Home / The Science of Shockwave Therapy
Shockwave therapy may sound futuristic—but it’s actually a proven, FDA-cleared treatment grounded in real science and supported by decades of research. At Elwart Family Chiropractic, we use focused shockwave therapy with the advanced PiezoWave 2 system to treat chronic pain, stubborn injuries, and soft tissue conditions that haven’t responded to other treatments.
Here’s how it works—and why the science matters.
Focused shockwave therapy delivers precisely controlled acoustic waves into the body. These sound waves carry energy that:
This process is known as mechanotransduction—where sound energy triggers biological healing at the cellular level. It’s a non-invasive, drug-free treatment option that helps repair tendons, ligaments, fascia, and even bone.
The PiezoWave 2 creates focused pressure waves using piezoelectric crystals. These waves converge at a specific point within the tissue—like a magnifying glass focusing sunlight. At this focal point, the energy causes:
This not only promotes tissue regeneration, but also desensitizes nerve endings—resulting in pain relief and improved function.
Focused shockwave therapy is FDA-cleared for:
It is also widely used off-label by physicians, chiropractors, and physical therapists for conditions like calcific tendonitis, hip pain, and delayed bone healing—supported by published clinical studies and real-world results.
Focused shockwave therapy is used by:
Its use is expanding rapidly due to its effectiveness, safety, and fast recovery time. Patients often report improvements after just a few sessions—with no surgery, injections, or downtime.
A 2017 meta-analysis in the American Journal of Sports Medicine showed focused shockwave therapy was more effective than radial shockwave for treating chronic tendinopathies.
A 2020 review in PM&R Journal confirmed focused shockwave promotes long-term healing in calcific tendonitis and plantar fasciitis with minimal side effects.
Studies have shown increased expression of vascular endothelial growth factor (VEGF) and bone morphogenetic proteins, both essential for tissue repair and regeneration.
Focused shockwave has been shown to stimulate stem cell recruitment and accelerate non-union fracture healing.
Furia JP. “High-energy extracorporeal shock wave therapy as a treatment for insertional Achilles tendinopathy.” Am J Sports Med. 2006.
Speed C. “A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence.” Br J Sports Med. 2014.
Gerdesmeyer L, et al. “Extracorporeal shock wave therapy for chronic plantar fasciitis: randomized controlled trial.” JAMA. 2003.
Mani-Babu S, et al. “The effectiveness of shockwave therapy in musculoskeletal conditions: a systematic review.” BMJ Open. 2015.
Wang CJ. “An overview of shockwave therapy in musculoskeletal disorders.” Chang Gung Med J. 2003.
FDA Device Database. “Extracorporeal shock wave therapy devices - K030475” (FDA clearance for chronic plantar fasciitis and lateral epicondylitis).
Focused shockwave therapy is an evidence-based treatment backed by science, used worldwide, and available right here in your community. If you’re struggling with a stubborn injury or chronic pain, we invite you to experience the science-backed difference.
Contact Elwart Family Chiropractic today to schedule a consultation.