Education only · provider review required
Shockwave therapy · Real evidence for a few tendon problems
Extracorporeal shockwave therapy, where it works and where it is sold.
Medically reviewed by Bernard Garcia, MD
What it is
ESWT delivers acoustic pulses to injured tissue. It is FDA-cleared for plantar fasciitis and lateral epicondylitis (tennis elbow), with reasonable evidence for several chronic tendinopathies. Low-intensity shockwave is also marketed for erectile dysfunction, where evidence is preliminary.
How it works
Mechanical stimulation is thought to trigger a repair response and reduce pain signalling. Several sessions are typical; results are modest but durable in responders. It is not useful for acute injuries.
Research status
| Research area | Status |
|---|---|
| Plantar fasciitis | FDA-cleared · moderate evidence |
| Chronic tendinopathy (elbow, Achilles, shoulder) | Moderate evidence |
| Erectile dysfunction (low-intensity) | Preliminary |
| Acute injury | Not indicated |
Status reflects published research context only and is not a statement of safety, efficacy, or suitability for any person.
Is it legal?
FDA-cleared devices for specific indications; other uses are off-label. This is a general note, not medical advice.
Frequently asked questions
How does this compare to BPC-157 for tendons?
Shockwave has human controlled trials; BPC-157 has animal data. They are not in the same evidence category.
Does it hurt?
It is uncomfortable during treatment; no anaesthetic is usually needed.
Does Vitrex provide it?
No. Doctor G Medical offers pain treatments discussed after intake.
Next step
Next step: a 3-minute confidential intake, reviewed by a licensed provider. No treatment is promised or implied.
Free · about 10 minutes · reviewed by a licensed physician
General education · Not medical advice · Provider approval required