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What Is Extracorporeal Shockwave Therapy (ESWT)?

Extracorporeal Shockwave Therapy (ESWT) is a non-invasive orthopedic therapy used to support healing in musculoskeletal conditions involving tendons, soft tissue, and areas of chronic irritation. At Hero Medical Center, ESWT is used conservatively and purposefully—often as a standalone option for select conditions or as a complement to a broader regenerative care plan.

 

Our team focuses on careful evaluation and patient education to determine whether ESWT may be appropriate based on diagnosis, activity level, and treatment goals.

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ESWT delivers controlled acoustic pressure waves to targeted tissues from outside the body (extracorporeal). These waves are designed to stimulate local physiologic responses that may help support tissue repair and circulation in musculoskeletal structures.

 

ESWT does not involve injections or surgery and is typically well-tolerated. (ESWT is sometimes referred to as “radial shockwave therapy.”)

How ESWT Is Used at Hero Medical Center

At Hero Medical Center, ESWT is used for orthopedic and sports-related conditions where conservative, non-invasive options may be beneficial.

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ESWT may be considered to:

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✦ Support tendon and soft-tissue recovery
✦ Address chronic overuse or repetitive-strain conditions
✦ Encourage local circulation in targeted areas

✦ Complement regenerative or rehabilitative care

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Treatment decisions are individualized and based on clinical findings—not on a standardized protocol.

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Conditions Where ESWT May Be Considered

Depending on medical evaluation, ESWT may be discussed for conditions such as:

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✦ Plantar fasciitis
✦ Achilles tendinopathy
✦ Tennis elbow (lateral epicondylitis)
✦ Golfer’s elbow (medial epicondylitis)

✦ Shoulder tendinopathy

✦ Patellar tendinopathy

✦ Chronic soft-tissue irritation or strain

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Not all patients or conditions are appropriate for ESWT. Suitability is determined during consultation.

Who May Be a Good Candidate?

ESWT may be appropriate for patients who:

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✦ Have chronic musculoskeletal symptoms
✦ Prefer non-invasive supportive options
✦ Have not responded fully to rest or conservative care
✦ Are seeking supportive therapies before considering invasive options

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A medical evaluation is required to determine candidacy.

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​What to Expect

​​​✦ Sessions are typically brief and performed in-office
✦ Treatment frequency and number of sessions vary
✦ Mild discomfort during treatment may occur
✦ Post-treatment soreness is possible but usually temporary

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Your care team will review expectations, timelines, and any activity recommendations during consultation.

Our Philosophy on ESWT

At Hero Medical Center, ESWT is:

Evidence-informed, not trend-driven
Orthopedic-focused, not generalized wellness
​Adjunctive or conservative, not a guaranteed solution

We emphasize realistic expectations, appropriate use, and patient education as part of responsible care.

Conditions Where This Therapy May Be Considered

Knee Therapy Session
Patients interested in learning more about regenerative therapies may also benefit from attending one of our educational seminars.

Next Steps?

If you are experiencing persistent tendon or soft-tissue discomfort and want to explore non-invasive options, ESWT may be discussed as part of your evaluation.

Compliance Policy: 

Regenerative therapies are not appropriate for all conditions or all patients. A comprehensive medical evaluation is required to determine candidacy. Individual results vary. Some regenerative therapies discussed may not be FDA-approved but are permitted by the State of Florida when provided by a licensed physician in compliance with applicable regulations.

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Hero Medical Center

6899 A1A South St Augustine, FL 32080

Phone: 904-461-0165
Fax: 904-485-8686

© 2010-2026 Hero Medical Center. All rights reserved.

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