Why Do Coaches Refer Athletes for Shockwave Therapy?

Coaches refer athletes for shockwave therapy because it treats stubborn tendon and soft tissue injuries without surgery, without injections, and often without pulling an athlete out of their season for long. As a chiropractor in Northridge who works with athletes throughout the San Fernando Valley, I get calls from coaches and parents searching for shockwave therapy near me the moment an athlete’s plantar fasciitis, tendinitis, or shin splints stop responding to rest and stretching alone. Shockwave therapy has become one of the most requested treatments in sports medicine, and for good reason. At Chiropractic Elevated, shockwave therapy uses focused acoustic sound waves to stimulate healing at the cellular level in injured tendons and soft tissue. It is noninvasive, requires no downtime, and has become a go to option for coaches who want their athletes back to full training as quickly as it is safe to do so. I looked at what coaches, athletes, and parents in Northridge and across the San Fernando Valley are asking most about this treatment, and this post breaks down the three questions I hear the most, along with why coaches keep sending their athletes our way.

Question 1: How Does Shockwave Work and Does It Hurt?

Shockwave therapy delivers pulses of acoustic sound waves through a handheld applicator placed directly on the skin over the injured area. Those sound waves stimulate blood flow, trigger the body’s natural repair response, and help break down calcium buildup or scar tissue that can form in chronic tendon injuries. As for whether it hurts, most athletes describe the sensation as an intense tapping or pulsing rather than sharp pain. Some areas, especially ones that are already inflamed, can feel more sensitive during treatment, but sessions are short and any discomfort typically fades quickly afterward. There is no anesthesia, no needles, and no incisions involved.

Question 2: What Injuries Does Shockwave Therapy Treat?

This is the question I get from coaches most often, usually right after an athlete has been dealing with a nagging injury for weeks. Shockwave therapy has research support for a number of common sports injuries, including:
  • Plantar fasciitis. One of the most well studied uses of shockwave therapy, often bringing relief for athletes when rest and stretching alone have not worked.
  • Patellar and Achilles tendinopathy. Chronic overuse injuries in runners, jumpers, and field sport athletes respond well to the treatment.
  • Tennis elbow and other tendon overuse injuries. Common in athletes with repetitive throwing or swinging motions.
  • Shin splints. A frequent complaint among runners and athletes in jumping sports, shockwave therapy can help address the microtrauma involved.
  • Hamstring and proximal tendon injuries. Chronic hamstring tendinopathy in particular has been studied specifically in professional athletes, with encouraging results for pain reduction.
Coaches tend to think of shockwave therapy as an option once conservative measures like rest, ice, and physical therapy have not fully resolved an injury, especially when surgery is the alternative being discussed.

Question 3: How Is Shockwave Therapy Different From Rest, Medication, or Surgery, and How Fast Is Recovery?

This is where shockwave therapy tends to win coaches over. Unlike corticosteroid or platelet rich plasma injections, shockwave therapy carries a strong safety profile and does not come with the infection risk or extended recovery time that can come with injections or surgery. Many athletes are able to continue training as tolerated during a course of treatment, rather than being sidelined completely. Recovery timelines vary depending on the injury and how long it has been present, but shockwave therapy is generally used because it can produce meaningful improvement within a matter of weeks rather than months, which matters a great deal for an athlete trying to make it through a season. It is often considered when an injury needs to resolve within a reasonable window without resorting to more invasive options. If you are a coach, athlete, or parent in Northridge or anywhere in the San Fernando Valley dealing with a tendon or soft tissue injury that is not improving on its own, I am happy to talk through whether shockwave therapy is the right next step.

Frequently Asked Questions About Shockwave Therapy for Athletes

How many shockwave therapy sessions does an athlete typically need?

Most treatment plans involve a series of sessions spaced about a week apart, though the exact number depends on the injury, how long it has been present, and how the tissue responds to treatment.

Can an athlete keep training or competing during shockwave therapy?

In many cases, yes. Because shockwave therapy has a strong safety profile compared to more invasive options, athletes are often able to continue activity as tolerated, though this is always evaluated on a case by case basis.

Is shockwave therapy only for professional or elite athletes?

No. While shockwave therapy has been studied extensively in professional athletes, it is used just as often for youth athletes, weekend warriors, and anyone dealing with a stubborn tendon or soft tissue injury.

What conditions respond best to shockwave therapy?

Chronic tendon conditions such as plantar fasciitis, Achilles tendinopathy, patellar tendinopathy, tennis elbow, and hamstring tendinopathy tend to respond well, particularly when more conservative treatments have not fully resolved symptoms.

Why would a coach recommend shockwave therapy over rest alone?

Rest alone can help mild injuries, but chronic or stubborn tendon injuries often need more than time off to fully resolve. Coaches tend to bring up shockwave therapy when an athlete’s injury has plateaued and they want a noninvasive option before considering more invasive treatment.

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