Acoustic Wave Therapy for Chronic Pain: An Alternative to Surgery
- Gary M. Rudashevsky, NP
- Jul 31
- 3 min read
Updated: Aug 26
What Is Acoustic Wave Therapy?
Acoustic Wave Therapy (AWT), also known as "Shockwave Therapy," is a non-surgical, FDA-cleared treatment that delivers high-energy acoustic pulses to injured tissues. These waves stimulate circulation, break up scar tissue, and trigger the body’s natural healing processes.
Originally used to break up kidney stones, AWT has evolved into a trusted therapy for a wide range of musculoskeletal and soft tissue issues, especially for patients seeking alternatives to surgery or long-term medication use.
How Does Acoustic Wave Therapy Work?
AWT works by sending mechanical sound waves through the skin to the affected area. This helps:
Increase blood flow and metabolism
Stimulate collagen production and tissue regeneration
Break down calcified tissue
Desensitize nerve endings to reduce pain perception
These biological effects have been backed by clinical studies and reviews. One 2020 review published in the Journal of Clinical Medicine found shockwave therapy effective in treating tendinopathies and soft tissue injuries by enhancing cellular responses and tissue repair.
Common Chronic Pain Conditions Treated with Acoustic Wave Therapy
Medical Specialists of Edina offers AWT for a range of conditions, including:
Plantar fasciitis
Tennis elbow (lateral epicondylitis)
Golfer’s elbow (medial epicondylitis)
Achilles tendinopathy
Hamstring injuries
Rotator cuff pain
Myofascial pain and trigger points
AWT is often recommended when standard treatments, such as physical therapy, rest, or anti-inflammatory medications, fail to provide long-term relief.
Benefits of AWT for Pain and Recovery
✔ Non-Invasive & Needle-Free: Avoid surgical risks and lengthy recovery times.
✔ Time-Efficient: Treatments take about 15–30 minutes and require no downtime.
✔ Safe and FDA-Cleared: The FDA has approved ESWT for use in conditions like plantar fasciitis and tennis elbow .
✔ Promotes Natural Healing: By stimulating the body’s intrinsic healing processes, AWT helps you recover more quickly and completely.
✔ Cost-Effective: Less expensive than surgery and often covered by flexible spending or HSA accounts.
What to Expect During Treatment
During your AWT session at Medical Specialists of Edina:
A conductive gel is applied to the skin.
A wand-like device delivers shockwaves to the treatment area.
You may feel pulsing, tapping, or slight discomfort—many compare it to a deep tissue massage.
Most patients undergo 3 to 6 sessions spaced about one week apart. According to a 2022 study in the American Journal of Sports Medicine, many patients experience pain reduction within the first few sessions, with continued improvement over 4–6 weeks.
Are There Any Side Effects?
AWT is well-tolerated by most patients. Mild side effects include:
Redness or swelling
Temporary soreness
Bruising or tingling
These symptoms are usually mild and subside within a few days. A 2019 review in the Archives of Physical Medicine and Rehabilitation noted that complications are rare when performed by experienced clinicians.
Who Should Not Receive AWT?
Although safe for most people, AWT should not be used in cases involving:
Pregnancy
Active cancer or tumors near the treatment area
Severe bleeding disorders
Infections or open wounds
Neurological disorders affecting the treated area
Patients with severe tendon ruptures or those needing surgical repair may require other interventions. Always consult a medical provider to determine whether AWT is appropriate for your specific condition.
Why Choose Medical Specialists of Edina?
Our team uses advanced tools and a personalized approach to treat musculoskeletal pain at its source, not just mask the symptoms. Located in Edina and serving Minneapolis and the Twin Cities, we’re known for:
Expert-led care
Modern, comfortable treatment rooms
Tailored therapy plans
A track record of results
Whether you're an athlete, weekend warrior, or just tired of living with pain, we’re here to help you heal.
Book a Consultation Today
Ready to explore AWT as a treatment option? Contact Medical Specialists of Edina to schedule your one-on-one consultation and see if you're a candidate for this powerful, non-invasive therapy.
📍 Serving Edina, Minneapolis, and the greater Twin Cities
Sources
Notarnicola A, et al. "The biological effects of ESWT on tendons: A review of the literature." J Clin Med. 2020.
Speed, C. "A systematic review of shockwave therapies in soft tissue conditions." Arch Phys Med Rehabil. 2014.
FDA Device Approval Database. Search: “Extracorporeal Shock Wave Therapy”
Furia JP et al. “Shockwave therapy in the treatment of chronic tendinopathy: a meta-analysis.” Am J Sports Med. 2022.
Schmitz, C., et al. "Safety and effectiveness of extracorporeal shockwave therapy for orthopedic conditions." Arch Phys Med Rehabil. 2019.
Cleveland Clinic. "Extracorporeal Shockwave Therapy (ESWT)." www.clevelandclinic.org