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NYC Extracorporeal Shockwave Therapy

A novel and non-invasive technology for the regeneration of soft tissue and the relief from chronic pain

Complimentary Consultation

NYC Extracorporeal Shockwave Therapy

A novel and non-invasive technology for the regeneration of soft tissue and the relief from chronic pain

Complimentary Consultation

Body in Balance Chiropractic was founded based on the principle of supporting the body to heal itself and to minimize more invasive treatments such as drugs and surgery.  Over the years we have invested in many different healing and regenerative technologies with this goal in mind.

Our first major investment in 2006 was in motorized flexion-distraction tables which help to traction and decompress the discs in the lumbar (lower) spine and promote healing of disc herniations.

In 2019, we invested in therapeutic, low level laser which penetrates deep into muscles, bones, and nerves and delivers photons of light energy. The energy from the light absorbs into the mitochondria of the cells and speeds up the healing process and reduces inflammation.  These devices have helped to transform our practice and have led to remarkably improved outcomes for our patients.

In 2021, we invested in pEMF therapy mats which bathe the entire body in a healing pulsed electromagnetic field which reduces inflammation and improves healing as well as calming stress.

Finally in 2024, we made one of our largest investments ever in a device called Extracorporeal Shockwave Therapy which we now offer in our Midtown, NYC chiropractic office.  Our founder, Dr. Jan Lefkowitz, was at a chiropractic conference when he learned about and experienced this amazing technology. He experienced a remarkable and dramatic improvement after receiving just one treatment as the sound waves generated from the device were able to break up a calcification in his rotator cuff muscle.  This old calcification was the result of scar tissue from a previous shoulder injury many years ago when playing baseball.

What Are the Benefits of Extracorporeal Shockwave Therapy?

  • FDA approved to reduce pain and improve the body’s ability to repair many difficult-to-heal muscle, tendon and ligament injuries.
  • Shockwave therapy is a non-invasive treatment which helps to activate and accelerate the body’s natural healing response.  
  • Relieves pain and stimulates the release of growth factors which promote true healing and regeneration of injured tissue.
  • Research has demonstrated the improvement of blood flow and the growth of new blood vessels to the injured region.  This has been proven by doppler testing and post treatment, the blood flow is increased in the damaged tissues.
  • Chronic tendon injuries (called tendinopathy) sometimes build up calcium deposits which can create even more inflammation. Shockwave has been shown to safely disintegrate these calcium deposits after a handful of treatments. The changes can be seen pre and post x-ray.

How Does Extracorporeal Shockwave Reduce Inflammation and Stimulate Healing?

There are four phases of healing which occur after receiving Shockwave Therapy

  • Physical Phase-  The pressure from the shockwave penetrates and spreads into the area that is treated and this disrupts scar tissue and causes a transmission of energy to the cells.  You will actually feel the pulsing of this energy as the treatment is applied. The strength of the shockwaves are adjusted to each person’s tolerance.
  • Physicochemical Phase- The physical energy from the shockwave then stimulates chemical reactions in the cells.
  • Chemical Phase- Chemical changes (such as the release of growth factors) signal your body to generate a healing response and this creates a cascade of positive changes to your injured area.
  • Biological Phase- Your body begins to build new blood vessels to increase blood flow, your injured tissue begins to regenerate, inflammation reduces and healing takes place.

How Does Extracorporeal Shockwave Therapy Differ From Other Approaches?

  • Common treatment approaches for muscle, tendon and ligament injuries include anti-inflammatory medication (NSAIDS) and cortisone injections which work mostly by suppressing inflammation and pain but do not promote healing and regeneration of tissues.
  • Rather than just masking symptoms, Shockwave promotes healing and regeneration of the injured tissue through the release of growth factors as well as the formation of new blood vessels and the breakup of scar tissue.
  • When surgery is not the most recommended option, many people try shockwave first as a possible alternative to see if they can heal with a less invasive approach.

FAQs - NYC Shockwave Therapy

Is shockwave safe?

The FDA first approved Extracorporeal Shockwave Therapy in 2000 (initially for the treatment of plantar fasciitis).  It is considered a non-invasive therapy with negligible complications or side effects.

How much research is there?

A search on the medical literature database Pubmed pubmed.ncbi.nlm.nih.gov reveals over 3,400 journal articles on Extracorporeal Shockwave Therapy. Research has overwhelmingly shown Shockwave to be both effective and safe.

Does shockwave hurt?

The treatment is started at a very low intensity that does not produce pain and is increased very gradually to each patient’s tolerance. It is advised to increase the intensity to a mild to moderate pain level as this is the level that will help induce a strong healing response.  However, any mildly painful parts of the treatment will only take 3-4 minutes and most patients report feeling immediate pain relief after the session!

Are there side effects?

Possible side effects include mild soreness for 1 or 2 days after the treatment. Occasionally there may be some mild bruising.  However, in our experience most patients do not have any soreness at all and just feel some level of pain relief even after just one treatment.

How many sessions will I need?

Most research on shockwave therapy is based on receiving 1 treatment per week for 6 weeks. This is generally enough stimulation to induce a very strong healing response. In our experience, most patients feel some level of pain relief after the first session and the healing speeds up with each session.  There is generally significant healing after 3 or 4 treatments. It is advised to do all 6 sessions to make sure that the injured area is fully healed in order to decrease the chance of relapses.

When will I feel better?

In our experience, most patients feel some level of immediate reduction in pain and improvement in their range of motion right after their first session as they are walking out of our office!  Each session tends to produce another level of improvement and most people report very significant improvement after 4 treatments.  

History of Extracorporeal Shockwave Therapy

  • First discovered in Germany in 1966, an employee of Dornier company accidentally touched a plate during an experiment as a high velocity projectile hit it and he felt the sensation of a “shockwave” travel up his hand. The employee mistook the sensation as that of an electrical shock but after measurement it was determined that no electricity was present.   Scientists gained interest in this phenomenon and continued to study it in the late 1960’s.  
  • In its first clinical application, shockwave therapy became an established treatment for kidney stones in the 1980’s as the sound waves are able to disintegrate calcified stones without the need for surgery and without any direct contact.
  • In 1988, the first successful shockwave treatment of a non-union bone fracture in a human was performed in Bochum, Germany.
  • In the early 1990’s an orthopedic type shockwave machine was invented which had a moveable head that could isolate treatment to different muscles and tendons and could treat orthopedic injuries.
  • Investigations in the 1990’s began reporting high success rates in the treatment of epicondylitis (tennis/golfer’s elbow) as well as heel spurs/plantar fasciitis.
  • In 2000, the technology spread to the USA and the FDA first approved a shockwave device for the treatment of chronic plantar fasciitis and then expanded in 2003 for the treatment of lateral epicondylitis (tennis elbow).
  • Currently, there are over 3400 journal articles cited on the PubMed database of biomedical literature when searching “Extracorporeal Shockwave Therapy”. pubmed.ncbi.nlm.nih.gov

What are the advantages of combining NYC Extracorporeal Shockwave Therapy with other modalities such as chiropractic, acupuncture, therapeutic massage and movement training?

At Body in Balance Chiropractic, our philosophy is based upon finding the root cause of a problem and fixing it rather than masking it with short term solutions. As powerful as Extracorporeal Shockwave Therapy is at helping to heal chronic pain and injuries, it would be infinitely better if we could also address the issue or imbalance that led to this problem developing in the first place.

Oftentimes, poor posture causes misalignments of the spine, pelvis and ribcage. This can lead to abnormal “pressure” being placed on a specific muscle or joint in an asymmetrical way.  Over time, this creates vulnerable points on the body which tend to be the first areas to become injured. As we get older, these are the areas that may “wear down” and degenerate.

Dr. Jan Lefkowitz created the M.A.P.S protocol to address Movement, Alignment and Posture in a holistic way in order to rebalance the body and to build postural stability.  For many people, combining our M.A.P.S program with Extracorporeal Shockwave Therapy is an incredibly powerful way to transform their health, improve their posture, decrease chronic pain, get more active and return to the activities that they enjoy most.  

For more information about our M.A.P.S program click HERE.

If you have questions about whether shockwave therapy is right for you, just call or text us at 212-371-5788