The good news is that a new study says focused shockwave therapy can help you. You can feel real relief with this way. It does not need injections or medicine. You will not get side effects with it.
What Is Sialorrhea, and Why Does It Happen in Parkinson’s?
Sialorrhea does not happen from having too much spit. People with Parkinson’s disease may have less spit than others. The problem is in the way their mouth and throat muscles move. These muscles move slow, and this is called oropharyngeal bradykinesia. When the muscles do not work fast, it is hard to swallow. So, spit stays in the mouth and can come out which leads to drooling.
This can happen during the day, at night, or sometimes at both times. Many people feel embarrassed in social places because of it. The skin on the mouth and chin can get sore. It may be hard for them to speak clearly. There is a higher chance for saliva to go into the lungs. All of these things can lower their quality of life.
Current Treatment Options: Botox and Beyond
The most common way to treat sialorrhea in Parkinson’s is to get botulinum toxin shots in the salivary glands. Botox makes the nerves stop telling the body to start saliva production. Studies say this works well.
But Botox shots can only do so much. A person needs someone who the knows how to do it, and ultrasound be used to guide the shot. Sometimes, swallowing may feel hard for a little while after the treatment. This happens more in people who have late-stage Parkinson’s. The effect does not last, so you have to get these shots again every few months. Some people feel upset or uneasy when they get the treatment too.
Other options are medicines called anticholinergics. These can give you side effects like dry mouth, confusion, or constipation. In some very bad cases, the person may need surgery. Speech therapy and exercises for swallowing can help, but by themselves they may not be enough.
The Breakthrough: Focused Shockwave Therapy for Sialorrhea
A new pilot study came out in Frontiers in Neurology in January 2026. Dr. Paolo Manganotti and his team from the University of Trieste worked on it. The study is about a new way to help people by using low-energy focused extracorporeal shockwave therapy (ESWT) on the salivary glands.
Twelve people who had advanced Parkinson’s disease or atypical parkinsonism had trouble with drooling. They had two sessions of focused shockwave therapy every week. The therapy was given on both sides to all four major salivary glands. This means it was used on both parotid glands and both submandibular glands. Ultrasound was used to help make sure the therapy was done in the right way.
The results showed that patients had significant improvement in drooling just one week after treatment. This good change lasted from 4 to 8 weeks, based on what was looked at. About 75% of patients said they felt better. More than 83% of doctors also saw significant improvement in their patients.
The best part is that there were no adverse effects in this treatment. People did not feel pain. Swallowing was easy, and they did not get dry mouth when they ate. This treatment did not stop the normal salivation you need for eating and digestion.
Why Focused Shockwave Therapy Is Different
Unlike Botox, which works by stopping the nerves from making more saliva, focused shockwave therapy is not the same. This treatment sends low-energy sound waves into the body for neuromodulation. These waves may make the glands slow down how much acetylcholine they make for a short time. This is like how anticholinergic medicines act. The therapy also helps the body make more nitric oxide where it is used. It gets blood to flow better to the area and helps bring down swelling.
This means that the therapy can help bring down excessive saliva, but it does not stop the glands completely. You will still get the saliva you need for eating, talking, and keeping your mouth healthy.
A Complement to Your Neurologist’s Care
It’s good to know that focused shockwave therapy for sialorrhea will not replace your neurologist or your Parkinson’s treatments. The best way to use it is as a complementary therapy. You should add it to the care you already get.
Many people get Botox shots every three to four months. When the Botox starts to wear off, using focused shockwave therapy can help keep the pain away between visits. This can give you more relief while you wait for your next shot.
If you cannot use Botox, there is another option. If you have trouble swallowing after Botox shots, or you want to stay away from needles, shockwave therapy could be right for you. It is safe and most people feel good during it.
Along with speech therapy and changes to your medication, shockwave therapy can give you more help with your symptoms. When you do swallowing exercises and your neurologist changes your medicines, adding shockwave therapy can make things better for you.
At City Integrative Rehabilitation, we work with your neurologist and your other doctors. We want your care plan to be well-organized and cover all you need. Our goal is to help with your full care process, not just work on our own.
What to Expect During Treatment at City Integrative Rehabilitation
At our clinics in NYC and Long Island, focused shockwave therapy for sialorrhea is fast and does not hurt. You come in, and we do the treatment right at the office. A doctor uses ultrasound to make sure it targets your salivary glands. Each of the four major salivary glands get 750 low-energy pulses. The session takes about 15 to 20 minutes. You do not need anesthesia. There is no time off needed. You can return to your usual activities right away. A second session is often done a week after the first.
Most people feel good in the first week. You can get the best results after about four weeks from the treatment.
Why Choose City Integrative Rehabilitation?
At CityIR, we don’t just try to deal with pain—we work hard to make sure it goes away. The team has many years of practice in this area. We use the latest tools and focused shockwave therapy. These help with problems that other clinics might not see.
We know that Parkinson’s disease brings many challenges for people and their families. We want to help with treatments that are based on the latest research. These treatments are not invasive, and we make sure they feel comfortable for you. Our team also works with your medical team, so you get care that fits with what you have now. You can visit us at our offices in NYC and Long Island. They are easy to get to for most people.
The Future of Sialorrhea Treatment in Parkinson’s Disease
There are now more treatment options for people with Parkinson’s disease who have drooling. Most doctors still use the injection of botulinum toxin. But now, focused extracorporeal shock wave therapy is a new choice. This way is not invasive, so it may feel easier for many. A lot of people who try it say they like it.
As more people in the world get older and more get Parkinson’s disease, many will need good and easy ways to deal with sialorrhea. That is why it will be important to keep looking for and using better treatment options, like shock wave therapy and botulinum toxin injections.
Current research aims to do bigger trials. This will help to get clear proof about how well treatments for neurological disorders work. Researchers want to find out which treatment plans are the best and how often people should have these treatments. There is also interest in seeing if shockwave therapy can work better with regular treatments.
The World Health Organization says that neurological disorders, such as Parkinson’s disease, affect hundreds of millions of people around the world. This shows there is a real need to look for new ways to help people with these problems, including the use of focused ESWT.
At City Integrative Rehabilitation, we work to stay ahead. We bring in new, proven treatments all the time. Our team uses the best technology and cares about every patient. Because of this, each person who comes to us gets some of the best treatment options now available.
Take the Next Step
If sialorrhea is hurting your quality of life, or the life of someone close to you, you do not have to put up with it. Focused shockwave therapy is safe, and it works. You do not need surgery for this, and it can really help.
Get in touch with City Integrative Rehabilitation today to book a time to talk. Find out if focused shockwave therapy is the right option for you.
Understanding the Science Behind Sialorrhea
To understand why focused shockwave therapy helps, you need to know how salivary flow works in the body. The major salivary glands, like the parotid gland and the submandibular glands, make about 1 to 1.5 liters of saliva in a day. The salivary glands are managed by parasympathetic innervation. The control goes through some neural paths, which include the otic ganglion. These signals help with salivary secretion and salivary production. They keep everything working in the way it should.
In Parkinson’s disease and other neurological disorders, the flow of saliva is not always high. A lot of the time, it is lower. But people may still get excessive drooling. This is because their swallowing and the way muscles move in the oral cavity is not working right. Saliva starts to build up in the mouth. So, it looks like there is too much saliva, but it happens because people cannot handle it well. The best way to help is to focus on managing the saliva, not just stopping the body from making it.
This is why the treatment of sialorrhea needs care. If you make the salivary flow drop too much, you can get dry mouth. This can give you dental problems. It can even lead to aspiration pneumonia. Aspiration pneumonia happens when saliva or bits of food go into your airways. Focused shockwave therapy is a softer way to help. It changes how the glands work but does not stop salivary production all the way.
Who Can Benefit from Shockwave Therapy for Drooling?
At first, the work focused on Parkinson’s disease. But drooling, also called sialorrhea, is seen in many brain and nerve problems. People with amyotrophic lateral sclerosis, cerebral palsy, strokes, or other nerve issues may get help from this potential treatment.
Right now, one of the most used ways to deal with this problem is to get botulinum toxin A shots. You might hear people call this botulinum toxin treatment, botulinum toxin therapy, or botulinum toxin injections. When you get the botulinum toxin in your salivary glands, it often works well for many people. But this way is not for everyone. Some people feel unwell after the injections, or they may have health problems that make this choice not safe for them. A new systematic review of the different options has found that shockwave therapy could be a good thing to try too. This way does not use needles and is a new option to think about along with other treatments.
Drooling Treatment for Parkinson’s Disease: A Complete Guide
Managing drooling in Parkinson’s disease needs a plan that covers the whole problem. The plan should involve several health teams working together. Drooling, also known as sialorrhea, is more than just a discomfort. It can make it tough to talk to others. If not treated, there is a risk of getting aspiration pneumonia. Sialorrhea can lead to big health issues for people, not only small ones.
A new systematic review published on PubMed says that more than half of people who have Parkinson’s deal with drooling. This problem gets worse with time as the disease moves on. But, many people do not get help for drooling. A lot feel that nothing will work for this, or feel that doctors pay more attention to movement problems.
Why Traditional Drooling Treatments Fall Short
Traditional ways to treat sialorrhea usually mean you take medicine, like glycopyrrolate or use scopolamine patches. These drugs help lower salivary secretion. But there are many side effects. You can find it hard to think, not be able to pee, feel constipated, or have blurry vision. These side effects make things tough for older folks, mainly those with Parkinson’s disease.
Surgery, like blocking the salivary duct or removing the gland, is for very bad cases only. These surgeries have their own risks. A study on doi.org says that doctors do not suggest these treatments much. This happens because the surgery cannot be undone. It may cause problems later. This is even tougher for people who are already weak or not feeling well.
How Sialorrhea Differs from Hypersalivation
It’s important to know that there is a difference between making too much saliva and sialorrhea, where the mouth cannot clear saliva well. In people who have Parkinson’s disease, the problem is usually not making too much saliva. The reason is that their oral cavity can’t clear it well. The salivary glands like the parotid gland and submandibular glands still make a normal amount of saliva, or sometimes even less. The real trouble comes with the flow of saliva. A weak swallowing reflex makes saliva stay and build up in the mouth.
This means the best treatments do not stop salivary production. They just make it better. Shockwave therapy can help with this. A study from the University of Trieste found good results. You can read more about it in their clinical investigation published in Frontiers in Neurology.
Sialorrhea Treatment Options Compared: Shockwave Therapy vs. Botox vs. Medication
Botulinum Toxin Injections for Sialorrhea
Botulinum toxin injections are still the top choice for people with moderate to bad sialorrhea. Botulinum toxin A, also called Xeomin/IncoBoNT/A, is easy to use and works well. It stops acetylcholine from being sent where nerves and glands meet. Because of this, it lowers salivary secretion from the glands. What we know from ClinicalTrials.gov shows that botulinum toxin treatment can really help with drooling. One shot of botulinum toxin can make drooling go down by 30 to 50% for about three to four months.
But, botulinum toxin therapy does come with some problems. A doctor needs to give these shots using an ultrasound. This can help bring down the chance of some short-term problems with swallowing. Around 5-15% of people who get botulinum toxin therapy feel this side effect. If there is a person with advanced Parkinson’s disease who already finds it hard to swallow, this can be a big issue for them.
Shockwave Therapy for Sialorrhea: The Emerging Alternative
Focused low-energy extracorporeal shockwave therapy is a new way to treat sialorrhea. It is not the same as botulinum toxin injections. Instead, this therapy uses sound waves. A device sends acoustic energy to the parotid gland and submandibular glands on both sides of the face. The effect is like blocking nerves, but there are no chemicals used. Each gland gets 750 gentle shocks. The shocks happen 5 times every second.
The main benefits of shockwave therapy compared to botulinum toxin treatment are easy to see. There is no risk if you have trouble swallowing. You do not need to get any needles or shots. You do not need any anesthesia. Salivary flow stays normal while you eat. You also get to have this treatment again whenever you want. There are no extra risks in each session.
Anticholinergic Medications for Drooling
Systemic anticholinergic medicines have been used for a long time to help people who have neurological disorders and problems with drooling. But you can read in the full review on PubMed’s medical literature database that the adverse effects of these medicines make them not a good option for most people who have Parkinson’s for the long run. These common adverse effects can be dry mouth, which can make the mouth feel worse, confusion, having trouble passing urine, and more falls.
Speech and Swallowing Therapy
Behavioral interventions are important for people with sialorrhea. Some of these include speech-language training and swallowing exercises. These help a person practice the act of swallowing and can make the muscles in the oral cavity stronger. They do not always stop drooling forever. But, they are good to use with other treatments like shockwave therapy or botulinum toxin therapy. When you use several treatments together, you may get better results. Botulinum toxin is used often for sialorrhea, and it can help many people, especially when you add these exercises.
Shockwave Therapy for Sialorrhea: How the Treatment Protocol Works
Pre-Treatment Assessment
Before patients at City Integrative Rehabilitation start focused shockwave therapy for sialorrhea, they get a full checkup first. The doctors use tested clinical scales to see how bad the drooling is. They look at the person’s medicines to see how they affect salivary production. The team also checks how well the patient can swallow. This gives a starting point for treatment. They work with the patient’s neurologist, so the shockwave therapy plan fits with all care for Parkinson’s disease.
The Shockwave Therapy Session
Each treatment follows a planned method taken from the Manganotti et al. clinical study. A doctor uses a special tool called an electromagnetic coil lithotripter with an ultrasound. This tool sends sound waves right into each of the four main salivary glands. The doctor gives 750 waves to every gland. The energy level used is from 0.1 to 0.3 mJ/mm². The speed is set to 5 waves every second. Both sides of the mouth get the same care, so the right and left parotid gland, and the right and left submandibular glands, all receive equal treatment.
Post-Treatment Follow-Up and Monitoring
After the first two treatment sessions, with one session each week, patients are checked at different times. Clinical assessments are done at week 1, week 4, week 8, and week 12 after the treatment. This plan helps doctors look for change in patients. They use tools like the severity scale, called the Drooling Frequency and Severity Scale (DSFS). They also use the Sialorrhea Clinical Scale for Parkinson’s disease (SCS-PD).
Who Should Consider Shockwave Therapy for Drooling?
Parkinson’s Disease Patients with Sialorrhea
The main group of people for focused shockwave therapy are those with Parkinson’s disease who have bad drooling problems. You can use the treatment at any stage of this disease. But, most studies look at people who have more trouble from their symptoms. If you did not get better with other simple ways, or you want something less hard on the body than botulinum toxin injections, this treatment could work well for you.
Patients with Atypical Parkinsonian Syndromes
The Manganotti et al. study focused on people who have atypical parkinsonism, such as progressive supranuclear palsy (PSP) and multiple system atrophy (MSA). These health problems can come with serious sialorrhea, and it is often harder to treat than in regular Parkinson’s disease. Since shockwave therapy does not need surgery or any cuts, it is a great choice for these weak patients with atypical parkinsonism.
Patients with Amyotrophic Lateral Sclerosis and Cerebral Palsy
There is a lot of talk about parkinsonian conditions, but sialorrhea is also a big problem for people with amyotrophic lateral sclerosis and cerebral palsy. In both of these, there is weak control of the mouth muscles. This means the person can have trouble with spit. Saliva can build up and leak out, leading to drooling. Research shared at doi.org shows that over half of people with ALS get sialorrhea. Because of this, shockwave therapy could be a good thing to study more in the next years.
Patients Who Cannot Tolerate Botulinum Toxin
Some people are not able to get botulinum toxin injections. This can be because of health reasons that do not let them, or since they had side effects before, like trouble swallowing. Some people feel scared of needles. A few others may have a hard time understanding or focusing, so they cannot do what is needed when getting the shot. For these people, focused shockwave therapy is a good choice. You do not need any needles for this, and you do not need to be put to sleep. The patient only has to sit still for about 15 to 20 minutes.
Shockwave Therapy Sialorrhea Parkinson’s: What the Research Shows
Key Findings from the Manganotti et al. Pilot Study
The well-known 2026 study by Dr. Paolo Manganotti and the team at the University of Trieste was shared in Frontiers in Neurology. The study looked at several important points. At the primary endpoint, which used the Drooling Frequency and Severity Scale, the patients had a statistically significant improvement at one week and again at four weeks after the treatment (p < 0.001). The Sialorrhea Clinical Scale for PD showed that there was also a steady improvement, and this lasted up to eight weeks. The Drooling Impact Score went down a lot from the start to week four (p = 0.005). There were no reports of adverse events like pain or trouble with swallowing for any patient during the study.
In short, the results showed a good amount of significant improvement, and there were no adverse events in the patients.
How Shockwave Therapy Compares to Botox in Clinical Studies
There have not been any direct studies so far to show the difference between shockwave therapy and botulinum toxin treatment for sialorrhea. Early research shows these two treatments work in different ways. Botulinum toxin therapy usually lowers salivary flow much more. But, it can also cause the body to make less saliva than needed, and this can lead to trouble swallowing. Shockwave therapy seems to help the glands work in a gentle and steady way. It does not stop the body from making its normal amount of saliva.
A systematic review studied shockwave therapy and botulinum toxin. Both are used to help with spasticity, which is a problem that affects nerves. The review found that ESWT worked the same as botulinum toxin in many ways, based on studies from PubMed. This shows that shockwave therapy can be an extra choice, or it can replace some other treatments, for sialorrhea.
Ongoing Research and Future Directions
Larger studies with random groups of people are being planned now to check the results from Manganotti. The goal here is to find the best way to use this treatment. Researchers want to know the right energy levels, the number of impulses to give, and how often people need the treatment. Some new studies may be listed on ClinicalTrials.gov. The research will compare shockwave therapy with botulinum toxin injections. The studies will also look at how safe and how good these treatments are after 6 to 12 months. They will also check if this therapy can help with other neurological disorders that cause sialorrhea.
Living with Sialorrhea: Practical Tips for Parkinson’s Patients
Daily Management Strategies
When you get treatment for sialorrhea, there are a few things you can do every day to help with the symptoms. Try to keep your head up as much as you can. This will help you swallow more often. A speech therapist may give you some swallowing exercises, so practice those when you get time. It may help to have a small towel or an absorbent cloth with you, especially when you are with other people. This can make you feel more confident. Make sure to drink enough water during the day, even if it feels strange. Not drinking enough water can make your mouth feel dry and can actually make things worse.
You should also talk to your neurologist about when you take your Parkinson’s medicine to make sure it is working as well as possible. Drooling can get worse during “off” times, which is when your medicine is not working as well as you need it to be.
The Importance of a Coordinated Care Team
To take care of sialorrhea in Parkinson’s disease, you need a few experts on your team. A neurologist will look after your Parkinson’s care and pick the right medicine for you. A rehabilitation specialist should be part of your care to help with shockwave therapy and other simple ways to manage sialorrhea. A speech-language pathologist can show you exercises for swallowing and teach ways to have better control. A dentist is also important to check your mouth health because sialorrhea and its treatments can affect it.
Working with this team is important in the management of sialorrhea in Parkinson’s disease.
At City Integrative Rehabilitation, we want everyone who helps with your care to stay in touch. We talk with your neurologist and other doctors. This makes sure your care fits together and covers everything you need.
Drooling Treatment Parkinson’s Disease: Why Act Now?
Many people with Parkinson’s disease do not get help for sialorrhea right away. They might feel it is just a small thing, or they may think nothing can help. But it is good to start treatment early. Treating sialorrhea at the beginning keeps other problems away, like sores on the skin, infections in the mouth, and aspiration pneumonia. When drooling gets better, speech also improves. People feel more sure about themselves, and their quality of life goes up. If people start treatment early, it is easier for the doctor to see how their condition changes over time. There are simple ways to treat this, like shockwave therapy, and these work best if people start before symptoms get too strong.
Do not let drooling become a big issue. Get in touch with City Integrative Rehabilitation now. Talk to us and find out if focused shockwave therapy is right for you or your family.
Frequently Asked Questions About Shockwave Therapy for Sialorrhea
Shockwave therapy is not painful. It uses low-energy sound waves to treat the area. This type of treatment does not cause pain and you will not need anesthesia. Most people say they feel good during and after shockwave therapy. They do not feel any discomfort.
You will start to see results in about one week. The effects can last for 4 to 8 weeks. You can go back for another treatment when you feel you need it to keep the benefits.
You can still take your Parkinson’s medicines when you have this treatment. Focused shockwave therapy will not stop any medicines or other treatments your doctor gives you for Parkinson’s.
Shockwave therapy devices have FDA clearance for different medical uses. Using them for sialorrhea is new. There is some clinical proof that shows it can help, but bigger studies are still happening now.
Do I need a referral from my neurologist?
You do not always need a referral. But it can be good to talk with your neurologist about this treatment. At City Integrative Rehabilitation, we work with your medical team to make sure you get the best care.
Extracorporeal Shock Wave Therapy: Understanding the Science
Extracorporeal shock wave therapy (ESWT) is a way that doctors use to treat muscle and joint problems. They have used it for many years. This noninvasive neuromodulatory technique sends short and focused sound waves into different parts of the body. The waves help start changes in the tissue.
When doctors use shock wave therapy for the salivary glands—such as the parotid, submandibular, and sublingual glands—the shock waves make the glands work like they got anticholinergic medicine. This happens in a way that the glands lower the production of saliva if there is too much. But, these glands still keep making enough spit that helps with eating and talking.
How This Noninvasive Treatment Approach Works at the Cellular Level
This noninvasive treatment approach helps in several ways. The special sound waves can change how acetylcholine is released where nerves and the salivary glands meet. This can slow down the nerves that make saliva. The treatment also uses mechanical energy, which can help the body make more nitric oxide. This helps the blood flow better and can lower swelling.
Research on Google Scholar shows that more and more people want to know about using ESWT for neurological diseases. This method is also showing that it can be an effective therapy for other problems, not just muscle and bone issues.
Clinical Evidence: The Pilot Observational Study
The pilot observational study by Manganotti et al. (2026) looked at twelve people. They had significant sialorrhea caused by advanced Parkinson’s disease or atypical parkinsonism. This case series gave two weekly sessions of bilateral focal ESWT to all four major salivary glands in each person.
The results were checked by using different rating scales. Some of these were the Nocturnal Hypersalivation Rating Scale and the Patient Global Impression of Change.
Key Outcomes and Significant Reduction in Drooling
The results showed a significant reduction in how bad drooling was for all the outcomes that were checked. The preliminary findings showed that 75% of people said they felt better. Over 83% of cases showed that doctors also saw improvement. These improvements could be seen as soon as one week after the treatment. People felt the most benefit at four weeks. The study’s preliminary findings say that focused ESWT may be a good potential alternative to medicine for managing chronic sialorrhea in people with Parkinson’s.
Comparing Botulinum Toxin Injection to Shockwave Therapy
The best way to treat sialorrhea is to give an injection of botulinum toxin into the salivary glands. Doctors often use incobotulinum toxin A, sold as Xeomin, for this. A doctor will choose the right dose of botulinum toxin for each person. They look at many things before picking the amount. The botulinum neurotoxin injections are good, but there needs to be someone with the right training to do it. A doctor should use an ultrasound to help with the injection of botulinum toxin. There is a chance of having problems with swallowing after the shot, especially for people with a serious problem in the brain or nerves.
Focused ESWT gives people another option to treat their problem. This method gets around many limits of other ways. A person should get adequate operator training to use ultrasound in this treatment. There is no needle or chemical put in the body. This makes it a good way for people who had bad adverse effects from botulinum toxin. It is also good for those who want something not invasive at all. In the future, plans for a randomized clinical trial will help us know how well this option works compared to others.
Expanding Applications: Brain Injury and Other Neurological Conditions
While the Manganotti study looked at Parkinson’s disease, sialorrhea can be a big problem for people with a brain injury, stroke, or other nerve issues. These kinds of nerve problems change how to move the mouth and throat. Right now, there are not many good treatment options for people with brain injury who deal with this problem. Focused ESWT has helped people with Parkinson’s. This makes us wonder if a noninvasive neuromodulatory technique could work for those who drool after a brain injury. Researchers are checking to see if it can give better treatment options. There are not enough good choices for these patients at this time.
There is now more proof being shared on places like Google Scholar and PubMed. This makes it clear that we need bigger and better studies with control groups. A good way to do this is with a randomized clinical trial. A study that looks at focused ESWT and checks it against the usual injection of botulinum toxin can show for sure which treatment works better. A clinical trial like this would help us make plans for treatment going forward. Right now, we just have case series and some pilot observational study results. These studies give us hope. They tell us that this may be an effective therapy and could help people feel better.
Ready to Explore Shockwave Therapy for Sialorrhea?
At City Integrative Rehabilitation, we offer focused shockwave therapy for sialorrhea at our Manhattan office. You can find us at 420 Madison Avenue, Suite 803. Our team has used ESWT for more than ten years. We also talk with your neurologist to help give you the best care. You can call us at (646) 256-9513 to set up a visit or ask us any questions. You can also book your visit online at city-ir.com/book-an-appointment?utm_source=scalenut” href=”https://app.scalenut.com/city-ir.com/book-an-appointment?utm_source=scalenut” target=”_blank” rel=”noopener noreferrer”>city-ir.com/book-an-appointment. We are here to help you feel better.
Disclaimer: This blog post gives you information only. It is not medical advice. The shockwave therapy study shared here (Manganotti et al., 2026, Frontiers in Neurology) is a pilot study. Bigger clinical trials are still going on. Please talk to your neurologist or healthcare provider before you try any new treatment.
References:
Manganotti P, Rangan S, Catalan M, Sartori A. Effects of focal low energy extracorporeal shock wave treatment on lessening of sialorrhea in people who have Parkinson’s disease. Front. Neurol. 16:1740286 (2026). doi: 10.3389/fneur.2025.1740286