Shockwave Therapy for Sports Injuries


By Jared Croskey June 22, 2026

Shockwave therapy has emerged as a revolutionary treatment for sports injuries, offering athletes a non-invasive solution to accelerate recovery and enhance performance. Whether you are a professional athlete or a weekend warrior in Cumming, GA, chronic pain and prolonged recovery times can hinder your performance and overall well-being. Empower Sports Chiropractic presents a promising solution by utilizing acoustic waves to stimulate healing processes in the body.

What Is Shockwave Therapy? (The Storz Duolith Advantage)

Shockwave therapy, specifically extracorporeal shockwave therapy (ESWT), involves the application of acoustic waves to the body to facilitate healing. At Empower Sports Chiropractic, we utilize the Storz Duolith—a Swiss-engineered system that represents the gold standard in this technology.

Unlike single-mode devices, the Storz Duolith offers both radial waves for broad tissue areas and focused waves for deep, precise treatment. This versatility allows us to treat a broader zone of tissue at a greater depth (up to 5.5 inches), stimulating a robust healing response while remaining well-tolerated by the patient.

Storz Duolith vs. Standard Shockwave Therapy

Feature Standard Single-Mode ESWT Storz Duolith (Dual-Mode)
Wave Type Radial only OR focused only Both radial + focused
Tissue Depth 1–3 inches Up to 5.5 inches
Treatment Area Fixed zone Adaptable — broad or pinpoint
Discomfort Level Moderate to High Generally Well-Tolerated
Best For Single presentation Versatile — chronic diffuse AND focal lesions
Used at Empower ✅ Yes

The Biology of Healing: Inside the Tissue

The biology behind it is straightforward: acoustic waves create "microtraumas" in the tissues. These microtraumas act as a biological signal that triggers the body's natural healing processes:

  • Increased Blood Flow: Neovascularization delivers oxygen and nutrients to chronically under-perfused tissue.
  • Collagen Production: Essential for repairing tendons and ligaments.
  • Stem Cell Activation: The mechanical stimulus triggers fibroblast activity and recruits the body's own stem cells for tissue remodeling.

Sports Injuries Treated in Cumming, GA

Shockwave therapy is most effective for chronic, load-related injuries. Because we use the Storz Duolith, we can often achieve results where traditional physical therapy or chiropractic care alone has plateaued.

Clinical Success Rates by Condition

Condition Clinical Success Rate Sessions Typically Needed Source
Plantar Fasciitis 70–80% significant improvement 3–5 [1]
Achilles Tendinopathy 60–75% improvement at 12 weeks 3–6 [2]
Calcific Shoulder Tendinopathy 70–91% calcification reduction 3–5 [3]
Tennis Elbow Clinically meaningful pain reduction 3–5 [4]
Patellar Tendinopathy Significant functional improvement 3–5 [5]

Clinical Observation from Dr. Croskey

In my experience at Empower, plantar fasciitis and Achilles tendinopathy tend to respond fastest—most patients report a meaningful reduction in morning pain and improved tolerance for loading activities within the first three sessions. Hip and hamstring tendinopathies typically take longer, especially in patients who have been compensating around the injury for months or years. The pattern I see most often: the tissue responds quickly, but the movement habits that caused the injury need equal attention.

What to Expect During Your Visit

A typical visit at Empower follows this sequence:

  • Evaluation: We identify the specific tissue causing the pain.
  • Preparation: A gel is applied to the area to facilitate wave transmission.
  • Treatment: The Storz Duolith handpiece is applied to the area for 15–30 minutes.
  • Protocol Note: Avoid NSAIDs (ibuprofen, naproxen, aspirin) for 48 hours before each session. These medications suppress the inflammatory response that shockwave therapy is designed to activate.

Return to Training: Rebuilding Resilience

Dr. Croskey's return-to-sport framework at Empower is designed to keep you active while you heal. Unlike surgery, shockwave therapy requires minimal downtime.

  • Immediate Post-Session: Most patients maintain light activity throughout the course of treatment.
  • First 24–48 Hours: Dr. Croskey typically modifies high-impact training (e.g., sprinting or heavy jumping) to allow the biological signaling to take effect.
  • Progressive Loading: Dr. Croskey adjusts intensity based on how each session lands, ensuring a safe and permanent recovery.

A Comprehensive Treatment Plan

Integrating chronic tendon pain treatment with chiropractic care ensures we address both the symptoms and the underlying causes. Your plan may include:

  • Chiropractic Adjustments: To improve joint mobility and alignment.
  • Active Release Technique (ART): For targeted muscle tightness.
  • Graston Technique: Using instrument-assisted soft-tissue work to break down scar tissue.

Ready to take the next step? Book your evaluation online with Empower Sports Chiropractic today.

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