Yes, significanlty. Focused systems concentrate energy at a selectable focal point, enabling deeper, more precise dosing, more specific recovery. Radial devices disperse energy superficially, without “focus”, and energy decreases as it radiates deeper. Focused allows us to put the energy exactly where it is needed.

Most patients show substantial response within 3 visits depending on condition chronicity, tissue quality, and load management, and are done with a treatment course within 6 visits.

Some patients feel very little or nothing. Discomfort is usually very brief (microseconds) and tolerable. It can feel like someone tapping your funny bone for a split second, or a tiny mosquito sting, or the snap of a tiny rubber band. We will work right with you, adjusting intensity to maintain effectiveness while respecting comfort.

Minimal downtime. You can rest, but there is typically no need to “recover”. Gentle activity is typically fine; we’ll guide you on progressive loading between sessions.

Insurance at this time does not cover Shockwave Therapy for muscular/skeletal, but often covers the Exam and Evaluation phase, or other related aspects of treatment. Since the Shockwave treatments span multiple sessions, purchasing multiple sessions at once allows you a 10% discount.

Insurance often does not cover modern techniques – even ones 25 years old – including therapies that take less than 15 minutes. Chronic conditions shockwave treats are often hard to define as well. Since Shockwave can do more than “repair” – it can produce better, newer tissue – it may not fit the “risk” definition for insurance. Maybe it works too well; but all we really know is it is not covered. There are no insurance exceptions and no immediate insurance changes expected.

There are many ways to modulate the treatment, including changing the depth and intensity, the time gap between pulses, the angle of the treatment, accomodation techniques and redirection techniques.

There are different kinds of arthritis, and ESWT will not be appplicable for inflammatory arthritis or rheumatic arthritis. Depending on the area of the osteoarthritis, gains are seen in less pain and function lasting four to 12 weeks, but durability beyond a few months is uncertain. People usually need catch-up  treatments. ESWT can’t cure arthritis, but it can help manage it and might slow down some aspects of it.

We will get you a solid diagnosis and present the prospects for Shockwave to work for your post-acute or chronic condition, but there are never guarantees that any treatment will work for someone. We suggest that patients observe their results for the first treatment, since you will probably know right away if there will be positive effect.

You can buy a package of treatments, which saves you 10% per session. We usually recommend that you pay for the first session by itself to test your results, and then at your next session you could decide to buy the rest of the treatment course in a package.

Short Answer, not neccessarily. Shockwave is not for everybody or every condition. The purpose of the Consult/Exam is to screen you for both applicability to your problem, to identify contraindications, and explain the therapy or the reasons why it won’t be best for you. You want us to be thorough.

As of August 2025, If you have no insurance, and you are not already a patient, a new patient exam will cost $150 (If you have insurance, there may be coverage). Your first shockwave treatment would be self-pay at $100. If you then had a six-treatment plan over 90-180 days, you could buy the remaining 5 together for a 10% discount, or $450. Your cost then is $700. We propose the results will be worth it. Remember focused ESWT shockwave can continue to produce value for weeks to months, not just days.

Our flagship unit is the most advanced Chattanoogah F-SW Intelect Focused Shockwave manufactured by Storz, the industry leader. We update our firmware regularly.

OK. Focused shockwave sends tiny acoustic pulses that concentrate at a precise spot in your tissue. That brief mechanical signal flips on nitric oxide (NO) – your body’s “circulation switch” – boosting blood flow and helping your body grow new tiny blood vessels. It can loosen stiff, fibrotic tissue and, in the right cases, break up calcium deposits. By turning on your cells’ repair programs (including activity from local stem “repair” cells), it supports cartilage and collagen repair, calms inflammation, and reduces pain over a series of visits. Stem cells are your body’s master repair crew—versatile cells that can renew themselves, become different tissue types as needed, and release “help signals” that calm inflammation and coordinate healing where damage has occurred. Unlike massage, heat, or ultrasound, it doesn’t just warm tissue; it cues cells to heal – in sessions taking only minutes. Because it’s focused, we can reach deep targets, including inside joint lines and around tendon attachments, non-invasively – areas that are hard to treat without injections or surgery.

It actually has been common in elite sports medicine for years – like professional-team performance centers top athletes use daily – just not widely available to the general public. The reason: true, medical-grade focused shockwave is a big commitment – the systems are expensive (ours cost over $50,000) and require maintenance, staff training, solid protocols, and careful patient selection. Many clinics use cheaper “shockwave” massage devices that aren’t the same therapy, so results vary and that slows broader adoption. Insurance coverage is not there yet, which also makes some offices hesitate. We invested so our patients can access the real technology when it’s the right fit – not as a cure-all, but as a powerful tool in the plan.

Overwhelmingly positive. We like to quote an experience that has happened several times, where a patient tears up afterwards at the front desk when they say “I had this frozen shoulder for a decade and it is gone in 10 minutes? Amazing and I wish I had known”. Experiences will of course vary, but we have seen this one repeat enough to mention it.

While there is no specific data making ESWT unsafe for a pregnant woman generally, ESWT aimed into or on a developing child could cause unknown damage. Pregnant people are excluded from ESWT trials, so there’s no evidence to offset the theoretical risk. Payers and reviews therefore flag pregnancy as a contraindication by default. We thus will not perform ESWT anywhere on the body of a pregnant woman.

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