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Extracorporeal Shockwave Therapy ESWT.Effective non-surgical treatment.Physical therapy fo


Dr. Drew Collins, DC


As of September 2021, extracorporeal shock wave therapy has been approved by the U.S. Food and Drug Administration (FDA). Unfocused Extracorporeal Shock Wave Treatment (abbreviated as ECSW or ESWT) is a medical procedure that involves the use of shock waves, which are high-energy acoustic waves, to treat certain medical conditions. These shock waves are generated outside the body and then directed toward the targeted area within the body. The term "unfocused" refers to the fact that the shock waves are not tightly focused on a specific point. To counteract this, the utilization of ultrasound gel to help “focus” the waves being transmitted through the applicator to help penetrate the damaged tissue.

ESWT has been associated with anti-inflammatory effects, reducing inflammation and promoting a more favorable environment for healing. In conditions with calcific deposits, shock waves can break down and fragment these deposits, allowing the body to naturally reabsorb them. Fibroblasts, which are key cells involved in tissue healing, may be activated and produce extracellular matrix components that contribute to tissue repair. ESWT has been suggested to activate stem cells in the treated area, facilitating tissue repair and regeneration. ESWT may stimulate the growth of new blood vessels (neovascularization) in damaged or injured tissues. Improved blood supply can enhance the delivery of oxygen, nutrients, and immune cells, promoting tissue healing. Shock waves trigger cellular responses that lead to increased production of growth factors, cytokines, and other bioactive molecules. These substances play a role in tissue repair and regeneration. ESWT can disrupt pain signaling pathways and decrease the sensitivity of nerve fibers. This may lead to a reduction in pain perception and improved comfort.This therapy may influence the structure and alignment of collagen fibers within tendons, ligaments, and fascia. This remodeling process can contribute to tissue strength and improved mechanical properties.


Extracorporeal Shock Wave Therapy has demonstrated its  effectiveness in various musculoskeletal conditions that have come through our clinic along with a vast amount of other clinics as well. With clinical research supporting its positive outcomes. Studies have shown that ESWT can lead to pain reduction, improved function, and enhanced quality of life. While effectiveness may vary among individuals and conditions, ESWT offers a non-invasive or minimally invasive option that has the potential to provide meaningful relief and promote natural healing processes.

Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive medical procedure that has gained attention for its potential benefits in certain conditions. Its medical necessity is typically considered when other conservative treatments have been insufficient in providing relief or improving the patient's condition.Addressing certain conditions with ESWT at an early stage can potentially prevent the progression of the condition and avoid the need for more aggressive treatments or surgeries later on. It is believed to stimulate the body's natural healing and promote tissue regeneration processes. It can enhance blood circulation, stimulate the formation of new blood vessels, and promote tissue repair at the cellular level. ESWT offers a minimally invasive alternative to surgical procedures. For patients who are not suitable candidates for surgery or wish to avoid invasive interventions, ESWT can provide a viable, effective treatment option. 


ESWT can be cost-effective by reducing surgery needs, enhancing function, and improving quality of life, potentially outweighing treatment expenses. ESWT may have upfront costs associated with the treatment sessions, equipment, and medical care. However, if ESWT is effective in reducing pain and improving function, it could lead to long-term cost savings by potentially avoiding the need for more invasive procedures, surgeries, or ongoing medical interventions. Comparing the cost of ESWT to other treatment options is essential. In some cases, ESWT might be a more cost-effective choice compared to surgical procedures, which typically involve higher costs, longer recovery times, and associated risks.

The cost-effectiveness of ESWT can also be evaluated in terms of the improved quality of life and increased productivity that patients may experience if their symptoms are effectively managed. Reduced pain and improved function can lead to better work performance, increased activity levels, and a higher overall quality of life. If ESWT successfully addresses the underlying condition and provides lasting relief, it could potentially reduce the need for ongoing medical appointments, medications, and additional treatments, resulting in cost savings over time.

Drew Collins.jpg

Dr. Drew Collins, DC

While studying chiropractic at Northeast, Dr. Drew received the most up-to-date information on spinal health and promoting healthy living, and he provided ergonomic assessment and evaluations for Gould Factory employees in Seneca Falls, NY. Dr. Drew received the D.D. Palmer Award (named after the founder of chiropractic care) which was awarded to a student who participated in activities to educate the public on the benefits of chiropractic and activities that furthered the advancement of the chiropractic profession. In his free time, Dr. Drew enjoys playing sports like soccer and quad ball, along with video games, board games, and exploring local places (mainly restaurants). He currently lives in Rochester with his fiancè (Heidi), cats (JarJar Binks and Poe Dameron), and rabbit (Benjy).

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