Shockwave therapy has become a popular treatment for a range of musculoskeletal conditions, including plantar fasciitis, tennis elbow, tendinitis, and chronic pain. This non-invasive therapy uses high-energy sound waves to stimulate healing, reduce pain, and improve mobility. While it’s generally considered safe and effective, like any medical treatment, it can have side effects. Knowing what to expect and how to manage these effects can help patients feel more comfortable and confident during the recovery process.
Common Side Effects of Shockwave Therapy
Most patients experience minimal side effects, but some reactions are normal due to the body’s response to the therapy. Common side effects include:
Mild Pain or Discomfort During Treatment
Some discomfort is normal as the sound waves target injured tissues. Patients may feel a tingling, stinging, or tapping sensation during the session. The intensity varies depending on the area being treated and the severity of the condition.
Redness or Swelling
Temporary redness or mild swelling around the treatment area is common. This usually resolves within a few hours to a couple of days. The reaction is a sign that blood circulation has increased, which aids the healing process.
Bruising
Minor bruising may appear in sensitive areas. This is usually harmless and disappears on its own within a week or two. Patients with thinner skin or those prone to bruising may notice it more.
Numbness or Tingling
Some patients experience temporary numbness or tingling after treatment. This sensation typically fades within a few hours. It happens as the therapy affects nerve endings and stimulates tissue repair.
Stiffness or Soreness
Soreness in the treated area is common, similar to post-exercise muscle soreness. Gentle stretching and light activity can help relieve stiffness.
Rare Side Effects
Serious complications from shockwave therapy are rare but can include:
- Severe or persistent pain
- Nerve damage
- Tendon rupture (extremely uncommon)
- Infection (if the skin is broken, which is rare with non-invasive treatment)
If any severe or unusual symptoms occur, it’s important to contact your healthcare provider immediately.
How to Manage Side Effects
Most side effects are temporary and can be managed with simple strategies:
Rest and Recovery
After treatment, avoid strenuous activity for 24–48 hours to allow the treated tissues to heal. Light movement, such as walking or gentle stretching, can help prevent stiffness.
Cold Therapy
Applying ice packs to the treated area can reduce redness, swelling, and soreness. Use ice for 10–15 minutes at a time, several times a day, especially within the first 24 hours.
Pain Relief
Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort. Always follow dosage instructions and consult your healthcare provider if unsure.
Proper Hydration
Drinking plenty of water helps flush out metabolic waste from the treated area and can aid recovery.
Follow-Up Sessions
Stick to the therapy schedule prescribed by your physiotherapist. Skipping sessions or overusing the treated area too soon can delay healing and increase discomfort.
Communication with Your Therapist
Inform your therapist about any unusual or severe reactions. They can adjust the intensity or frequency of treatment to reduce side effects while ensuring effective therapy.
Who Should Avoid Shockwave Therapy
While generally safe, shockwave therapy isn’t suitable for everyone. People who should avoid it include:
- Individuals with bleeding disorders or on blood-thinning medication
- Pregnant women
- Patients with infections or open wounds in the treatment area
- People with tumors or cancer in the affected region
A thorough assessment by a licensed physiotherapist or healthcare provider is essential before starting shockwave therapy.
Conclusion
Shockwave therapy is a safe and effective way to treat chronic pain and injuries, but like any medical intervention, it comes with potential side effects. Most are mild and temporary, such as soreness, redness, or mild swelling. By understanding these side effects and following simple management strategies like rest, ice, and proper communication with your therapist, patients can maximize the benefits of treatment while minimizing discomfort.
If you’re dealing with persistent pain or injuries, consult a qualified physiotherapist to determine if shockwave therapy is the right option for you. Proper guidance ensures a safe, effective, and comfortable healing experience.
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