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ShockWave Therapy


Shockwave therapy is one of the most advanced and highly effective noninvasive treatment methods cleared by the FDA. Shockwave Therapy (also known as EPAT) can successfully address acute and chronic pain. It is also used to address sports injuries and many painful conditions.

Beneficial effects are often experienced after only 1 or 2 treatments and there is no downtime. The non-surgical therapy eliminates pain and restores mobility, thus quickly improving patients’ quality of life. Call us to learn more about how Shockwave Therapy can address your pain!

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Shockwave Therapy Benefits

- Quick recovery with very few potential complications and side effects
- No anesthesia required noninvasive nature of the procedure
- May eliminate the use of medications or facilitate the use of medications by using combination therapy
- Treatment sessions are brief lasting around 20 minutes, 3X week, avoiding the cost and use of long-term medications
- Proven significant clinical benefits are often seen in 6 to 8 weeks from the initiation of therapy
- 91% success rate
- Non-invasive, no anesthesia required
- No scarring
- No downtime
- Over 80% patient satisfaction
- Cost effective


Shockwave Therapy Frequently Asked Questions

What is Shockwave Therapy (AWT)?

Shockwave Therapy is a non-invasive modern and highly effective treatment method: high-energy sound waves are introduced into the painful areas of the body. Pressure wave technology accelerates the healing process in the body by stimulating the metabolism and enhancing blood circulation to regenerate damaged tissue. Strong energy pulses are applied to the affected area. These pulses occur for short periods of time, creating micro-cavitation bubbles that expand and burst. The force created by these bubbles penetrates tissue and stimulates cells in the body that are responsible for bone and connective tissue healing.


How does Shockwave Therapy work?

A probe connected to the shockwave machine is applied to the affected area using light pressure, for example, the shockwave machine probe is applied to the back muscles in a patient suffering from back pain. The machine is then set up to produce waves of sound with energy pointed to the affected area, in this case, the back muscles. Sound wave energy increases blood flow to the back muscles. The muscles then release endogenous chemicals that relieve pain and inflammation.


What happens at the cellular level?

The energy delivered by the shockwave machine produces microtrauma at the cellular level. The diseased organs and tissues respond by increasing blood flow to the areas that were exposed to the soundwaves.


How does Shockwave Therapy relieve pain?

When Shockwave Therapy is used, certain cellular messengers are produced and released including Substance P and the release of free radicals. Other endogenous cellular defense chemicals are part of the tissue response such as the suppression of inflammatory mediators such as cyclooxygenase-2 (COX II).


What is Substance P?

Substance P is an 11 amino acid molecule widely distributed in the central, peripheral, and enteric nervous systems of many species. Substance P functions in the CNS as a neurotransmitter involved in sensory and, most notably, pain control pathways. The release of substance P prevents exacerbated inflammation and pain.


Has Shockwave been studied by the medical community?

Yes. Studies consistently revealed that the use of shockwave therapy hyper stimulates the nerve fibers causing an analgesic effect.


What type of shockwave machine is used at Indy Vital?

At Indy Vital, we utilize the most reliable and effective medical equipment available in the USA. The equipment we use is produced and manufactured by Storz Medical.


Who is Storz Medical?

Storz is the number one supplier and educator of shockwave therapy in the United Kingdom and had a partnership with the National Institutes of Health in England in providing AWT to patients who suffer from many kinds of diseases in the fields of neurology, urology, orthopedics, and aesthetics.


Who else utilizes the shockwave machine produced by Storz?

The Storz shockwave machine is widely used by professional athletes and the English Institute of Sport, United Kingdom Athletics, the Welsh Rugby Union, and the “Premier League Football Clubs”.


What type of conditions can be treated with Shockwave Therapy?

Shockwave Therapy treatment can successfully address acute and chronic pain such as: Knee Pain, Heel Pain , Foot Pain, Ankle Pain, Hamstring Pain, Back Pain, Neck Pain, ShoulderPain , Elbow Pain, Wrist Pain and Hand Pain and much more.


How Is Shockwave Therapy treatment performed?

The treatment is noninvasive. Gel is applied to the treatment area; pressure waves are then released through the applicator as it is moved over the treatment area.


How many treatments are generally needed?

The number of sessions needed depends on the condition that is being treated. Each treatment session takes between 10-15 minutes and can vary depending on the condition that is being treated.


What type of results are expected?

Beneficial effects are often experienced after only 1 or 2 treatments and there is no downtime. Many patients report immediate pain relief after treatment. The technology has a 91% success rate as per clinical studies, patients treated report being pain free and /or have a significant reduction in pain. The non-surgical therapy for pain eliminates pain and restores mobility, thus improving patient’s quality of life.


Are there side effects?

Treatment with EPAT technology has virtually no side effects. In some cases, patients may experience minor discomfort for a few days. Patients can return to work after treatments and in most all cases there is no down time.


Who is a candidate for Shockwave Therapy?

Most people are good candidates for EPAT treatment however patients who are pregnant, have a pacemaker or current cancer are not suitable for treatment with EPAT Technology. Your doctor will provide you with information about conditions you may have that would affect your ability to undergo treatment.


How can I know if Shockwave Therapy will help my condition?

Please contact our practice at Indy Vital. We have experienced staff that can answer your questions and make an appointment for you to come in for a consultation visit.


Shockwave Therapy Side Effects

- Treatment with EPAT technology has virtually no side effects. In some cases, patients may experience minor discomfort for a few days.
- Patients can return to work after treatments and in most all cases there is no down time.


Indy Athletic Room

IV Drip Therapy for Athletics

Muscle and tendon injuries are among the most common sports-related lesions in athletes. At Indy Vital, we have developed a soft tissue injury prevention strategy for individuals with an exercise routine that places them at risk of developing repetitive microtrauma and muscle/tendon scarring. In the past, massage therapy has to be the treatment of choice after exercise activity for muscle rigidity, tension and spasm but modern technology now offers additional tools such as shockwave therapy that can be used as an active part of the athlete’s maintenance and recovery phase, rather than just providing relaxation and comfort. At our facility, we offer Shockwave therapy as a promising approach, because it has gained increasing importance in tissue regeneration in various medical fields.

The use of shockwave therapy will improve micro muscle circulation and break scar tissue, knots, and calcified structures. This modality of treatment may be used for the cervical syndrome, calcified tendonitis, plantar fasciitis, inflammation of the level of the Achilles tendon and other articular areas. 

Shockwave therapy may be combined with massage therapy, focal Laser, whole body photobiomodulation, cryotherapy, compression devices, and even hyperbaric oxygen therapy.

**For additional detailed information on our Shockwave Therapy program, go to our webpage Shockwave Therapy listed under the main menu.


Mens Health

At Indy Vital, we offered shockwave therapy in the treatment of ED. Shockwave therapy is a form of low-intensity extracorporeal shock wave that has been clinically investigated and applied in several medical fields with success, especially in orthopedic indications. In erectile dysfunction, it has been used in Europe for many years. In several European countries, it has become the first line of therapy for ED. In the US, it became a novel modality of ED treatment in 2013. Unlike other current treatment options for ED, all of which are palliative in nature, shockwave therapy is unique in that it aims to restore the erectile mechanism in order to enable natural or spontaneous erections. That is why shockwave therapy is overall better than PDE5-i (Cialis, Viagra, Levitra). Results from basic science experiments have provided evidence that shockwave therapy induces cellular microtrauma, which in turn stimulates the release of angiogenic factors and the subsequent neovascularization of the treated tissue.

In humans, results from several studies, also including double-blind, randomized control trial, confirmed that shockwave therapy generates a significant clinical improvement of erectile function and a significant improvement in penile hemodynamics without any adverse effects. At Indy Vital, our protocol consists of having three treatment sessions per week for three weeks, followed by a 3-week no-treatment interval, and a second 3-week treatment period of three treatment sessions per week. A total of 18 treatments.


Pain Management

This modality of therapy utilizes acoustic sound waves that when applied to the muscles and tendons, produce a cellular reaction of tissue recovery and regeneration. Usually, this therapy is administered by the doctor, therapist or technician and treatments take about 10 to 20 minutes should be applied initially for a period of 2 to 3 times a week for periods of six weeks. The therapy could be slightly uncomfortable for some individuals, and the patient may have some local discomfort that resolves spontaneously after a couple of hours. The science behind the benefits is related to the formation of new blood vessels to the injured or affected area by pain. There is also a reversal of inflammation, stimulation of collagen production, and dissolution of calcified plaques. There is also the release of the pain mediator called “Substance P.”


Conditions Treated

Talus Tendinopathy

Shockwave therapy not only helps those suffering from Talus Tendinopathy, but those suffering from all forms of tendinitis.


Myofascial Pain Syndromes

Shockwave therapy will aim to relax the pain caused by hyper irritable spots, described as trigger points in those with Myofascial Pain Syndromes.


Musculoskeletal Conditions and Pain

Generalized pain can be treated by the use of shockwave therapy.


Calcified Tendinitis

Shockwave therapy will significantly decrease pain and cause a significant increase in joint function, specifically range of motion.


Hamstring Injury and Tendinopathy

Shockwave therapy will significantly improve range of motion in patients that deal with tightness of the hamstring and Tendinopathy.


Tennis Elbow

Lateral Epicondylitis or tennis elbow is one of the most common lesions of the arm. The injury is a major challenge, but it can be managed and even fixed permanently with Shockwave Therapy.


Male Erectile Dysfunction

Shock wave therapy is a modality that has recently been developed for treating erectile dysfunction (ED). Shockwave therapy is unique in that it aims to restore the erectile mechanism in order to enable natural or spontaneous erections. See our section on Men’s Health for details.


Chronic Pelvic Pain Syndrome

Shockwave therapy is a promising new therapy for CPPS, in particular it is easy to apply and causes no side-effects.


Peyronie’s Disease

Shockwave therapy may be beneficial in the management of Peyronie’s disease for refractory penile pain and plaque size reduction.


Plantar Fasciitis

Because Shockwave Therapy is non-invasive many of the expenses and risks of surgery are eliminated. In the United States, an FDA study was performed for patients who suffer from chronic planter fasciitis with or without the presence of a heel spur. The results were an amazing average reduction in pain of 92% with only one treatment.

5252 E. 82nd Street, Suite 300
Indianapolis, IN 46250
Phone: 317-218-4308
Fax: 317-588-2647
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