Acoustic wave therapy is an innovative, non-invasive treatment that uses high-energy sound waves to stimulate healing in damaged tissues — particularly in chronic musculoskeletal conditions where conventional treatments have fallen short. At Kosterman Chiropractic Center in Clinton, NC, we offer acoustic wave therapy as an advanced option for patients dealing with stubborn soft tissue injuries, tendinopathies, and conditions involving calcification or scar tissue.
Also known as shockwave therapy, acoustic wave therapy has been used successfully in clinical practice for decades and is supported by a strong body of research demonstrating its effectiveness for a variety of difficult-to-treat conditions.
How Acoustic Wave Therapy Works
Acoustic wave therapy delivers focused or radial pressure waves to the target tissue. These waves create a mechanical stimulus that triggers a series of biological responses:
- Stimulates tissue repair — activates the body’s natural healing cascade by increasing growth factor production
- Breaks down calcifications — dissolves calcium deposits in tendons and other soft tissues
- Disrupts scar tissue — remodels dysfunctional scar tissue to restore normal tissue architecture
- Promotes neovascularization — stimulates the formation of new blood vessels to deliver oxygen and nutrients to deprived tissues
- Reduces chronic inflammation — interrupts persistent inflammatory signaling in chronic injury
Conditions Treated with Acoustic Wave Therapy
Acoustic wave therapy is particularly effective for chronic, degenerative, or calcific soft tissue conditions, including:
- Plantar fasciitis
- Achilles tendinopathy
- Patellar tendinopathy (jumper’s knee)
- Rotator cuff tendinopathy and calcific tendinitis
- Lateral epicondylitis (tennis elbow)
- Medial epicondylitis (golfer’s elbow)
- Hip bursitis and gluteal tendinopathy
- Trigger points and myofascial pain
- Chronic neck and back pain with soft tissue involvement
What to Expect During Treatment
During an acoustic wave therapy session at Kosterman Chiropractic Center, a handheld applicator is applied to the treatment area with ultrasound gel as a coupling medium. The applicator delivers rapid pressure waves to the target tissue. Most patients feel a deep pressure and sometimes mild discomfort during treatment — particularly in areas of significant pathology — but sessions are brief and the discomfort is well-tolerated. Treatment typically takes 5–15 minutes per area.
Frequently Asked Questions
How many treatments will I need?
Most conditions require 3–6 sessions, spaced 5–7 days apart. Chronic conditions may require additional sessions. Many patients notice improvement after the first or second treatment.
Is acoustic wave therapy safe?
Yes. It is non-invasive, does not require anesthesia, and has an excellent safety record when performed by trained clinicians. Minor side effects such as temporary soreness, redness, or swelling at the treatment site may occur.
Who is not a good candidate?
Acoustic wave therapy is not appropriate for patients with bleeding disorders, those on blood thinners, patients with open wounds or infections at the treatment site, or pregnant women. Your chiropractor will assess your candidacy during your evaluation.