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Shockwave therapy

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Shockwave Therapy in Cranbrook

Advanced electromagnetic shockwave therapy — quieter, more comfortable, and clinically proven to accelerate healing of chronic tendon and soft tissue conditions.

Electromagnetic Technology — Superior Comfort

Two women high-fiving during exercise

The Treatment

What Is Shockwave Therapy?

Shockwave therapy (ESWT — Extracorporeal Shock Wave Therapy) uses high-energy acoustic waves delivered through the skin to stimulate healing deep within injured tissues. It is one of the most well-researched non-invasive treatments in modern physiotherapy — particularly effective for chronic tendon and soft tissue injuries that have not responded to other conservative care.

How It Stimulates Healing

The acoustic energy creates a controlled micro-trauma response, triggering the release of growth factors, increasing local blood flow, and kickstarting collagen synthesis. In chronically injured tendons — which often have poor blood supply and stalled healing — this stimulation can restart the repair process that the body has been unable to complete on its own.

Neurological Pain Relief

Beyond tissue repair, shockwave therapy has a direct neuromodulatory effect. It temporarily desensitizes overactive pain nerve fibres (C-fibres) and disrupts the substance P signalling pathway associated with chronic pain. Patients often notice a meaningful reduction in pain within the first few sessions — even before full tissue healing is complete.

Calcification Breakdown

For calcific deposits — such as calcium build-up in the shoulder rotator cuff — shockwave energy is particularly effective. The mechanical waves fragment calcific material, enabling the body to reabsorb it through the lymphatic system. This can provide dramatic relief for patients with calcific tendinitis who have struggled with conventional treatment.

Non-Invasive. No Downtime.

Shockwave therapy requires no injections, no anaesthetic, and no recovery period. Each session lasts approximately 15–20 minutes. Most patients continue with normal daily activities immediately after treatment, with mild soreness in the treated area for 24–48 hours — a normal and expected sign that the healing response is active.

Our Technology

Electromagnetic Shockwave — A Quieter, Gentler Experience

Not all shockwave devices are equal. Our clinic uses an electromagnetic shockwave system — a newer generation of technology that delivers high-quality therapeutic energy with greater precision and comfort than traditional pneumatic (compressed air) devices.

For patients who have been hesitant about shockwave therapy due to concerns about discomfort or noise, electromagnetic shockwave is a meaningful upgrade.

  • Significantly quieter operation — no loud pneumatic clacking sound
  • Smoother, more consistent wave delivery for improved patient comfort
  • Precise energy control — depth and intensity tailored to each patient and tissue type
  • Better tolerated across sensitive areas and for patients with lower pain thresholds
  • Same clinical outcomes as pneumatic shockwave — with a more comfortable experience
  • Suitable for patients who have tried and found traditional shockwave uncomfortable

Indications

Conditions Treated with Shockwave Therapy

Shockwave therapy has strong clinical evidence for a wide range of tendon, soft tissue, and bone healing conditions. It is most effective for chronic presentations — typically those lasting more than 6 weeks — that have not fully resolved with rest, manual therapy, or exercise alone.

Plantar Fasciitis

One of the best-evidenced uses of shockwave therapy. Highly effective for chronic heel pain and plantar fascia thickening, including cases that have failed orthotics and stretching.

Achilles Tendinopathy

Both insertional and mid-portion Achilles tendinopathy respond well to shockwave, promoting collagen remodelling and reducing pain with activity.

Calcific Shoulder Tendinitis

Shockwave is particularly effective at breaking down calcium deposits in the rotator cuff, often producing rapid and lasting improvements in shoulder pain and mobility.

Rotator Cuff Tendinopathy

Non-calcific rotator cuff tendinosis causing persistent shoulder pain, especially with overhead activity or reaching, benefits significantly from shockwave stimulation.

Lateral Epicondylitis (Tennis Elbow)

Chronic lateral elbow pain due to extensor tendon degeneration is well-suited to shockwave therapy, with evidence of sustained pain reduction and improved grip strength.

Medial Epicondylitis (Golfer's Elbow)

Persistent inner elbow pain involving the common flexor tendon often responds to shockwave when manual therapy and exercise have reached their limits.

Patellar Tendinopathy

Jumper's knee — chronic patellar tendon pain common in active individuals — shows consistent improvement with shockwave therapy combined with progressive loading.

Greater Trochanteric Pain Syndrome

Gluteal tendinopathy and lateral hip pain associated with the greater trochanter responds well to shockwave, particularly when combined with hip-strengthening exercise.

Hamstring Tendinopathy

Proximal hamstring tendinopathy — deep buttock pain with sitting and running — can be effectively treated with shockwave applied at the ischial tuberosity.

Shin Splints & Stress Reactions

Medial tibial stress syndrome and early tibial stress reactions may benefit from shockwave therapy to stimulate bone healing and reduce periosteal pain.

Myofascial Trigger Points

Focused shockwave is increasingly used for stubborn myofascial trigger points that have not responded to dry needling or massage, particularly in the neck, shoulder, and back.

Chronic Non-Healing Wounds

Defocused low-energy shockwave stimulates angiogenesis and tissue regeneration in chronic wounds and diabetic foot ulcers — an emerging and promising application.

The Evidence

What Does the Research Show?

Shockwave therapy is one of the most extensively studied non-invasive physiotherapy modalities, with over three decades of published research and a strong track record in high-quality clinical trials.

~80%

Plantar Fasciitis Success Rate

Multiple randomised controlled trials and systematic reviews report clinically significant pain reduction in approximately 75–85% of plantar fasciitis patients treated with shockwave therapy.

Wang et al., Journal of Orthopaedic Research; Rompe et al., Journal of Bone & Joint Surgery

3–6

Sessions for Most Conditions

The majority of shockwave protocols in clinical trials use 3 to 6 weekly sessions. Many patients experience measurable improvement after just 2–3 treatments, with continued gains over the following weeks.

Consensus recommendations, International Society for Medical Shockwave Treatment (ISMST)

Superior

vs. Cortisone for Tendinopathy

Shockwave therapy has demonstrated superior long-term outcomes compared to corticosteroid injection for chronic tendinopathies including lateral epicondylitis and Achilles tendinopathy, without the tissue-weakening risks of repeated cortisone.

Krogh et al., American Journal of Sports Medicine; Coombes et al., The Lancet

Level 1

Evidence for Key Indications

Shockwave therapy holds the highest level of clinical evidence (Level 1 — systematic reviews of RCTs) for plantar fasciitis, calcific shoulder tendinitis, and lateral epicondylitis, supporting its use as a first-line intervention.

NICE Guidelines; Cochrane Reviews; Clinical Journal of Sport Medicine

Durable

Long-Lasting Relief

Unlike some pain treatments that offer short-term relief only, clinical follow-up studies demonstrate that shockwave therapy benefits are durable — with maintained or improved outcomes reported at 12 and 24 months post-treatment.

Gerdesmeyer et al., Foot & Ankle International; Maffulli et al., British Medical Bulletin

Safe

Excellent Safety Profile

Shockwave therapy has a well-established safety record. Adverse events are typically mild and transient — limited to local redness or soreness — with no reports of serious adverse events in published trials when used within established parameters.

Schmitz et al., Archives of Orthopaedic and Trauma Surgery

Your Visit

What to Expect at Your Shockwave Appointment

1

Initial Assessment

Your physiotherapist will begin with a thorough assessment of your condition — reviewing your history, the nature and duration of your pain, previous treatments, and any relevant imaging. This ensures shockwave is appropriate for you and that the treatment is targeted correctly.

2

Treatment Planning

Based on your assessment, your physio will determine the optimal treatment parameters — the area to be treated, the energy level, the number of pulses, and the recommended number of sessions. For most conditions, 3–6 weekly sessions are planned, with reassessment along the way.

3

Shockwave Application

A coupling gel is applied to your skin over the treatment area. The electromagnetic shockwave applicator is then moved in slow, overlapping circles across the target tissue. The device emits a smooth, rhythmic pulse — noticeably quieter and gentler than traditional pneumatic shockwave. Each session typically takes 15–20 minutes.

4

Post-Treatment Guidance

After your session, your physiotherapist will review activity modifications and any home exercises. Mild soreness in the treated area is normal and expected for 24–48 hours. Anti-inflammatories (such as ibuprofen or naproxen) are generally avoided in the 48 hours after treatment, as the inflammatory response is part of the desired healing mechanism.

5

Progressive Recovery

Improvement is typically progressive — many patients notice meaningful pain reduction after 2–3 sessions, with continued improvement in the weeks following the full treatment course. Your physio will integrate shockwave with exercise rehabilitation and other appropriate modalities for the best outcome.

Safety & Suitability

Who Should Avoid Shockwave Therapy?

Shockwave therapy is safe for the vast majority of patients. There are, however, some contraindications your physiotherapist will screen for during your initial assessment.

Contraindications Include:

  • Active malignancy in or near the treatment area
  • Blood clotting disorders or anticoagulant therapy
  • Open wounds or skin infection at the treatment site
  • Pregnancy (treatment over the abdomen or pelvis)
  • Implanted cardiac pacemaker or defibrillator
  • Cortisone injection within the past 6 weeks at the same site
  • Acute inflammation or infection
  • Growth plates in skeletally immature patients (under 18)
  • Metal implants directly in the treatment path
  • Thrombosis at or near the treatment area

Your physiotherapist will conduct a thorough screening at your first appointment. If shockwave is not suitable for you, they will discuss the most appropriate alternative treatment options for your condition.

Our Team

Meet your practitioners

Suzanne Thompson — Shockwave therapy practitioner at Kootenay Health Centre in Cranbrook

Physiotherapist

Suzanne Thompson

BScPT, BScPE(Hons), MRSc

Suzanne earned her Bachelor of Science in Physical Therapy and Bachelor of Science in Physical Education (Honours) in 1988, followed by a Master of Rehabilitation Sciences from the University of British Columbia in 2017.

With over 38 years of experience in physiotherapy, Suzanne has worked in both public and private practice across western Canada. She has taught continuing education courses and presented at local, national and international conferences in the area of pelvic health, women’s health and fitness and wellness. Suzanne established Kootenay Therapy Center in 2005, providing comprehensive care in the areas of pelvic floor, women’s health, pre/post natal, chronic pain and sports injuries.

Suzanne is excited to continue providing care from her new location at Kootenay Health Centre, where she brings her extensive clinical experience and commitment to individualized, whole-person care. She believes that every system of the human body interacts with other parts of the body as well as with each individual’s environment. The best-practice approach to care involves not only evidence-based practice but also consideration of each client’s story, needs, and goals.

A lifelong learner, Suzanne has completed extensive post-graduate training in Pelvic Floor Physiotherapy, acupuncture, women’s health, chronic pain management, exercise, and manual therapy. She draws on this broad range of knowledge to develop thoughtful, personalized treatment plans designed to help patients move with greater confidence, manage pain, and return to the activities they value.

Outside the clinic, Suzanne enjoys an active Kootenay lifestyle. She loves running, hiking, biking, skiing, snowshoeing, and spending time at the lake with family, friends, and her dogs.

Shannon Ryley

Physiotherapist

Shannon Ryley

Registered Physiotherapist Rheumatology & Musculoskeletal Specialist Health Educator in Cranbrook.

With over three decades of clinical excellence, Shannon's career spans leading roles in hospital, private, and public health settings, most notably with the Mary Pack Arthritis Program and private practice clinics.

Shannon’s dedication to lifelong learning is reflected in her extensive continuing education, including specialized training in tendon injuries, biomechanics, chronic pain, nutrition, and advanced hand therapy. She holds certifications in GLAD for osteoarthritis management, management of RA and OA hands, advanced therapy for hip and knee replacements, and BET Biokinetik techniques.

Shannon takes a partnership approach with each of her clients, working towards the client's goals using manual therapy, modalities, splinting/bracing, education and exercise strategies.

New and returning patients can schedule online with Shannon by clicking the button below:

Janine Eidsness

Physiotherapist

Janine Eidsness

MScPT

Janine grew up in Cranbrook and graduated with a Master of Science in Physical Therapy from the University of Alberta in 2007, following a Bachelor of Science in Kinesiology. With nearly 20 years of clinical experience, she has worked with individuals across the lifespan with a wide range of orthopaedic, neurological, chronic pain, and complex health conditions.

Throughout her career, Janine has continued to expand her clinical knowledge through post-graduate education in manual therapy, therapeutic exercise, pediatric rehabilitation, sports and running injuries, TMJ dysfunction, post-operative care, acupuncture, and biomedical dry needling. She is a certified Biomedical Dry Needling practitioner and draws on a range of approaches—including dry needling, manual therapy, acupuncture, shockwave therapy, cupping, exercise prescription, and patient education—tailored to each patient’s needs and goals.

Janine has a special interest in pediatrics and extensive experience working with children in both school and community settings. She treats neurological and orthopedic conditions, developmental delays, disabilities, and gross motor concerns, as well as infants with motor skill difficulties, torticollis, feeding challenges, and plagiocephaly. Her pediatric approach is individualized, engaging, and often play-based, with the goal of helping children build confidence and participate more fully in the activities that matter to them.

Janine believes effective physiotherapy goes beyond treating symptoms. She works collaboratively with each patient to understand their goals, provide patient education, develop practical home exercise programs, and build the skills and confidence needed for recovery, injury prevention, and return to meaningful activity.

Committed to lifelong learning, Janine continues to pursue professional development to deliver evidence-based care.

Outside the clinic, she enjoys staying active and spending time outdoors with friends and family—trail running, hiking, golfing, mountain biking, skiing, and exploring everything the beautiful Kootenays have to offer.

New and returning patients can book online with Janine by clicking the button below:

Frequently Asked Questions

What is electromagnetic shockwave and how is it different from pneumatic shockwave?
Pneumatic (radial) shockwave uses compressed air to drive a projectile that creates an impact wave — this produces the loud clicking noise many patients associate with shockwave therapy, and can be quite uncomfortable at higher intensities. Electromagnetic shockwave generates acoustic waves using an electromagnetic coil, similar to the technology in MRI machines. The result is a smoother, more consistent wave with quieter operation and improved patient comfort — while delivering comparable clinical effectiveness. At Kootenay Health Centre, we chose electromagnetic shockwave specifically to provide a better treatment experience for our patients.
Is shockwave therapy painful?
Most patients describe the sensation as a firm pressure or tapping feeling — noticeable but well tolerated. The intensity is always adjusted to your comfort level, and our electromagnetic device makes this easier by allowing finer control. Some patients experience mild soreness in the treated area for 24–48 hours after each session — this is a normal sign that the healing response has been stimulated.
How many sessions will I need?
Most conditions respond to 3–6 sessions, typically spaced one week apart. Some patients notice improvement after just 2 sessions; others may require the full course or occasional maintenance treatments. Your physiotherapist will reassess your progress regularly and adjust the plan accordingly.
Can I combine shockwave therapy with other treatments?
Yes — shockwave therapy works very well alongside exercise rehabilitation, manual therapy, and other physiotherapy modalities. It is often most effective as part of an integrated treatment plan. However, it should not be combined with corticosteroid injection at the same site within 6 weeks, as cortisone may blunt the healing response that shockwave initiates.
Do I need a referral?
No referral is required. You can book directly online through our JaneApp portal or call the clinic at 250-426-5228. Referrals from physicians, specialists, or other healthcare providers are also warmly welcomed.
Is shockwave therapy covered by my extended health insurance?
Shockwave therapy is typically billed as a physiotherapy modality within your extended health coverage. Coverage varies by plan — we recommend checking with your insurer about your physiotherapy benefit. Our team can provide receipts and documentation to support your claim.
Should I avoid any medications or activities before or after treatment?
In general, no special preparation is required before treatment. After treatment, we advise avoiding anti-inflammatory medications (ibuprofen, naproxen) for 48 hours if possible, as the inflammatory response is part of the intended healing mechanism. Heavy loading of the treated area should also be moderated for 24 hours post-treatment. Your physiotherapist will give you specific guidance based on your condition.

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