Shockwave Tissue Regeneration Therapy Podcast podcast

What Practitioners Should Know Before Adding Shockwave Therapy

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“I couldn't really buy into it as a provider and as a patient. I'd had some really bad experiences.”


Dr. Jonathan Smith had been watching shockwave therapy for years. But his own experiences with it gave him a good reason to stay away.


During one course of treatment for his lower back, Jonathan says increasing the intensity caused significant pain during and after treatment. He eventually needed localized SI joint injections so he could walk normally. Later, he tried another shockwave treatment on his elbow and said his arm throbbed for the rest of the weekend.


As a patient, he didn’t want to go through that again.


As a chiropractor, he certainly didn’t want to introduce that experience to his patients.


So what made him reconsider?


In this episode of the Shockwave Tissue Regeneration Therapy Podcast, Jonathan joins Thomas Helfrich to talk about what went wrong, why he eventually added shockwave therapy to his clinic, and what he has learned since.


In this episode, you’ll learn:


  • Why Jonathan’s first experiences with shockwave therapy made him hesitant to bring it into his practice.

  • Why he questions the idea that more intensity or more pain automatically means a better treatment.

  • How differences between radial, focused, and broad-focused technologies influenced the way he began looking at shockwave.

  • Why Jonathan believes treatment should be adapted to the individual patient rather than blindly following intensity-based protocols.

  • What practitioners should consider when evaluating a device, including patient experience, clinical results, evidence, community, and the needs of their practice.


Jonathan eventually brought shockwave into his clinic after a nationally ranked triathlete asked for access to the treatment. Five weeks into using the technology, he was still learning, testing his approach, and evaluating where it fit. His early conclusion was deliberately qualified:


“Shockwave so far seems to be a winner in the clinic if done right.”


That “if done right” is the important part.


Jonathan’s experience is a reminder that the name on the technology is only the beginning. How it’s selected, how it’s used, and how well the practitioner listens to the person on the table can shape the entire experience.

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