Shockwave Therapy

R3 Integrative Health is proud to offer Shockwave Therapy to the Greater Moncton Area. It is an excellent treatment for pain and scar tissue that will not respond to other treatment modalities, and is the highest standard of care for chronic injuries.

Shockwave or Radial Shockwave Therapy (RSWT) is a non-surgical technique developed for the treatment of localized musculoskeletal pain. The shockwave is a physical sound wave, and not an electric shock. The shockwave travels through the applicator, through the gel applied on the skin and into the tissue.

Common conditions that can be successfully treated with Shockwave Therapy include:

  • Plantar Fasciitis
  • Heel Spurs
  • Patellar Tendonitis/tendinosis (Jumper’s knee)
  • Achilles Tendonitis/tendinosis
  • Tennis and Golfer’s elbow
  • Rotator Cuff tendonitis including calcifying tendonitis of the shoulder
  • Muscular trigger points

Evidence supporting the use of Shockwave therapy is developing. There is currently strong evidence for calcifying tendonitis of the shoulder and plantar fasciitis. More recently, Shockwave therapy has expanded to the treatment of chronic injuries such as patellar tendinopathy(jumper’s knee) and Achilles tendinopathy. The success rate has been up to 91% improvement, with low and negligible complications (Journal of Orthopaedic Surgery and Research, 2012). Shockwave therapy is a non-surgical option with the same results as surgery, and should be considered when other treatment options have failed.

How does Shockwave Therapy work?

Shockwave Therapy involves the application of a series of high-energy percussions to the affected area. The shockwave is a physical shock, not an electric one. The shockwave causes an inflammatory response in the affected area that restarts the body’s healing process, particularly in cases where the body has been unable to do so on its own. Shockwave Therapy can also relieve pain by producing an analgesic (pain killing) effect on the treatment area. It can also help break bound scar tissue and calcified areas as well.

What can I expect from a Shockwave Therapy treatment session?

  • An initial assessment must be done to determine if Shockwave Therapy is the right treatment option for your condition, 2000 pulses or shocks, along with various other hands-on massage techniques by a trained Registered Massage Therapist.
  • Follow-up treatments will include re-assessment, a 2000 shock treatment, as well as other massage techniques and will be conducted by a trained Registered Massage Therapist.

When should I consider Shockwave Therapy?

  • Shockwave Therapy (SWT) is typically used when all other treatments have been exhausted.
  • It is for a chronic injury that has persisted more than 3 months.
  • It is most effective for conditions resulting from connective tissue attachments to bone. See the list above.
  • It is usually booked as 3 – 5 treatments 1X/ week for 3 – 5 weeks. Then we wait an additional 3 weeks without treatment to allow for healing to take place

What areas of the body or conditions can be treated?

  • Bottoms of The Foot (Plantar Fasciitis/Heel Spurs)
  • Achilles Tendinitis
  • Myofascial Trigger Points
  • Jumper’s Knee (Patellar Tendinitis)
  • Stress Fractures
  • Bursitis
  • Hallux Rigidus
  • Shin Splints
  • Tennis Elbow
  • Calcific Rotator Cuff Tendonitis
  • Scar Tissue Treatment
  • Hamstring Tendinopathy
  • …and much more

How many treatments will I need?

Typically 3 treatments sessions are needed once per week. There is a possibility that 2 more treatments are needed if your condition is very chronic.

Does the treatment itself, hurt?

Treatment can be uncomfortable, but typically well tolerated. It is an intense 5 minutes that most people are able to tolerate just fine.

Will it hurt after the treatment?

As you leave the clinic, you will most likely not be feeling pain but you may experience some throbbing 2-4 hours following the treatment. This may occur for up to 24 to 48 hours. This is normal because we increased circulation in an area where there hasn’t been in a while. For this reason, refrain from using anti-inflammatory medications or ice. Even if it feels good, we recommend decreased activity for 48 hrs following the treatment.

Is Shockwave Therapy covered by my insurance?

You will be invoiced under Massage Therapy. If you have Registered Massage Therapy benefits it may be covered, but check with your provider.

What if it doesn’t work for me?

Although the short-term effects alone are exceptional, the long-term benefits of this treatment may take up to 3 to 4 months.

What are the benefits of Shockwave Treatment?

This therapy works without the use of X-rays or drugs; it stimulates the body’s natural self-healing process. There is usually an immediate reduction of pain and improved ease of movement. Secondary effects are minor. Shockwave therapy may also eliminate your need for surgery. It is also especially effective for chronic conditions.

How long does each treatment last?

The Shockwave Therapy is approximately 5 minutes per area or 2000 shocks per session. A Registered Massage Therapy modality of deep tissue or myofascial release, NKT®, and Graston is also part of your session. A 40-minute initial assessment plus treatment will be conducted by a Registered Massage Therapist. Follow up treatments are 20 minutes or 40 minutes, depending on each case.

Are there contraindications and/or precautions I should be aware of?


  • Cortisone injections (within the last 6 weeks)
  • Hemophilia or any blood coagulation disorder
  • Blood thinning medications such as Heparin or Coumadin
  • Heart or circulatory problems
  • Cancer, Diabetes, Pregnancy
  • Growing children (Growth Plates)
  • Major blood or nerve supplies too close to the affected area
  • Shockwaves are generally not applied to target areas located above air-filled tissue (lungs), large nerves and blood vessels, the spinal column or the head

What is the success rate for this kind of treatment?

  • Tennis elbow (Lateral Epicondylitis) – up to 91%
  • Calcifying tendonitis of the shoulder – up to 91%
  • Plantar Fasciitis – up to 88%
  • Patellar Tendonitis/tendonosis (Jumper’s knee) – up to 87%
  • Achilles Tendonitis/tendonosis – up to 87%


Schedule an appointment today!