What to Expect From Shockwave (SoftWave) Therapy Sessions


By Dr. Jared Croskey July 2, 2026

Imagine a treatment that doesn't involve needles, surgery, or a long list of pharmaceutical side effects. It can "reboot" your body’s natural healing process for chronic pain. For the athletes and active families we serve in Cumming, that treatment is SoftWave therapy. At Empower Sports Chiropractic, we use the gold-standard Storz Duolith system. This provides a superior, hydroacoustic experience.

But despite its growing popularity in elite sports medicine, a fundamental question remains for most patients. How does SoftWave therapy work? What actually happens during a session?

As the Team Chiropractor for Georgia Tech Football, I understand that athletes don't have time for "wait and see" recovery. You need a targeted, intentional treatment. This bridges the gap between injury and peak performance..

Not All Shockwave is Created Equal: The SoftWave Difference

At Empower Sports Chiropractic, we believe that precision matters. That is why we specifically offer SoftWave therapy using the Storz Duolith. Unlike generic "piezoelectric" or radial shockwave devices, our technology is hydroacoustic.

This means it uses soundwaves traveling through water to create the wave. It does not use electricity. This distinction is key for our Cumming community:

  • Safer Application: Because it isn't electrical, there are no concerns for patients with pacemakers or defibrillators.
  • Consistency: It provides controlled energy delivery. It doesn't fluctuate. This ensures every "shock" is effective.
  • Targeted Depth: We use different "standoffs" to dial in the exact depth of your treatment. We can target superficial tissue, deep structures like the hip joint, or muscle-tendon junctions.

The Science of Healing: Mechanotransduction and Substance P

To understand the SoftWave therapy process, we have to look at how the body responds to acoustic energy. SoftWave works through a biological process called mechanotransduction. When the acoustic waves hit the injured tissue, they create a localized "microtrauma." This acts as a biological wake-up call.

The Biological Response:

  • Neovascularization: The soundwaves stimulate the growth of new capillaries. This brings fresh oxygen and nutrients to "stuck" chronic injuries.
  • Collagen Production: This process accelerates the synthesis of procollagen. It strengthens the structural integrity of tendons, ligaments, and fascia.
  • Neurological Impact: By delivering high-frequency pulses, the treatment "overloads" local nerve fibers. According to the Gate Control Theory of Pain, these inputs close the "gates" to pain signals. Furthermore, the treatment reduces the concentration of Substance P. This is the neurotransmitter responsible for relaying intense pain messages.

SoftWave Therapy vs. Traditional Interventions

When faced with chronic pain, many patients are presented with a limited menu: rest, cortisone, or surgery. Here is how advanced shockwave therapy in Cumming(SoftWave) compares:

1. SoftWave vs. Cortisone Injections

Cortisone is a "masking" agent. It can actually weaken tendons over time. SoftWave is regenerative. It rebuilds the tissue. It does not just hide the inflammation.

2. SoftWave vs. Surgery

Surgery involves downtime and scar tissue. SoftWave is performed in-office with zero downtime. Whether you are a youth athlete, a competitive runner, or an active parent, you can stay active throughout your treatment plan.

What Happens During a SoftWave Session at Empower

A typical session at our Cumming clinic lasts between 15 and 30 minutes. We don't just "turn it on and go." Every session is a targeted, intentional part of your Return-to-Play or Off-Season Rebuild program.

Step 1: Assessment and Mapping

We will palpate the area, then identify the source of the pain. Precision is the difference between a good result and a great one.

Step 2: Gel Application and The "Spot"

A coupling gel is applied. This ensures the soundwaves travel efficiently. As we move the applicator, we are looking for the exact spot that feels a little uncomfortable.

Note: SoftWave shouldn't feel like nothing. When the applicator hits inflamed or irritated tissue, you’ll usually feel a mild “that’s the spot” discomfort. You might feel a deep ache. This is a positive sign. It confirms we are treating the right tissue.

Step 3: Targeted Treatment

Using the Storz technology, we deliver high-energy acoustic waves to the source of the injury. The goal isn't to make it unbearable. It should stay very tolerable. It must be noticeable enough to signal the regenerative cells to the area.

Conditions We Treat in Cumming, GA

If you’ve been resting, stretching, and modifying your workouts without real progress, SoftWave is often the missing piece for:

  • Plantar Fasciitis: Chronic heel pain that stops you from being active.
  • Chronic Tendon Pain: Achilles, patellar (Jumper's Knee), elbow issues, and hamstring attachments.
  • Shoulder & Rotator Cuff: Dissolving calcified fibroblasts that cause sharp, overhead pain.
  • Shin Splints: A common hurdle for local runners training at Fowler Park.

Frequently Asked Questions

  • Is SoftWave therapy painful?

    It should feel like a "productive" ache. If it feels like nothing, we aren't on the target. We stay within your tolerance. We ensure we hit the spot.

  • Is it covered by insurance?

    We operate on a cash-based, direct-pay model. This ensures we can provide the highest level of care without insurance restrictions. However, we proudly accept HSA and FSA payments. SoftWave is a qualified medical expense.

  • How many sessions will I need?

    Most chronic conditions require 3 to 6 sessions for long-term resolution. Clinical research supports this regenerative timeline.

Move Well. Be Strong. Live Long.

At Empower Sports Chiropractic, we don't just want to mask your pain. We want to change the environment of your injured tissue. This helps you stay in the game. Whether you're an "industrial athlete" working in Cumming or a competitive student-athlete, SoftWave therapy is the missing piece of your performance puzzle.

Ready to stop managing pain and start resolving it? Visit Empower Sports Chiropractic on Google to see our location and book your 45-minute evaluation today.

 Get Back in the Game, Pain-Free

Recover faster and move better with expert sports chiropractic care.


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