Extracorporeal Shock Wave Therapy (ESWT)
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TREATMENT PROCEDURE


Prior to the Extracorporeal Shock Wave Therapy, you will consult with one of the Colorado Rehabilitation and Occupational Medicine physicians.

Once you are scheduled to begin ESWT please:
  1. Report to the treatment area at the assigned time. No special preparation is necessary . You may eat and drink normally.
  2. The treatment technician will examine the site which is to be treated. It is very important that you indicate the exact point where you are having the most pain prior to treatment.
  3. After determining the exact point of pain, the technician will apply a gel to the skin. The gel will transmit the shock wave.
  4. The technician will place the treatment head on the point of maximum tenderness and adjust the shock wave penetration or depth.
  5. Shock wave application will begin at a very low energy level. The technician will move the treatment head to be sure that the shock waves are being given to the point of maximum tenderness. You should not move the body part being treated once the treatment head has been adjusted optimally.
  6. The energy level may be slowly increased to a level necessary to adequately treat your condition. Energy levels and penetration depths vary depending on the thickness of the tissues overlying the tendons.
  7. Usually, a single session takes about 10-15 minutes. During treatment, you will feel a mild stinging sensation and pressure in the treated area. If the stinging sensation or pressure becomes too uncomfortable, tell the technician and the energy level may be adjusted.
  8. After treatment, the technician will remove the transmission gel and you will be allowed to return to normal activities. Be sure to schedule or confirm your next ESWT treatment.
  9. Some aching discomfort may be present after treatment for a short period of time.
  10. After the treatment has been completed, you will be able to drive yourself home.

Here are a few more details about ESWT treatment:
  • Treatment is usually given over three sessions, but you may benefit from as many as five sessions. In most cases, treatment will be administered once a week for three weeks.
  • Many patients notice that their condition markedly improves after only one treatment. Others may not improve until several days after their last treatment. In any case, it is important to complete all treatments ordered.
  • Most patients will notice reddened skin at the treatment site. Some will have a few small pinpoint bleeding site or bruises on the skin. This should resolve with a few days after the final treatment.


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Contact Us
To schedule an appointment or to make a referral, call 303-685-CROM (2766)
or outside Metropolitan Denver call us toll free at 1-866-300-7326