Shockwave Therapy

Now offering both Radial and Focused Shockwave Therapy!

Marin Spine and Sports is happy to provide Extracorporeal Shockwave Therapy (ESWT) to Marin County and the greater San Francisco Bay Area. We offer Shockwave therapy as a highly effective modality for the treatment of neuromuscular disorders and injuries while being non-invasive. Approved by the FDA, Shockwave Therapy has been used in Europe for over 25 years.

This highly effective technology utilizes electro-magnetic and /or sound waves which initiate the body’s own reparative reaction enhancing neovascularization and collagen production.

How Shockwave Therapy Works

The application of Shockwave Therapy creates capillary micro-ruptures in tendon and bone increasing growth indicators; eNOS, BMP, PCNA, and VEGF.

This stimulates the growth and remodeling of new arterioles. The new blood vessels improve the blood supply and oxygenation resulting in faster healing of both tendon and bone.

As a result of the increased collagen production these new fibers are forced into a longitudinal structure producing stronger tendons.

Shockwave therapy is also known for breaking up calcium deposits found in calcific tendinitis of various joints including the shoulder.

Conditions We Treat

  • Plantar fasciitis 
  • Heel spurs 
  • Patellar tendinitis (jumper’s knee) 
  • Lateral epicondylitis (tennis elbow)
  • Medial epicondylitis (golfer’s elbow) 
  • Thumb basal joint arthritis 
  • Tendinapathies  
  • Bursitis (bursiris is inflammation of a bursa. The major bursae are located adjacent to the tendons near the large joints such as the shoulders, elbows, hips, and knees.) 
  • Shin splints 
  • Morton’ s Neuroma 
  • Stress fractures 
  • Osteoarthritis (knee, hip and shoulders) 
  • Insertion Tendinopathy 
  • Epicondylopathy radialis / Ulnaris
  • Shoulders Condition 
  • Achilles Tendinitis 
  • Impingement Syndrome
  • Tendon calcifications 
  • Patellofemoral Syndrome /Achillodynia
  • Tibialis Anterior Syndrome 
  • Hamstring Disorders 
  • Greater Trochanteric Pain Syndrome (GTPS) 
  • Knee conditions 
  • Spinal Pain 
  • Metatarsalgia 
  • Osgood-Schlatter Disease 
  • Painful Trigger Points (acute and chronic painful neck, back, shoulder, etc. due to chronically shortened and thickened muscle tissue) 
  • Sesamoiditis 
  • Various chronic enthesiopathies (painful irritation of the tendon attachments due to overexertion and improper strain, or due to a degenerative process) 

Chronic Muscular Pain Relief

Trigger points are a major cause of pain in the neck, mid- low back, shoulders and extremities.

They are associated with taut bands of muscle fibers and have overly contracted sarcomeres. These dysfunctional sarcomeres contract so tightly that they can cut off their own blood supply. This causes the build up of waste products which irritate the sensory nerve endings and then causes increased contraction. This is known as a metabolic crisis. It is hypothesized that Shockwave Therapy unlocks the calcium pump thus reversing the metabolic crisis in the myofilaments and releasing the trigger points.

Patients with chronic pain have chronic inflammation which occurs when the inflammatory process continues to be perpetuated. This process subsequently damages healthy tissue as well as encourages a chronic pain cycle.

Shockwave therapy activates mast cells which then increases the synthesis of chemokines and cytokines which then can help to restore normal healing and regenerative properties.

 Number of Treatments

The number of Shockwave Therapy treatments required often varies depending on the severity and chronicity (how long you have had the condition).

At Marin Spine and Sports, we are continually impressed at the speed that Shockwave Therapy is able to provide relief to painful chronic symptoms. Many patients report that they start to feel relief and a decrease in symptoms after just the first treatment.

Shockwave Therapy is so effective that many cases only require 4 to 5 treatments, only once a week, which minimizes your time at therapy, and won’t interfere with your busy lifestyle. Some chronic conditions may require between 7 to 10 treatments once per week, and this usually depends on how long you have had your condition.

After the treatment sessions are finished, the injured area continues to heal for 6 to 18 weeks with maximal recovery occurring approximately 3 months after the treatment sessions end.

More Information?

Click here for more information on Shockwave Therapy.