Treatment · Energy-based
Focused acoustic energy that stimulates blood flow and tissue remodeling in stubborn tendons and joints — no needle, no downtime, no surgery.
Extracorporeal shock wave therapy (ESWT) delivers high-energy focused acoustic pulses into injured tissue from outside the body. Those pulses create a controlled microtrauma that stimulates natural healing through five mechanisms: enhanced blood flow and new vessel formation, increased collagen production, pain reduction (the shockwaves block pain signals to the brain for immediate relief), breakdown of calcified tissue, and tissue regeneration. RegenCore also offers a SoftWave version.
It’s entirely non-invasive — no injection, no anesthesia, no recovery time. Sessions take minutes and are typically delivered in a short series. For chronic tendinopathies, shockwave can succeed where rest and physical therapy alone have stalled, and it pairs powerfully with orthobiologic treatment.
Non-invasive · no downtime
For chronic tendon pain that won’t resolve, shockwave can reopen the body’s repair pathway — often the missing piece in a recovery.
How it works
From evaluation to recovery, here’s the path.
Step 1
We confirm the source of your pain with exam and diagnostic ultrasound to target the right tissue.
Step 2
A handpiece delivers focused acoustic pulses to the injury — most patients feel a tolerable tapping sensation.
Step 3
Sessions are spaced over a few weeks to build a cumulative healing response.
Step 4
A simple activity and loading plan supports the tendon remodeling between sessions.
Conditions shockwave commonly helps
Best results often come from combining shockwave with orthobiologic treatment — we’ll advise what fits your case.
Most patients describe a strong tapping or pulsing sensation that’s well tolerated. Intensity is adjusted to your comfort, and no anesthesia is needed.
Most conditions respond to a short series of three to five sessions over a few weeks, depending on the tissue and chronicity.
None. You can return to normal activity immediately, with simple guidance on loading the tissue as it heals.
Yes — combining shockwave with orthobiologic treatment is one of the most effective strategies for chronic tendon problems, and we sequence them deliberately.
Concierge evaluations in San Francisco and Palo Alto.
