Shockwave Therapy

What is Focused Shockwave Therapy

Focused shockwave therapy is a non-invasive treatment that uses high-energy acoustic waves to target specific areas of the body. These shockwaves are generated outside the body and focused onto the affected area, creating a focused zone of high pressure.

The shockwaves are designed to interact with the targeted tissues, triggering biological responses that can help alleviate various musculoskeletal conditions. The concentrated energy from the shockwaves can stimulate blood circulation, break down calcified deposits, and promote the body’s natural healing processes.

Some of the conditions that this therapy is commonly used to treat are:

  • Chronic tendon disorders (e.g., plantar fasciitis, tennis elbow, shoulder tendinitis)
  • Muscle pain and trigger points
  • Delayed or non-union fractures
  • Calcific tendinitis of the shoulder

Focused shockwave therapy is generally well-tolerated, with minimal side effects. It is a non-surgical, non-invasive and drug-free option for managing musculoskeletal conditions, often used in conjunction with other treatments such as physical therapy or exercise programs.

3-8 treatment sessions may be necessary to achieve optimal results, depending on the condition and the individual’s response to the therapy.

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Don't let discomfort hold you back any longer! Discover the cutting-edge solution that harnesses the power of focused shockwaves to unlock your body's natural healing abilities.

Revolutionary Focused Shockwave Therapy:
Unleash Your Body's Healing Power!

Introducing Focused Shockwave Therapy – an innovative, non-invasive treatment that delivers targeted, high-energy acoustic waves directly to the source of your pain or injury. This advanced technology is designed to stimulate your body’s own repair mechanisms, promoting accelerated healing and long-lasting relief.

With Focused Shockwave Therapy, you can bid farewell to:

  • Chronic tendon disorders like plantar fasciitis, tennis elbow, and shoulder tendinitis
  • Persistent muscle pain and trigger points
  • Slow-healing or non-union fractures
  • Calcific tendinitis of the shoulder

Focused Shockwave therapy is the most exciting non-invasive therapy promoting your body’s regenerative capabilities to heal itself.

Experience the Power of Regeneration

  • Increased blood circulation and neovascularization of tissues
  • Decrease cartilage breakdown/degradation
  • Breakdown of calcified deposits
  • Stimulation of collagen production
  • Reduced inflammation and pain

This cutting-edge therapy is a game-changer for those seeking a non-surgical, drug-free solution to their musculoskeletal ailments. Imagine a world where you can move freely, without the constraints of chronic pain or lingering injuries holding you back.

Take control of your healing journey today! Our team of experienced professionals is dedicated to providing personalized care and tailoring the treatment to your unique needs. Regain your mobility, reclaim your active lifestyle, and embrace a future free from the limitations of musculoskeletal conditions.

Don’t wait any longer to experience the transformative power of Focused Shockwave Therapy. Schedule your consultation now and embark on a path towards lasting relief and optimal well-being.

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PiezoWave2 Technology

The Piezowave 2 system utilizes focused shockwave therapy to deliver high-energy acoustic waves to targeted areas of the body.

How does the Piezowave 2 work?

Here's how the Piezowave 2 system typically works:
  • Shock Wave Generation
    The system contains a specialized handpiece with a shock wave generator. This generator uses piezoelectric crystal technology to convert electrical pulses into high-pressure acoustic waves or shockwaves.

  • Wave Focusing
    The acoustic waves generated by the piezoelectric crystals are focused and concentrated using a specifically designed reflector or lens system within the handpiece. This focusing mechanism allows the shockwaves to converge on a precise treatment area.

  • Energy Transmission
    The focused shockwaves are transmitted through the patient's skin and underlying tissues. The high-energy acoustic waves propagate through the body without causing significant discomfort or damage to the surrounding structures.

  • Target Area:
    The focused shockwaves converge and create a high-pressure zone at the predetermined target area, such as a tendon, muscle, or bone. This concentrated energy can stimulate various biological responses within the targeted tissues.

  • Biological Effects
    When the focused shockwaves reach the target area, they can produce several therapeutic effects, including:

    • Increased blood circulation: The shockwaves stimulate the formation of new blood vessels (angiogenesis), improving blood flow to the treated area.
    • Breakdown of calcifications: The high-pressure waves can help break down calcium deposits, such as those found in calcific tendinitis.
    • Collagen remodeling: The shockwaves trigger the body's natural healing processes, leading to the production of new collagen fibers and tissue remodeling.
    • Pain reduction:The shockwaves can disrupt pain transmission pathways, providing relief from chronic pain conditions.

  • Treatment Sessions
    Focused shockwave therapy is typically administered in multiple treatment sessions, with the number of sessions depending on the specific condition being treated and the patient's response to the therapy.

The Piezowave 2 system is designed to be user-friendly and allow for precise targeting of the treatment area, ensuring accurate delivery of the focused shockwaves. Additionally, the system often includes features like adjustable energy levels and different handpiece options to accommodate various treatment needs.
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Do piezoelectric shockwave devices work well?

Yes, piezoelectric shockwave machines like the Piezowave 2 system are generally considered effective and have proven useful in various medical applications. Here's an overview of their effectiveness:
  • Clinical Evidence
    Numerous clinical studies have demonstrated the efficacy of piezoelectric shockwave therapy for various musculoskeletal conditions. These include:

    • Plantar fasciitis: Multiple studies have shown significant improvement in pain and function after shockwave therapy for chronic plantar fasciitis.
    • Tendinopathies: Shockwave therapy has been found effective in treating tendinopathies such as tennis elbow, Achilles tendinitis, and rotator cuff tendinitis.
    • Delayed or non-union fractures: The high-energy waves can stimulate bone healing in cases of delayed or non-union fractures.
    • Calcific tendinitis: Shockwave therapy has been successful in breaking down calcium deposits in conditions like calcific tendinitis of the shoulder.

  • Non-invasive and Safe:
    Piezoelectric shockwave machines offer a non-invasive and relatively safe treatment option compared to surgical interventions. The focused nature of the shockwaves minimizes the risk of damage to surrounding tissues.

  • Precise Targeting:
    The focused shockwaves generated by piezoelectric machines can be precisely targeted to the affected area, ensuring accurate delivery of the high-energy waves to the desired location.

  • Pain Relief:
    Many patients report significant pain relief after undergoing shockwave therapy, as the high-energy waves can disrupt pain transmission pathways and reduce inflammation.

  • Cost-effective:
    Compared to surgical procedures or long-term medication use, shockwave therapy can be a cost-effective treatment option for certain musculoskeletal conditions.

However, it’s important to note that while piezoelectric shockwave machines have shown promising results, individual responses may vary, and the therapy may not be equally effective for all conditions or patients. Additionally, proper training and expertise are essential for optimal results and to minimize potential risks or side effects.

Overall, when administered by trained healthcare professionals and appropriate patient selection, piezoelectric shockwave machines like the Piezowave 2 system can be an effective and valuable tool in the management of various musculoskeletal disorders.

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Scientific studies

Backed by scientific studies and evidence, Shockwave therapy is now available in Oregon City.
  • Plantar Fasciitis

    Study 1: Rompe et al. (2007) conducted a randomized controlled trial (RCT) comparing ESWT to a placebo group in patients with chronic plantar fasciitis. They found that ESWT significantly improved pain and function compared to the placebo group.

    Study 2: Ogden et al. (2004) conducted a prospective cohort study assessing the long-term outcomes of ESWT in patients with refractory plantar fasciitis. They observed sustained improvement in pain and function over a 12-month follow-up period.

  • Achilles Tendinopathy

    Study 1: Rompe et al. (2009) conducted an RCT comparing ESWT to eccentric exercise therapy in patients with chronic Achilles tendinopathy. They reported that both groups showed improvement, but the ESWT group experienced faster pain relief and return to activity.

    Study 2: Speed et al. (2014) conducted a systematic review and meta-analysis of studies evaluating ESWT for Achilles tendinopathy. They concluded that ESWT was effective in reducing pain and improving function compared to control groups.

  • Rotator Cuff Tendinopathy

    Study 1: Harniman et al. (2012) conducted a prospective study assessing the outcomes of ESWT in patients with chronic rotator cuff tendinopathy. They found significant improvement in pain and shoulder function following ESWT.

    Study 2: Kolk et al. (2013) conducted a retrospective analysis of patients treated with ESWT for rotator cuff tendinopathy. They reported reduced pain and improved shoulder function in the majority of patients.

  • Patellar Tendinopathy

    Study 1: Zwerver et al. (2011) conducted an RCT comparing ESWT to a wait-and-see approach in athletes with patellar tendinopathy. They found that ESWT resulted in significantly greater reductions in pain and improvement in function compared to the control group.

    Study 2: Lian et al. (2006) conducted a prospective cohort study evaluating the effectiveness of ESWT in athletes with chronic patellar tendinopathy. They reported significant improvements in pain and functional outcomes following ESWT.

  • Calcific Tendinitis of the Shoulder

    Study 1: Gerdesmeyer et al. (2003) conducted a multicenter RCT comparing ESWT to placebo in patients with calcific tendinitis of the shoulder. They found that ESWT resulted in significant improvements in pain and shoulder function compared to placebo.

    Study 2: Wang et al. (2017) conducted a systematic review and meta-analysis of studies evaluating ESWT for calcific tendinitis of the shoulder. They concluded that ESWT was effective in reducing pain and promoting calcium resorption in patients with calcific tendinitis.

These studies provide evidence supporting the effectiveness of focused shockwave therapy for various musculoskeletal conditions, including plantar fasciitis, Achilles tendinopathy, rotator cuff tendinopathy, patellar tendinopathy, and calcific tendinitis of the shoulder.

Our Doctors

  • Kyle Bangs DC, MS, CCSP, CSCS


    Dr. Kyle Bangs is a native to the Pacific Northwest — growing up hiking, fishing and staying active with various sports and recreation in SW Washington.

    Meet Dr. Bangs →
    Kyle Bangs Chiropractor
  • Ben Hokenson DC, DACBSP


    Dr. Ben is a 2008 graduate of University of Western states earning his doctorate of chiropractic degree with many years of clinical practice and continual training.

    Meet Dr. Hokenson →

Certifications and Therapy

Our team has several certifications including:
  • ART
    Active Release Technique (ART)
  • Certified Strength and Conditioning Specialist (CSCS)
    Diplomate of the American Chiropractic Board of Sports Physicians (DACBSP)
  • Doctor of Chiropractic (DC)
  • FMS certified
    Functional Movement Screen Certified
  • Graston certification
  • lightforce
    Lightforce Therapy
  • Masters of Science in Sports Medicine
  • NormaTec
  • McKenzie
    Physical Rehabilitation
  • Leonard Villagomez
    Leonard Villagomez
    October 6, 2022.
    I highly recommend Dr. Kyle Bangs and his team at Function Performance. I was referred to them by my trainer after experiencing a muscle spasm which caused sciatic nerve pain down my left leg. Dr. Kyle Bangs and his team did an amazing job helping me recover over a 5-week period. They focused on my mobility and flexibility, and helped me learn many different stretches and exercises that truly helped me. Their facilities are great and treatment was tailored to my needs. It was not all about just getting adjusted which is a big differentiator for them.
    Lindsay Herring
    Lindsay Herring
    July 15, 2022.
    When I first met Dr. Ben and the team at Performance Function I was in such bad shape. I was 10 months post back surgery only to have an MRI with nearly identical results as pre-surgery. Other doctors advised my only real option was another surgery. But after a year of not being able to sit, stand, or walk - I was desperate to find a solution. After 5 weeks, not only can I sit, stand, and walk but I’m starting to incorporate strength training - completely unthinkable a few weeks ago. I cannot recommend them enough - literally changed my life!
    Cheryl Bertin
    Cheryl Bertin
    June 8, 2022.
    I have only seen one chiropractor at this office so I can only speak to that experience. Dr.Ben is kind, patient, knowledgeable, and most of all effective. I have used him twice now for different issues. He never pushes for therapy’s you don’t need and there is never pressure to come back. He will give you exercises and stretches to do at home but doesn’t judge if you aren’t keeping up on your end. Although, all his advice works when implemented. The Ladies at the reception Desk are so polite and friendly. They take all the hard work out of getting the best from your appointments and insurance providers. They exemplify what all health providers should strive to be. I wish I could give more stars.
    Nathan Younce
    Nathan Younce
    June 5, 2022.
    I have been seeing doctor Kyle for the last two years. At first only when I threw my back out, once a year or so. But now I go in on a monthly routine and it has helped my back tremendously. They are not like your typical chiropractor that spends 5 minutes cracking your back and sends you on your way, they take the time stretching, massaging, and focusing on the area that's giving you problems. They also provide you with stretches and exercises for long term fixes. I am very happy and highly recommend these guys!
    Amy Hobbs-Ha
    Amy Hobbs-Ha
    June 3, 2022.
    Ben, Kyle and their staff at Function Performance are phenomenal. My entire family goes to them. I have children that are athletes, and they do amazing physical therapy, strength training exercises and adjustments. I was in an automobile accident, and have been seeing them ever since.They are professional, extremely knowledgeable and I'm so grateful that myself, and my kids have professionals like them to keep us healthy and to heal.
    Megan Long
    Megan Long
    June 2, 2022.
    Hands down the best chiropractic, sports medicine and best staff I have had the pleasure of working with to rehab my shoulder! Not only is Dr. Kyle knowledgeable but personable and I trust him and his staff to treat and take care of me and what my body needs and requires to get better! I have recommended this place to everyone I j one and will continue to do so! Definitely deserves more than 5 stars!!!
    Guy Skeele
    Guy Skeele
    June 2, 2022.
    Dr Ben and Dr Kyle and their support staff really know there stuff! They have always been able to help me with reoccurring back issues that come up from time to time and also all of my sports related injuries. The atmosphere in the building and staff are awesome there as well. I have been going to them for the past 6 years, I highly recommend Function Performance!
    Tigg Orr
    Tigg Orr
    May 10, 2022.
    Fantastic place! The staff are great! Great communication and they always greet you with a smile! And, they remember your name which seems to be a rarity these days! Dr. Bangs has magic hands and got me back to where I needed to be after a car accident in no time. In fact, my shoulder range of motion might be better than it was to begin with. If I required chiropractic treatment again, I wouldn’t go anywhere else!!
    Get the perfomance results you are looking for today.