Electric Shockwave Therapy or Myofascial Acoustic Compression Therapy (MyACT) is widely used in the treatment of acute and chronic pain in muscles, tendons and joints.

MyACT describes the use of acoustic waves to target tissue at vary depths to compress and manipulate tissue resulting in a focused and precise deep tissue massage.

The results of the mechanical stimulus delivered by the Shockwave unit can lead to increased circulation and pain relief – key components in the healing process.


The acoustic waves generated by the Piezowave painlessly pass through the body and converge at a point deep within the soft tissue to produce an intense, extremely short duration compression event. The focused acoustic compression is translated to tissue to provide a massage with pin-point accuracy to the affected area.

shockwave therapy


The sources of pain are not always found in the area where the pain seems to be radiating from. This is clinically called referred pain. The distancing of the pain sensations from its source can make shockwave treatment more difficult.

Diagnosis of referred pain and the recognition of the originating pain triggering points can be accomplished using the Piezowave. Abnormal musculoskeletal tissue can be “flared” with focused Shockwave Therapy in order to define the areas that require treatment. This process of defining the origins of pain is guided by the patient through verbal feedback to the healthcare professional providing the treatment.


Here are examples of conditions Shockwave Therapy helps with:

shockwave therapy

Any given shockwave therapy session may only take a few passes over the structure. However, it almost always accomplishes greater results in a shorter amount of time compared to other musculoskeletal therapies. Given its high level of effectiveness, Shockwave Therapy is great for treating musculoskeletal conditions whether it be athletic injuries or work-related pain.


Electric Shockwave Therapy is has clinically shown to have the following effects:

  • Reduce Local Muscle Tension
  • Increase production of collagen
  • Help dissolve calcific fibroblasts
  • Facilitate healing
  • Improve local micro circulation leading to improved tissue metabolism
  • Stimulate the “washing away” of Substance-P (a pain producing chemical)
  • Eliminate pain


  •  A typical treatment takes between 7 to 10 minutes
  • Normally, 1-2 treatments per week are performed
  • A total of 5-7 treatments (7-10 for larger areas) may be necessary before lasting improvement is achieved
  • With acute pain, a single session is often successful.


  • Shockwave therapy treatment has superior cost to benefit ratio
  • It is a non-invasive option for your chronic pain points
  • Shockwave therapy treatment is drug free and no anesthesia is required
  • It has less side effects or no side effects at all
  • Shockwave therapy research shows that it can have a positive affect on new pains
  • Main fields of application: chiropractic, orthopedics, physiotherapy, and sport medicine therapy


Shockwave therapy side-effects are limited to reddened skin and/or minor soreness at the treatment site according to the Mayo Clinic. Depending upon the level of pain you are already experiencing in the area, there may be some discomfort during each treatment. However, most of our patients are able to tolerate the treatments very well since it only lasts for about 7 to 10 minutes. Furthermore, the intensity of the treatment can be adjusted to allow for some analgesic effect in the beginning of each session.


  1. Your physician will do an evaluation and identify the treatment site or sites. They may mark these sites.
  2. They will then apply a thin coat of coupling gel. This gel helps to translate the acoustic sound waves generated by the therapy head to the body.
  3. The physician will start the treatment at a very low output setting and increase the power to a level that you help define and is best suited for your condition. The output level and acoustic wave frequency rate may vary form location to location based on the depth and type of tissue being treatment.
  4. As the physician moves the therapy source around the treatment area, you may feel a deep, dull ache that is familiar to you as being like the feeling your produces. The physician will ask you to report when you feel the ache and will adjust the output of the device to the appropriate level for your treatment. They may also ask you to confirm that the therapy source is still creating the ache and may adjust the location of the treatment based on your feedback. If at anytime the treatment becomes uncomfortable, mention this to the physician and they will adjust the output level.
  5. After the treatment is completed, the coupling gel will be removed and you can return to your normal activities. You may experience some minor aches or discomfort after the treatment. It is not unusual for patients to notice flushed or reddened skin around the treatment site.


If you live or work near the SF Telegraph Hill – North Beach – Financial District and feel you would be a good candidate for our Shockwave Therapy treatments, we would love to meet you. To schedule an appointment with our San Francisco Sports Chiropractor, please call 415–421–1115 or book an appointment online. Whether you are an athlete or would love to keep healthy give us a call.

piezo wave therapy

  • Plantar Fasciitis
  • Iliotibial Band Friction Syndrome
  • Hamstring Tendinitis
  • Greater Trochanteric Pain Syndrome
  • Heel Spurs
  • Trigger Points
  • Jumper’s Knee – Infrapatellar Tendinitis
  • Non Healing Bone Fracture
  • Golfer’s Elbow (medial epicondylitis)
  • Shin Splints
  • Tennis Elbow (lateral epicondylitis)
  • Rotator Cuff Tendinopathy – with and without
  • calcification
  • Achilles Tendinopathy

Shockwave Therapy in San Francisco

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  • Pregnancy
  • Clotting Disorders
  • Infection
  • Cancer
  • Corticosteroid Injection within 1 month

Shock waves are waves of sound that carry high amounts of energy. These types of waves are commonly created with explosions, supersonic planes, and medical devices that utilize the therapeutic qualities of controlled shock waves. A controlled focused shockwave helps break up tissue. Early use of this technology were used to break up kidney stones. With today’s technological advances, the shock wave can be used to treat a variety of conditions.

The Swiss Dolorclast® utilizes compressed air to propagate a projectile inside a probe that strikes a surface to create a sound wave that breaks the speed of sound. This wave travels through the target area of tissue and creates cavitations, which are the formation of vapor cavities. Hundreds of thousands of cavitations are created during shockwave therapy. Once the cavitation collapses, a microjet is formed and thus creates a mechanical force that breaks up tissue.

Chronic tendinopathies and other conditions respond very well to this approach, as the process stimulates the body to heal the affected area.

  • Angiogenesis – The formation of blood vessels.
  • Neurogenesis – The formation of nerve cells.
  • Collagen Production
  • Promote Bone Healing
  • Help Remove Chronic Damaged Tissue