Applies controlled mechanical energy
The device, applicator, energy, and treatment field are selected for the intended target.
Our services
Shockwave therapy · Midtown Manhattan
Shockwave therapy, used with clinical precision.
Focused and radial shockwave for stubborn tendon, soft-tissue, and performance-limiting conditions—integrated into a complete rehabilitation plan.
A focused approach
More than a stand-alone treatment.
At CityIR, shockwave therapy is used when it fits the clinical picture—not as a generic add-on. We evaluate the movement, tissue, and loading problem first, then integrate focused or radial shockwave with hands-on care and rehabilitation when appropriate.
The principle
Shockwave stimulates a natural repair response in tissue. The larger goal is to address both the irritated structure and the reason it keeps being overloaded.
What it is
Acoustic energy, selected for a defined clinical target.
Shockwave therapy—also called extracorporeal shockwave therapy (ESWT)—uses controlled acoustic pressure waves applied to a selected treatment area. The treatment field and biological response vary by device, dose, tissue, and diagnosis.
In musculoskeletal care, it is most often discussed for selected persistent tendon, plantar-fascia, and calcific presentations after an appropriate examination.
The difference
A treatment input—not a complete recovery plan.
At CityIR, shockwave is paired with the rehabilitation work needed to restore strength, control, and tolerance. Response varies by diagnosis, device, tissue condition, loading plan, and individual factors.
The science
What the treatment is designed to do.
A handheld applicator delivers acoustic pressure waves into a selected treatment area. Focused and radial systems create different treatment fields, so the diagnosis and anatomical target should guide the choice.
May be selected for calcific targets
Evidence for calcific conditions is diagnosis- and device-specific; the examination determines whether that evidence applies.
Changes the local treatment environment
Proposed biological responses are one part of the rationale, but progress is judged by symptoms, function, and loading tolerance.
See it in action
Shockwave therapy in practice.
Watch how radial and focused ESWT are applied during a typical treatment session.
Scar & fibrosis care
Shockwave for post-surgical scar tissue.
This treatment video shows shockwave being applied to a healed surgical scar to support remodeling of restricted, superficial scar tissue.
For appropriate scars, acoustic pressure waves may help soften fibrotic tissue, improve pliability, reduce discomfort, and restore movement between the skin, fascia, and surrounding soft tissue. Treatment may be considered after cosmetic procedures and other surgeries once the incision is fully healed and the patient has been medically cleared.
Scar appearance—including redness or pigmentation—may improve as the tissue remodels, but results vary and an exact match to the surrounding skin cannot be guaranteed. Shockwave is applied to the healed scar and surrounding soft tissue; it is not a treatment for an internal organ.
Focused & radial
Two tools. One clinical goal.
We match the technology, depth, dosage, and protocol to the condition—not every patient to the same device.
Focused shockwave
Deeper, targeted energy
Precise delivery for deeper tendon, joint, bone, calcification, and select regenerative protocols.
Radial shockwave
Broader soft-tissue treatment
Useful for larger treatment zones, superficial tendon and muscle conditions, trigger points, and fascia.
Why CityIR
Technology guided by examination.
Designed for minimal interruption
Many patients return to routine daily activities after treatment, but soreness and activity guidance vary by diagnosis and response.
Integrated care
Shockwave is paired with the rehabilitation work needed for lasting change.
Experienced clinicians
Your provider selects and adjusts the protocol directly—there is no generic handoff.
Clinical follow-up
Progress is measured, not assumed.
We track pain, function, activity tolerance, and response to loading throughout care. Individual outcomes vary, and recommendations are adjusted to the diagnosis and your response.
What to expect
A short treatment. A structured plan.
Shockwave is performed in-office and does not require anesthesia or downtime for most patients.
Diagnosis & assessment
We determine whether shockwave is appropriate for your condition.
Treatment sessions
Typically 4–6 visits of 15–20 minutes. Mild discomfort is normal; anesthesia is not needed.
Individual activity guidance
Many patients resume routine activity promptly. Exercise timing is individualized, and temporary soreness can occur.
Progressive improvement
Timing and degree of response vary. Progress is reviewed rather than assumed from a preset timeline.
Conditions we treat
Where shockwave may fit.
Suitability depends on the diagnosis, tissue, and stage of healing. The evaluation determines the right approach.
Selected tendon conditions
- Achilles tendinopathy
- Tennis elbow
- Golfer’s elbow
- Patellar tendinopathy
- Bicipital tendinitis
Muscle & soft tissue
- Muscle strains
- Trigger points
- Myofascial pain
- IT band syndrome
- Hamstring injuries
- Quadriceps and calf strains
Persistent pain & calcification
- Frozen shoulder
- Plantar fasciitis
- Shin splints
- Calcific shoulder
- Chronic tendinosis
Joint & bursa conditions
- Hip bursitis
- Shoulder bursitis
- Knee bursitis
- Selected knee osteoarthritis cases
- Post-surgical scars & superficial fibrosis
Care planning
Evidence varies by diagnosis.
Treatment choices depend on the diagnosis, severity, health history, goals, and available evidence. Shockwave has stronger evidence for some tendon and plantar-fascia conditions than for tears, fractures, or arthritis, and it is not a substitute for an individual evaluation or a surgical consultation when one is indicated.
Investment
Clear costs before care begins.
Transparent pricing
Every cost is discussed before treatment. Coverage varies by plan and diagnosis; our team will explain your options before you commit.
Payment options
Monthly payment options may be available through Cherry, including promotional 0% APR when offered and approved.
FAQ
What patients ask before starting.
Is shockwave painful?
Most patients feel tapping or pressure. Intensity is adjustable and anesthesia is generally unnecessary.
How many sessions will I need?
Many protocols use 4–6 weekly sessions, adjusted to your diagnosis and response.
When will I notice results?
Some patients notice change within 1–3 sessions; tissue remodeling can continue for 6–12 weeks.
Are there side effects?
Temporary redness, swelling, tenderness, or soreness may occur for 24–48 hours.
Is it the same as ultrasound or TENS?
No. Shockwave uses acoustic pressure waves intended to stimulate a repair response.
Who should not receive shockwave therapy?
Shockwave is not appropriate for every person or treatment area. Pregnancy, active infection, tumors in the treatment area, certain bleeding or clotting concerns, and some medications or medical conditions require specific screening. Your clinician will review your history and the proposed treatment site before recommending care.
Right fit
Are you a candidate?
Shockwave may be appropriate when persistent musculoskeletal pain has not responded to more conservative care.
Symptoms lasting more than six weeks
Persistent heel, shoulder, elbow, knee, tendon, or soft-tissue pain.
Standard care has plateaued
Rest, medication, injections, or rehabilitation have not produced lasting relief.
You want a non-invasive option
The goal is to improve tissue capacity before considering surgery where appropriate.
Your health history has been screened
We review the diagnosis, treatment area, medications, and relevant precautions before recommending shockwave.
Keep exploring
Related shockwave resources.
Related CityIR guidance
Compare shockwave technologies before choosing a plan.
Midtown Manhattan
City Integrative Rehabilitation
420 Madison Ave #803
New York, NY 10017
Start here
Begin with the right evaluation.
We’ll determine whether focused shockwave, radial shockwave, rehabilitation—or another approach—best fits your condition.
Ready to start your recovery?
Book an appointment →