Shockwave therapy has become a popular non-invasive treatment for chronic pain and soft tissue injuries. But if you’ve never tried it before, you might be wondering: Does it hurt? Could it cause damage? Are there any risks involved? This article breaks down the full treatment process, the truth about pain and side effects, and how to make sure you’re using it safely and effectively.
A typical shockwave session is usually performed by a trained doctor or physical therapist. Here’s what it looks like:
Identifying the Pain Area
The therapist will assess your pain point through a physical exam or imaging.
Applying Gel
A special gel is applied to the skin to help sound waves travel more efficiently.
Setting Up the Device
The therapist sets the energy level (usually starting low)
Pulse frequency is adjusted depending on your condition (commonly 1–15Hz)
Treatment Begins
The applicator is moved slowly over the skin
Each treatment area takes around 5–10 minutes
After the Session
Mild redness, soreness, or swelling may occur
These usually fade within 24 hours
Treatments are often done 1–2 times a week, with 3–6 sessions for a full course
Yes, some people do feel discomfort during the session — it depends on:
The severity of the condition
The depth of the tissue being treated
The type of device (Focused shockwaves usually feel stronger than radial ones)
But don't worry: The pain is usually manageable, and the therapist can adjust the energy level based on your tolerance. Most patients describe it as a deep tapping or tingling sensation, not unbearable.
Shockwave therapy is non-invasive, and when done correctly, it does not cause permanent damage to healthy tissues.
Possible temporary side effects include:
Slight redness
Mild bruising
Soreness at the treatment site
These are usually short-term and harmless. Damage only becomes a concern if the energy is too high, the treatment is done too often, or used improperly.
There’s no strong evidence showing that properly done shockwave therapy causes nerve damage.
However, therapists will avoid areas with large nerves, such as the spine or sciatic nerve.
If you have diabetes or any nerve-related conditions, you should only get shockwave therapy under professional supervision.
Shockwave isn’t for everyone. It’s not recommended if you:
Are on blood thinners or have bleeding disorders
Have a pacemaker or other implanted devices
Are pregnant (especially in the pelvic or abdominal areas)
Have active tumors or infections in the treatment area
Recently had a bone fracture or have severe osteoporosis
To avoid risks and get the best results, follow these safety tips:
Always get a professional assessment before starting
Use certified devices and trained therapists
Adjust the energy level according to your comfort
After each session, rest, hydrate, and avoid intense activity for 24 hours
Shockwave therapy doesn’t “break” your muscles or tissues — but that doesn’t mean you won’t feel anything.
The key is to apply the right energy and listen to your body. When done properly, it’s a safe and powerful tool for healing pain and improving mobility.
