Frequently Asked Questions About Shockwave Therapy in Chiropractic Care

Shockwave therapy has emerged as a powerful tool in chiropractic care, offering non-invasive relief for a variety of musculoskeletal conditions. As more patients seek alternative treatments for chronic pain and injury recovery, chiropractors are incorporating shockwave therapy into their practice to enhance patient outcomes. However, with any new treatment modality, patients often have questions and concerns.

Being well-prepared to answer these frequently asked questions (FAQs) is crucial for building trust and ensuring patients feel confident in their treatment plan. From understanding how shockwave therapy works to addressing concerns about safety, effectiveness, and cost, chiropractors must be equipped with clear, concise, and accurate information.

In this guide, we’ll cover the most common patient questions about shockwave therapy, providing you with detailed answers that will help streamline your consultations and improve patient education.

What Is Shockwave Therapy?

Shockwave therapy is a non-invasive treatment that uses acoustic waves to stimulate the body’s natural healing processes. In chiropractic care, it is commonly used to treat musculoskeletal conditions, particularly those involving chronic pain, soft tissue injuries, and joint dysfunction.

The therapy works by delivering high-energy sound waves to targeted areas of the body, triggering increased blood circulation, collagen production, and cellular repair. This accelerates tissue regeneration and reduces inflammation, making it a valuable addition to chiropractic treatment plans.

For chiropractors, shockwave therapy serves as a complementary tool alongside spinal adjustments, soft tissue therapy, and rehabilitative exercises. It can be especially beneficial for patients with conditions that have not responded well to traditional manual therapy alone.

By incorporating shockwave therapy into your practice, you can offer patients a proven, evidence-based approach to pain relief and recovery without the need for medication or surgery.

What Conditions Can Shockwave Therapy Treat?

Shockwave therapy is particularly effective for treating a wide range of musculoskeletal conditions commonly seen in chiropractic care. It is often used to target chronic pain, soft tissue injuries, and joint dysfunction that do not respond well to traditional manual therapies.

Here are some of the most common conditions that can be treated with shockwave therapy in a chiropractic setting:

Chronic Pain Conditions

• Plantar Fasciitis – Reduces inflammation and promotes healing in the plantar fascia, a common cause of heel pain.
• Tendonitis (Tendinopathy) – Effective for conditions such as Achilles tendonitis, patellar tendonitis (jumper’s knee), and rotator cuff tendinopathy.
• Bursitis – Helps alleviate inflammation in areas like the shoulder, hip, and elbow.

Soft Tissue Injuries

• Myofascial Pain Syndrome – Breaks down trigger points and improves blood flow to tight, painful muscle areas.
• Scar Tissue and Adhesions – Promotes the breakdown of fibrotic tissue to restore mobility and function.

Joint and Ligament Issues

• Shin Splints (Medial Tibial Stress Syndrome) – Supports healing and reduces pain caused by stress on the tibia.
• Hip and Shoulder Impingement – Helps improve mobility and decrease pain in patients with restricted joint function.

By incorporating shockwave therapy into your treatment protocols, you can provide targeted relief for these conditions, helping patients recover faster and return to their normal activities with reduced pain and improved mobility.

Is Shockwave Therapy Safe?

Yes, shockwave therapy is a safe and well-researched treatment modality that has been used in chiropractic and rehabilitative care for years. It is non-invasive, does not require anesthesia, and has minimal risks compared to surgical or pharmacological interventions.

Clinical Backing and FDA Clearance

Shockwave therapy has been extensively studied in clinical settings, with research demonstrating its effectiveness for musculoskeletal conditions. It is FDA-cleared for treating conditions such as plantar fasciitis and tendinopathy, making it a trusted option in conservative care.

Minimal Side Effects

Most patients experience only mild and temporary side effects, which may include:

• Slight redness or swelling in the treated area
• Minor discomfort during or after the session
• Temporary sensitivity, similar to post-exercise soreness

These effects typically subside within a few hours to a couple of days, and they do not interfere with daily activities.

When Is Shockwave Therapy Not Recommended?

While generally safe, there are some contraindications chiropractors should consider before recommending shockwave therapy, including:

• Patients with bleeding disorders or on blood thinners
• Pregnant individuals
• Patients with pacemakers or other implanted electronic devices
• Active infections or open wounds in the treatment area
• Suspected or diagnosed malignancies in the targeted region

By properly screening patients and setting clear expectations, chiropractors can confidently integrate shockwave therapy into their practice while ensuring patient safety.

Does Shockwave Therapy Hurt?

One of the most common concerns patients have about shockwave therapy is whether the treatment is painful. The level of discomfort experienced varies from patient to patient, but for most, the sensation is tolerable and short-lived.

What Does It Feel Like?

During the treatment, patients may feel:

• A series of rapid pulses or tapping sensations
• Mild to moderate discomfort, depending on the intensity level
• A sensation similar to deep tissue massage or percussive therapy

The discomfort is usually brief and decreases as the session progresses, as the treated area becomes desensitized. Chiropractors can adjust the intensity of the treatment based on patient feedback to ensure comfort while still delivering effective results.

How to Manage Discomfort

To help patients feel at ease, consider the following strategies:

• Start at a lower intensity and gradually increase as tolerated.
• Communicate with the patient throughout the session, ensuring they feel in control.
• Explain that discomfort is temporary and often a sign that healing is being stimulated.

Post-Treatment Sensations

After the session, patients may experience mild soreness or tenderness in the treated area, similar to post-exercise muscle soreness. This typically resolves within 24-48 hours and does not require downtime. Reassuring patients that this is a normal response can help manage their expectations and prevent unnecessary concern.

By addressing this question proactively, chiropractors can help patients feel more comfortable and confident in their decision to undergo shockwave therapy.

How Many Sessions Are Needed to See Results?

The number of shockwave therapy sessions required varies based on the patient’s condition, severity of symptoms, and individual response to treatment. However, most chiropractic patients experience noticeable improvements within just a few sessions.

General Treatment Guidelines

• Mild to moderate conditions: Typically require 3 to 5 sessions, spaced about 1 week apart.
• Chronic or severe conditions: May need 6 to 8 sessions for optimal results.
• Acute injuries: Some patients report relief after 1 or 2 sessions, though a full course of treatment is recommended for long-term benefits.

Each session usually lasts 5 to 10 minutes per treatment area, making it an efficient option for chiropractors to integrate into their practice.

Factors That Affect Treatment Duration

• Chronicity of the condition: Long-standing injuries or degenerative issues may require more sessions.
• Patient’s healing response: Some individuals naturally heal faster than others.
• Combination with other therapies: Pairing shockwave therapy with chiropractic adjustments, soft tissue work, and rehabilitation exercises can enhance results.

When Do Patients Notice Improvement?

Most patients experience some degree of pain relief after the first or second session, but the full effects of shockwave therapy typically become more evident after 3 to 4 treatments. Pain reduction, increased mobility, and improved function often continue to develop in the weeks following treatment as the body undergoes natural healing processes.

By setting realistic expectations and explaining the treatment plan clearly, chiropractors can help patients stay committed to their sessions and achieve the best possible results.

How Does Shockwave Therapy Compare to Other Chiropractic Treatments?

Chiropractors often integrate multiple treatment modalities to achieve optimal results for their patients. Shockwave therapy is a valuable addition, but how does it compare to traditional chiropractic techniques and other common therapies?

Shockwave Therapy vs Chiropractic Adjustments

Many chiropractors use both shockwave therapy and adjustments together, as addressing both joint dysfunction and soft tissue injuries can lead to better outcomes.

Shockwave Therapy vs Soft Tissue Therapies

While soft tissue therapies focus on muscle relaxation and mobility, shockwave therapy actively stimulates tissue regeneration, making it a powerful complement to hands-on treatments.

Shockwave Therapy vs Cold Laser Therapy

Both treatments are non-invasive and effective, but shockwave therapy is often more immediate and impactful for chronic soft tissue conditions, whereas laser therapy is ideal for reducing inflammation and nerve-related pain.

When to Use Shockwave Therapy in a Chiropractic Setting

• For patients with chronic pain who haven’t responded to adjustments alone
• For tendon or ligament injuries that need deeper stimulation to heal
• To break down scar tissue and improve mobility
• As a complement to spinal adjustments for a comprehensive treatment approach

By understanding how shockwave therapy compares to other chiropractic treatments, you can better integrate it into your practice and offer targeted, effective solutions for your patients.

Are There Any Contraindications or Patients Who Shouldn’t Receive Shockwave Therapy?

While shockwave therapy is safe for most patients, there are certain conditions and circumstances where it may not be appropriate. Chiropractors should screen patients carefully to ensure that shockwave therapy is a safe and effective option.

Absolute Contraindications

Shockwave therapy should not be used in patients with the following conditions:

• Pregnancy – The effects of shockwave therapy on fetal development are not well studied, so it should be avoided in pregnant patients.
• Blood Clotting Disorders or Use of Anticoagulants – Patients with hemophilia or those taking blood thinners (e.g., warfarin, heparin) have an increased risk of bruising or bleeding.
• Pacemakers or Implantable Electronic Devices – The acoustic waves may interfere with electronic implants, making it unsafe for these patients.
• Active Infections or Open Wounds in the Treatment Area – Treating over infected or broken skin can increase the risk of complications.
• Cancer in the Treatment Area – Shockwave therapy should not be used over malignant tumors, as it could stimulate unwanted cell activity.

Relative Contraindications (Use With Caution)

Shockwave therapy may be used with some modifications or under close monitoring in the following cases:

• Severe Osteoporosis – Patients with fragile bones should be evaluated on a case-by-case basis to prevent fractures.
• Severe Peripheral Neuropathy – If the patient has reduced sensation, they may not be able to provide feedback on discomfort levels.
• Children or Adolescents – While not inherently harmful, shockwave therapy should only be used on developing bones with proper clinical justification.

How to Screen Patients Effectively

Before starting shockwave therapy, chiropractors should:

• Review the patient’s medical history to identify contraindications.
• Ask about medications and existing conditions that could impact treatment safety.
• Assess skin integrity and the presence of any infections, wounds, or tumors.
• Explain the treatment process and ensure the patient understands potential risks and benefits.

By taking these precautions, chiropractors can confidently use shockwave therapy while minimizing risks and ensuring patient safety.

How Much Does Shockwave Therapy Cost?

The cost of shockwave therapy can vary depending on factors such as location, the chiropractor’s experience, and the number of sessions required. Since it is considered a specialized treatment, it is typically priced higher than standard chiropractic adjustments.

Average Cost Per Session

• General range: $75 – $300 per session
• Typical cost at chiropractic clinics: $100 – $200 per session
• Full treatment package (3–5 sessions): $300 – $1,000+

Many chiropractors offer discounted package rates to encourage patients to complete their full treatment plan, which improves outcomes and patient satisfaction.

Factors That Affect Pricing

1. Clinic Location: Prices are higher in major metropolitan areas compared to smaller towns.
2. Equipment Quality: High-end shockwave therapy machines offer better results but may lead to higher pricing.
3. Experience of the Chiropractor: Clinics with specialized training in shockwave therapy may charge more for their expertise.
4. Number of Sessions Needed: Chronic conditions may require more treatments, increasing the total cost.
5. Additional Treatments: If combined with adjustments, soft tissue therapy, or rehabilitation exercises, the overall pricing structure may be different.

Is Shockwave Therapy Covered by Insurance?

Shockwave therapy is usually classified as an elective or alternative treatment, meaning it is not covered by most insurance plans. However, some patients may be able to use:

• Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) to cover costs.
• Workers’ compensation or auto accident claims if the therapy is prescribed for injury rehabilitation.

How to Position the Cost to Patients

Since insurance may not cover the treatment, chiropractors should focus on value-based pricing by emphasizing:

• Long-term relief vs. temporary symptom management
• Fewer sessions compared to other pain management treatments
• Non-invasive, drug-free alternative to injections or surgery

By clearly explaining the benefits and helping patients understand the investment in their health, chiropractors can improve patient acceptance of shockwave therapy as a premium service.

Can Patients Resume Normal Activities After Treatment?

One of the advantages of shockwave therapy is that it requires little to no downtime, allowing most patients to resume their normal activities soon after treatment. However, there are some important post-treatment guidelines that chiropractors should share with their patients to maximize results and prevent irritation.

Immediate Post-Treatment Expectations

• Patients may experience mild soreness, redness, or swelling in the treated area, similar to post-exercise soreness.
• The discomfort usually subsides within 24 to 48 hours.
• Some patients report feeling immediate relief, while others may take a few sessions to notice significant improvements.

Activity Guidelines After Shockwave Therapy

Recommended Activities:

• Light daily activities such as walking, working, and driving are generally fine.
• Gentle stretching and mobility exercises can help enhance recovery.
• Staying hydrated and eating a nutrient-rich diet can support the healing process.

Activities to Avoid for 24 to 48 Hours:

• High-impact activities such as running, jumping, or heavy weightlifting.
• Intense stretching or deep tissue massage over the treated area.
• Overuse of the affected muscles or joints that were treated.

When Can Patients Return to Sports or Exercise?

Most patients can resume moderate exercise within a few days, depending on their comfort level. However, for athletes or individuals recovering from severe injuries, chiropractors may recommend waiting longer or incorporating a gradual return-to-activity plan.

By setting clear post-treatment expectations, chiropractors can help patients get the most out of their shockwave therapy sessions and minimize the risk of aggravating the treated area.

Addressing Common Patient Concerns and Misconceptions

Despite the growing popularity of shockwave therapy in chiropractic care, many patients still have misconceptions or concerns about the treatment. Addressing these directly can improve patient confidence and increase adherence to treatment plans.

“Is Shockwave Therapy the Same as Electric Shock Therapy?”

Many patients confuse shockwave therapy with electrotherapy techniques such as TENS (transcutaneous electrical nerve stimulation). Chiropractors should clarify that:

• Shockwave therapy uses acoustic (sound) waves, not electrical currents.
• There is no electrical stimulation involved in the process.
• The treatment stimulates healing at a cellular level, rather than simply masking pain.

“Will One Treatment Permanently Fix My Condition?”

Patients sometimes expect immediate and permanent relief after a single session. While some individuals experience rapid improvement, most require multiple treatments for long-term results. Chiropractors should emphasize that:

• Shockwave therapy accelerates the body’s natural healing process, but healing takes time.
• Chronic conditions may require three to five sessions for full effect.
• Additional chiropractic treatments, rehabilitation exercises, and lifestyle changes may be necessary for lasting results.

“Is Shockwave Therapy Only for Athletes?”

While shockwave therapy is widely used in sports medicine, it is effective for a broad range of musculoskeletal conditions affecting everyday individuals. Chiropractors can highlight that it is beneficial for:

• Office workers with chronic back or neck pain.
• Active adults experiencing tendonitis or joint pain.
• Older adults dealing with degenerative conditions like bursitis or calcific tendonitis.

“Does Shockwave Therapy Just Mask Pain Like Painkillers?”

Unlike pain medications that only suppress symptoms, shockwave therapy stimulates real tissue repair and regeneration. Patients should understand that:

• The treatment does not numb pain; it encourages the body to heal itself.
• Pain relief often continues to improve even weeks after the final session as healing progresses.
• It is a non-invasive alternative to injections or surgery for chronic conditions.

By proactively addressing these concerns, chiropractors can help patients make informed decisions and feel more confident in their treatment plan.

How Chiropractors Can Effectively Communicate the Benefits of Shockwave Therapy

Educating patients about shockwave therapy is key to increasing treatment acceptance and ensuring they understand its benefits. Clear, confident communication can help alleviate concerns and position the therapy as a valuable addition to chiropractic care.

Use Simple, Non-Technical Language

While shockwave therapy involves advanced technology, explaining it in simple terms makes it more accessible to patients. Instead of using complex medical jargon, chiropractors can describe it as:

• “A treatment that sends sound waves into the tissues to speed up healing.”
• “A therapy that helps break down scar tissue and improve blood flow to injured areas.”
• “A way to stimulate your body’s natural ability to heal without drugs or surgery.”

By focusing on what patients care about—pain relief, faster healing, and avoiding invasive treatments—chiropractors can increase their willingness to try the therapy.

Demonstrate Success Stories and Case Studies

Patients often feel more confident in a treatment when they hear about others who have benefited from it. Chiropractors can:

• Share before-and-after experiences from real patients (with their permission).
• Highlight specific conditions, such as plantar fasciitis or rotator cuff injuries, that have responded well to treatment.
• Provide data-backed results, such as “80% of patients see a reduction in pain within three sessions.”

Offer Trial Sessions or Bundled Packages

Many patients hesitate to commit to a new treatment without knowing if it will work for them. Chiropractors can:

• Offer a first-time session at a discounted rate to let patients experience it.
• Provide package deals (e.g., a three-session bundle at a reduced price).
• Explain that most patients need at least three to five sessions to see full benefits.

By making shockwave therapy more accessible, chiropractors can improve patient buy-in and encourage adherence to the recommended treatment plan.

Use Visual Aids and Educational Materials

Patients often retain information better when it’s presented visually. Chiropractors can:

• Use anatomical charts or models to show how shockwave therapy works.
• Provide brochures, infographics, or website content explaining the benefits.
• Play short videos in the office that showcase real treatments and success stories.

By reinforcing the message through multiple channels, chiropractors can ensure patients feel fully informed and comfortable with their decision.

Be Transparent About Costs and Expected Outcomes

One of the biggest obstacles to patient acceptance is uncertainty about cost and results. Chiropractors should:

• Clearly explain how many sessions a patient may need.
• Provide an upfront breakdown of costs and any available payment options.
• Set realistic expectations, explaining that gradual improvement is normal and that multiple sessions may be required for full recovery.

By proactively addressing common questions and presenting shockwave therapy in a patient-friendly manner, chiropractors can increase patient trust and adoption of this innovative treatment.

Conclusion

Shockwave therapy is a highly effective tool for chiropractors looking to enhance patient care with non-invasive pain relief and accelerated healing. Addressing common patient questions clearly and confidently helps improve treatment acceptance and outcomes.If you’re considering adding shockwave therapy to your practice, explore the high-quality, affordable devices available at Shockwave Distributors. Our selection of professional-grade machines ensures you get the best technology to support your patients’ recovery.