injured or painful tissues. These sound waves are directed at the affected area, helping to break down scar tissue, stimulate blood flow, and promote tissue regeneration. ESWT is most commonly used to treat conditions such as tendinopathies, calcific shoulder tendinitis, plantar fasciitis, and other soft tissue injuries that cause chronic pain.

Unlike traditional treatments like medications, ESWT targets the underlying causes of chronic pain, offering a long-term solution for healing rather than just symptom management.

How Does Extracorporeal Shockwave Therapy Work?

1. Delivering High-Energy Sound Waves

During an ESWT session, the patient is positioned comfortably, and the therapist applies a hand-held device that emits shockwaves to the targeted area. These high-energy sound waves penetrate the skin and reach the injured tissues, promoting healing through several mechanisms.

The sound waves create mechanical pressure waves that stimulate cells in the affected area. This action helps to break up scar tissue and calcifications, reduce inflammation, and promote the formation of new blood vessels. The increased circulation and oxygen flow enhance the body’s natural healing process, allowing the tissue to recover and regenerate.

2. Stimulating Collagen Production

Collagen is a vital protein responsible for the strength and flexibility of connective tissues. Extracorporeal shockwave therapy stimulates collagen production in the treated area, helping to repair damaged tendons, muscles, and ligaments. This is particularly important in the healing of tendinopathies, where collagen fibers often become disorganized or weakened due to overuse or injury.

3. Reducing Inflammation

Chronic pain is often accompanied by inflammation, which can further exacerbate discomfort and slow the healing process. Shockwave therapy helps to reduce inflammation in the affected tissues, allowing for a faster recovery and providing relief from the pain caused by conditions like tendinitis or plantar fasciitis.

The high-energy sound waves improve blood circulation, flushing out inflammatory markers and promoting the healing of injured tissues. By reducing inflammation, ESWT can help patients experience long-lasting relief from chronic pain.

Benefits of Extracorporeal Shockwave Therapy for Chronic Pain

1. Non-Invasive Treatment Option

One of the main advantages of extracorporeal shockwave therapy is that it is a non-invasive procedure. Unlike surgery, there is no need for incisions, stitches, or recovery time. The therapy is performed on an outpatient basis, meaning patients can resume their normal activities immediately after the session.

2. Effective for Various Conditions

ESWT is effective for treating a wide range of chronic pain conditions, particularly those caused by soft tissue injuries. Some of the most common conditions treated with shockwave therapy include:

  • Tendinopathies (e.g., tennis elbow, golfer’s elbow, Achilles tendinitis)

  • Plantar fasciitis

  • Calcific shoulder tendinitis

  • Patellar tendinitis

  • Heel spurs


The therapy works by targeting the underlying causes of pain, helping to improve mobility and reduce discomfort in these common conditions.

3. Long-Term Pain Relief

Unlike pain medications, which provide only temporary relief, extracorporeal shockwave therapy addresses the root cause of chronic pain. By promoting tissue regeneration and healing, ESWT can provide long-term pain relief that lasts even after the treatment ends.

Many patients experience a significant reduction in pain after a few sessions, with results continuing to improve as the healing process progresses.

4. Reduced Need for Pain Medications

As ESWT addresses the underlying cause of pain, patients may find that they need less pain medication over time. This can help reduce reliance on prescription drugs, including opioids, which carry the risk of side effects, dependence, and addiction.

5. Minimal Side Effects

Extracorporeal shockwave therapy is generally well-tolerated by most patients. The procedure is non-invasive, and side effects are rare. Some individuals may experience mild discomfort or redness in the treated area, but these symptoms typically subside within a few hours.

What to Expect During an ESWT Session

A typical ESWT session lasts between 15 and 30 minutes, depending on the area being treated and the severity of the condition. During the procedure, patients may feel a mild to moderate tapping or pressure sensation as the shockwaves are delivered to the affected area.

Most patients report that the procedure is well-tolerated and not overly painful. After the session, there is no downtime, and individuals can return to their normal activities immediately. For optimal results, several sessions may be required, typically spaced one to two weeks apart.

Is Extracorporeal Shockwave Therapy Right for You?

Extracorporeal shockwave therapy can be a highly effective treatment for those suffering from chronic pain caused by soft tissue injuries, tendinitis, or other musculoskeletal conditions. It offers a non-invasive, long-term solution for individuals who want to avoid surgery or medication.

Before beginning treatment, it is important to consult with a healthcare provider to determine if ESWT is appropriate for your specific condition. A trusted service like Momentum Health and Wellness can help assess your needs and provide a personalized treatment plan tailored to your goals.

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