The Science Behind Shockwave Therapy for Tendon Injuries: Is It Right for You?

by | Dec 11, 2025 | Chiropractor

Tendon injuries are common among athletes and active individuals, often leading to pain, discomfort, and limited mobility. Shockwave therapy has emerged as a powerful treatment option for healing tendon injuries and managing chronic pain. By using acoustic waves, this non-invasive therapy promotes tissue repair, reduces pain, and accelerates recovery. If you’re dealing with tendon injuries in San Diego, shockwave therapy could be the solution you’ve been looking for.

What is Shockwave Therapy?

Shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), involves the use of high-energy acoustic waves that are delivered to the injured area of the body. These sound waves penetrate the skin and stimulate the healing processes of tissues, promoting blood flow, reducing inflammation, and encouraging cellular repair.

Shockwave therapy has been used for decades to treat a variety of musculoskeletal conditions, including tendon injuries, chronic pain, and joint disorders. Unlike traditional pain treatments such as medication or surgery, shockwave therapy is non-invasive and works by addressing the root causes of the injury rather than just masking the symptoms.

How Does Shockwave Therapy Work for Tendon Injuries?

Tendons are the thick, fibrous tissues that connect muscles to bones. Overuse or injury to tendons, such as in cases of tendonitis or tendinopathy, can result in inflammation, pain, and limited movement. When tendon tissue is damaged, healing can be slow due to limited blood circulation in these areas.

Shockwave therapy works by sending controlled acoustic waves into the affected tendon. The waves create microtraumas in the tissue, which stimulate the body’s natural healing response. This process promotes:

1. Increased Blood Flow and Circulation

One of the key benefits of shockwave therapy is its ability to increase blood flow to the injured area. The shockwaves stimulate the formation of new blood vessels, which improves the delivery of oxygen and nutrients to the damaged tendon. Enhanced circulation accelerates the healing process, reduces inflammation, and helps alleviate pain.

2. Collagen Production and Tissue Repair

Collagen is a crucial protein that helps repair damaged tissues. Shockwave therapy stimulates the production of collagen in the injured area, promoting faster recovery and strengthening the tendon. Increased collagen production also helps improve the elasticity and function of the tendon, reducing the risk of future injuries.

3. Reduction of Pain and Inflammation

The acoustic waves used in shockwave therapy help reduce pain by stimulating the release of endorphins, the body’s natural painkillers. Additionally, the therapy promotes the breakdown of calcified deposits that may have accumulated in the tendon, which can contribute to pain and discomfort. By addressing both the pain and the underlying causes of tendon injury, shockwave therapy offers a holistic approach to recovery.

What Tendon Injuries Can Be Treated with Shockwave Therapy?

Shockwave therapy is highly effective for a variety of tendon injuries, particularly those caused by overuse or repetitive motion. Some of the most common tendon injuries treated with shockwave therapy include:

  • Achilles Tendonitis: Inflammation or injury to the Achilles tendon, often caused by repetitive activity or intense physical exertion.

  • Tennis Elbow (Lateral Epicondylitis): Pain and inflammation in the elbow caused by repetitive motions, such as gripping or lifting.

  • Patellar Tendonitis (Jumper’s Knee): Inflammation of the tendon that connects the kneecap to the shinbone, commonly seen in athletes who jump frequently.

  • Rotator Cuff Tendonitis: Injury or inflammation of the tendons in the shoulder, often caused by overhead motions or repetitive use.

  • Plantar Fasciitis: Although not a tendon injury, plantar fasciitis involves inflammation of the tissue connecting the heel to the toes, and shockwave therapy can help alleviate the pain associated with this condition.


In addition to these conditions, shockwave therapy can be used to treat a range of soft tissue injuries and chronic pain in the musculoskeletal system.

Is Shockwave Therapy Right for You?

Shockwave therapy has been shown to be safe and effective for treating tendon injuries and chronic pain. However, it may not be suitable for everyone. Individuals with certain health conditions, such as pregnancy, blood-clotting disorders, or infections, may not be candidates for this treatment.

Before undergoing shockwave therapy, it’s important to consult with a chiropractor or healthcare provider to determine if it’s the right treatment for your condition. They will evaluate your injury, medical history, and overall health to assess whether shockwave therapy is appropriate for you.

In many cases, shockwave therapy can be used as a complementary treatment alongside other forms of therapy, such as physical therapy, chiropractic care, or stretching exercises. For individuals in San Diego, working with a trusted chiropractor in San Diego can help develop a comprehensive treatment plan that includes shockwave therapy to promote faster healing and pain relief.

What to Expect During Shockwave Therapy Sessions

During a shockwave therapy session, the patient will be asked to lie down comfortably while the chiropractor applies a gel to the affected area to ensure proper contact with the shockwave device. The chiropractor will then use the device to deliver focused acoustic waves to the injury.

Patients may feel a mild to moderate sensation during the treatment, but it is generally well-tolerated. Each session typically lasts between 10 and 20 minutes, depending on the size of the area being treated. Some individuals may experience temporary soreness after treatment, but this usually subsides within a day or two.

Multiple sessions are often recommended for optimal results, with many patients experiencing significant improvement after just a few treatments.

How Long Does It Take to See Results?

While results can vary, many patients report experiencing relief after just a few shockwave therapy sessions. Some individuals notice improvements in pain and mobility after the first treatment, while others may require several sessions to experience significant benefits.

Chronic conditions that have developed over a long period may take more time to improve, but shockwave therapy offers a promising non-invasive option for long-term pain management and recovery.

The Bottom Line: Shockwave Therapy for Tendon Injuries in San Diego

Shockwave therapy is a revolutionary treatment for tendon injuries and chronic pain, offering a safe, non-invasive alternative to traditional treatments. By stimulating the body’s natural healing processes, shockwave therapy can accelerate recovery, reduce pain, and improve overall function.

For those dealing with tendon injuries in San Diego, shockwave therapy may be the key to faster healing and long-term pain relief. If you’re interested in learning more about how shockwave therapy can help with your tendon injury, consider consulting with a trusted chiropractor in San Diego to explore your treatment options.

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