Radial Pressure Wave Therapy

Radial Pressure Wave Therapy | RPW

What is Radial Pressure Wave Therapy?

Radial Pressure Waves (RPW) are acoustic waves that generate oscillations in the tissue. Radial pressure wave therapy helps reduce muscle pain and activates connective tissue, temporarily aids in the increase of blood flow, and helps in the treatment of tendinitis in hips and shoulders1, 2 and helps to improve pain in various musculoskeletal conditions.

What does RPW feel like?

Patients may report feeling soreness and a thumping sensation when the treatment head passes over dysfunctional tissues. Patients report feeling very little discomfort when it actively travels over healthy tissue. The level of discomfort depends on the area being treated, the settings on the device, and the acuity of the condition. Minor post-treatment soreness around the involved area is not uncommon.

How is RPW different than Shockwave Therapy, Focused Shockwave Therapy, Extracorporeal Shockwave Therapy, and Acoustic Wave Therapy?

All these treatment methods fall under the shockwave therapy umbrella in the respect that they all use sound waves to effect changes in the body. The differences are their physical properties; mode of sound wave penetration; the magnitude of pressure, amplitude, pulse duration and impact; and depth of tissue penetration. RPW loses energy as it travels, making it well suited for the treatment of conditions closer to the skin's surface. Whereas some of the other treatments, such as focused shockwave therapy, penetrate deeper and are more focused, making them better suited to treat conditions that affect the joints and deeper-level soft tissue.

Some of the conditions that respond well to RPW include 1, 3-9:

  • Hip Pain
  • Shoulder Pain
  • Elbow Pain
  • Knee Pain
  • Achilles Tendonitis and Other Tendinopathies
  • Plantar Fasciitis
  • Myofascial Trigger Points

How long do treatments last?

About 10 minutes.

How many treatments will I need?

Generally, 4-6 treatments, potentially 8.

What do patients say?

"How is this even possible after only one treatment, I can't believe how good I feel and how much motion I have. I have been in therapy for months, had injections, been on medication for pain and now I feel great with one treatment of this machine. Why doesn't everyone have this in the clinic?"

Cervical Spine Degeneration

"I canceled the MRI and the surgical consult, and my pain level is almost nonexistent. This thing has been amazing. I am 90% back to work already."

Low Back Injury

Do you have musculoskeletal pain that has not been getting better?
Contact us to see if RPW is right for you.


  1. Cristina d'Agostino M et al. Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg. 2015 Dec;24(Pt B):147-53.
  2. Rompe JD et al. Home Training, Local Corticosteroid Injection, or Radial Shock Wave Therapy for Greater Trochanter Pain Syndrome. Am J Sports Med. 2009 Oct;37(10):1981-90.
  3. Damian M et al. Trigger point treatment with radial shock waves in musicians with nonspecific shoulder-neck pain: data from a special physio outpatient clinic for musicians. Med Probl Perform Art. 2011 Dec;26(4):211-7.
  4. Beyazal MS et al. Comparison of the effectiveness of local corticosteroid injection and extracorporeal shock wave therapy in patients with lateral epicondylitis. J Phys Ther Sci. 2015 Dec;27(12):3755-8.
  5. Cacchio A et al. Effectiveness of Radial Shock-Wave Therapy for Calcific Tendinitis of the Shoulder: Single-Blind, Randomized Clinical Study. Phys Ther. 2006 May;86(5):672-82.
  6. Rompe JD et al. Eccentric Loading Versus Eccentric Loading Plus Shock-Wave Treatment for Midportion Achilles Tendinopathy. A Randomized Controlled Trial. Am J Sports Med. 2009 Mar;37(3):463-70.
  7. Furia JP et al. A single application of low-energy radial extracorporeal shock wave therapy is effective for the management of chronic patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2013 Feb;21(2):346-50.
  8. Gerdesmeyer L et al. Radial Extracorporeal Shock Wave Therapy Is Safe and Effective in the Treatment of Chronic Recalcitrant Plantar Fasciitis. Results of a Confirmatory Randomized Placebo-Controlled Multicenter Study. Am J Sports Med. 2008 Nov;36(11):2100-9.
  9. Rompe JD et al. Home Training, Local Corticosteroid Injection, or Radial Shock Wave Therapy for Greater Trochanter Pain Syndrome. Am J Sports Med. 2009 Oct;37(10):1981-90.