Focused Shockwave Therapy

Evidence-based acoustic wave treatment for chronic tendinopathy, plantar fasciitis, Achilles pain, tennis elbow, and stubborn soft tissue injuries.

Chiropractor in Oregon City

What Is Focused Shockwave Therapy?

Focused shockwave therapy, also called extracorporeal shockwave therapy or ESWT, is a non-invasive treatment that uses high-energy acoustic pulses to stimulate healing in injured tissue. Originally developed to break up kidney stones, shockwave has been adapted for musculoskeletal medicine and is now one of the most evidence-supported treatments for chronic tendinopathy, plantar fasciitis, and stubborn soft tissue conditions.

Focused shockwave therapy delivers high-energy acoustic pulses deep into injured tissue, stimulating cellular repair, breaking down fibrotic scar tissue, and triggering new blood vessel growth. The result is real structural change at the tissue level, not just temporary symptom relief. For chronic conditions that have not responded to rest, stretching, or injections, shockwave therapy frequently produces the results that passive care alone cannot.

At Function Performance Sport Chiropractic in Oregon City, we use focused shockwave therapy as part of a full, integrated treatment plan. It is a powerful tool, but it works best when paired with skilled manual therapy and progressive loading.

The Science of Faster Tissue Recovery

Move beyond temporary relief with a treatment backed by clinical research. Focused shockwave therapy triggers cellular-level repair to resolve stubborn tendinopathy and joint pain at the source.
  • How It Works

    During a shockwave session, a specialized device delivers focused acoustic pulses through the skin into the targeted tissue. The waves trigger a cascade of biological responses in the treated area, including:

      • Increased blood flow and new capillary formation

      • Collagen remodeling and new tissue growth

      • Breakdown of fibrotic scar tissue and calcific deposits

      • Reduction of chronic inflammation

      • Reset of sensitized pain receptors

    The body’s natural healing response is essentially restarted in tissue that has stalled in a chronic state.

    Conditions That Respond Well

    Shockwave therapy is particularly effective for chronic tendinopathies and soft tissue conditions that have not responded to rest, stretching, or passive care. These include:

      • Plantar fasciitis and chronic heel pain

      • Achilles tendinopathy, both insertional and mid-portion

      • Tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis)

      • Patellar tendinopathy and jumper’s knee

      • Gluteal tendinopathy and hip-related pain

      • Calcific tendinitis in the shoulder

    If you have had pain for more than six weeks without improvement, shockwave is often the right next step.

     

    What to Expect

    Each session takes about ten minutes of actual treatment time. You may feel a deep, intense sensation during application, but this subsides as soon as the device is removed. Most patients tolerate the treatment well and resume normal activity the same day.

    A typical plan is three to six sessions spaced about one week apart. Significant improvement is usually noticeable within the first two or three sessions, with continued progress over the following weeks as tissue remodels.

    Why Shockwave Works Best With Rehab

    Shockwave stimulates healing, but the tissue that regrows needs to be progressively loaded to become strong and resilient. We pair every shockwave plan with targeted rehab so the tendon that heals is actually capable of meeting the demands you place on it.

    Book your performance evaluation today and find out whether focused shockwave therapy is the right fit for your condition.

  • Schedule An Appointment

    What we Can Treat with
    Focused Shockwave Therapy

    Restore your mobility and find lasting relief. Focused Shockwave Therapy is a proven solution for managing the following conditions:

    Rotator Cuff and Labral Tears

    Partial rotator cuff and labral tears often resolve through integrated conservative care, without the risks and downtime of surgery.

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    Rotator Cuff Strains, Tendonitis, and Impingement

    Rotator cuff strains, tendonitis, and subacromial impingement treated through precision manual therapy, progressive rehab, and targeted modalities.

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    Tennis Elbow and Golfer’s Elbow

    Lateral and medial epicondylitis, the most common causes of chronic elbow pain, resolved through integrated tendinopathy care that gets results.

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    Hip, Knee, Ankle, and Foot

    Lower extremity conditions from hip pain to plantar fasciitis, treated through the full kinetic chain to resolve symptoms and prevent recurrence.

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    Piriformis syndrome

    Deep glute pain and sciatic-like symptoms caused by the piriformis muscle compressing the sciatic nerve, resolved through targeted care.

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    Hip flexor tendonitis

    Front-of-hip pain and chronic tightness from hip flexor overuse or tendinopathy, resolved with integrated manual therapy and progressive loading.

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    Hip Pain, Gluteal Tendonitis, and Hip Flexor Strains

    Hip pain from gluteal tendinopathy, hip flexor strains, or deep hip dysfunction, treated through comprehensive kinetic-chain care.

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    Knee strains and sprains

    Ligament and muscle injuries to the knee treated with integrated manual therapy, targeted modalities, and progressive loading built for full return.

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    Jumper’s Knee

    Patellar tendon pain in jumping and cutting athletes, treated with precision loading, shockwave therapy, and sport-specific rehab.

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    Meniscus Tears and Pain

    Meniscus-related knee pain, clicking, and catching often respond to integrated conservative care without requiring surgery for most cases.

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    Patellar Tendonitis

    Chronic patellar tendon pain resolved through progressive tendon loading, focused shockwave therapy, and full-chain assessment and rehab.

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    Sprains, Restrictions, and Pain

    Acute ankle sprains and chronic ankle instability resolved through integrated manual therapy, proprioceptive training, and progressive rehab.

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    Plantar nerve pain

    Burning, tingling, or shooting foot pain from entrapment of the tibial or plantar nerves, resolved through specialized neurodynamic care.

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    Plantar fasciitis

    Classic heel pain and plantar fascia issues resolved through focused shockwave therapy, manual therapy, and progressive tissue loading.

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    Morton’s Neuroma

    Burning pain and numbness in the ball of the foot from thickening of a plantar nerve, resolved through integrated conservative care.

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    Achilles Tendonitis

    Achilles tendinopathy and chronic heel cord pain resolved through focused shockwave therapy, progressive loading, and full-chain rehab.

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    Break the Cycle of Chronic Tendon Pain

    Stubborn tendinopathy does not resolve with rest. Shockwave therapy gives your body the stimulus it needs to actually heal.

    The Benefits of Focused Shockwave

    Shockwave therapy is one of the most well-researched non-surgical tools for chronic tendon conditions. Here is what makes it stand out.

    Treats the Root Cause

    Shockwave stimulates real tissue regeneration and breaks down fibrotic adhesions, resolving the underlying pathology instead of just masking symptoms.

    Drug-Free Pain Relief

    Meaningful reduction in pain and restored function without medications, injections, or the risks and downtime of surgery.

    Fast, Measurable Results

    Most patients experience noticeable improvement within three to six sessions. Each treatment lasts about ten minutes and fits easily into your day.

    Book Your Performance Evaluation Today

    Find out whether shockwave therapy is the right fit for your condition. Start with a thorough evaluation.

    Schedule An Appointment

    Common Questions About Focused Shockwave Therapy

    A specialized device delivers focused acoustic pulses through the skin into the targeted tissue. These pulses trigger a controlled micro-injury that stimulates blood flow, collagen production, and the body’s natural healing response, breaking down scar tissue and restoring function.

    Most patients describe the sensation as intense but tolerable during the brief treatment window. Any discomfort resolves quickly once the session ends, and many people feel significantly better within a day or two.

    Most chronic tendon conditions respond within three to six sessions, spaced about a week apart. We reassess at each visit and adjust based on how your tissue is responding.

    No. TENS and ultrasound deliver much lower energy and target surface-level tissue and nerves. Focused shockwave delivers high-energy acoustic waves deep into the tissue, producing real structural change that the other modalities cannot.

    Meet the Team

    Our Chiropractic Sports Physicians combine advanced soft tissue training with progressive rehab so you move better, perform better, and live better.

    Certifications and Therapy

    Our team has several certifications including:
  • ART
    Active Release Technique (ART)
  • Certified Strength and Conditioning Specialist (CSCS)
  • ACBSP
    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
    Normatec
  • McKenzie
    Physical Rehabilitation
  • Why Choose Function Performance?

    At Function Performance, massage therapy is part of an integrated treatment model designed to get results. When you choose us, you get:
    • Trained and Focused Application

      Our providers are trained to identify who shockwave will help most, and to apply it at the correct dose and location. Not every tendon pain responds the same way.

    • Paired With Progressive Rehab

      Shockwave works best when paired with progressive loading. We build tendon capacity to match the stimulus so results last long after treatment ends.

    • Honest About What It Can Do

      Shockwave is powerful, but it is not a magic bullet. We will tell you honestly whether it fits your case, and what realistic outcomes to expect.

    We don’t do cookie-cutter massage. We tailor everything to you.

    Schedule An Appointment
    Get the perfomance results you are looking for today.