Radial Shockwave Therapy (RSWT) is a noninvasive treatment used to promote healing in chronic soft-tissue and tendon conditions. This FDA-cleared technology improves circulation, stimulates the body’s natural healing response, and supports the gradual repair of damaged tissue.
When pain becomes chronic, the body’s healing response in the affected area may slow or become less effective. The enPuls® system used in our office delivers high-energy acoustic pressure waves deep into the soft tissue. These waves create controlled microtrauma in the treatment area, stimulating a renewed healing response and encouraging tissue regeneration.
Each treatment session takes approximately 10 minutes and delivers about 3,000 to 4,000 pulses to the affected area. Patients will hear a repetitive tapping sound while the device is operating. A typical treatment plan consists of three to five sessions, usually scheduled five to seven days apart.
What Conditions Can RSWT Treat?
RSWT may be recommended for chronic pain caused by tendon and other soft-tissue injuries, including:
Plantar fasciitis
Achilles tendinopathy
Tennis elbow
Other chronic tendon and ligament conditions
It is generally considered for patients whose symptoms have not improved after at least six months of conservative care, such as physical therapy, activity modification, or pain medication.
After Your Treatment
RSWT is intended to stimulate a controlled inflammatory response as part of the healing process. For this reason, patients should avoid applying ice to the treated area or taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, unless otherwise directed by their physician.
If pain relief is needed, acetaminophen (Tylenol®), which does not have the same anti-inflammatory effect, may be recommended. Please follow the specific aftercare instructions provided by your healthcare professional.
How Is RSWT Different from PRP Therapy?
Radial Shockwave Therapy and PRP therapy both aim to stimulate the body’s natural healing response. PRP is somewhat more invasive because it requires a blood draw and an injection, and some patients may need to use crutches or temporarily restrict activity afterward.
RSWT requires no injections and generally involves fewer post-treatment restrictions. It may therefore be an excellent option for dancers, athletes, active individuals, and patients who cannot take significant time away from work or daily activities.
