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Category: Sports Injury

A middle aged woman leans against a door frame while holding her lower back in pain from a herniated disc.
By Bari Liebowitz Chiropractic Care, Shockwave Therapy, Sports Injury, Therapy, Work Injury

Revolutionizing Herniated Disc Treatment with Shockwave Therapy

Living with a herniated disc can significantly impact your quality of life and normal activities. The pain, discomfort and limited mobility often lead many to explore effective treatment options. Shockwave therapy, a non-invasive and innovative approach, is emerging as a powerful solution for treating herniated discs. In this post, we’ll dive into what a herniated disc is, its causes and how shockwave therapy works. We’ll also explore what you can expect from chiropractic care, including frequency and potential outcomes.

If you’re curious about how shockwave therapy can help treat a herniated disc, this blog post provides all the answers you need.

What Is a Herniated Disc?

Close up view from behind of an African-American man holding his lower back in pain from a herniated disc.

A herniated disc occurs when the soft, jelly-like center of an intervertebral disc pushes out through a crack in the tougher exterior casing. This bulging disc can irritate nearby nerves, causing pain, numbness or weakness, especially in the arms or legs.

Common Causes of Herniated Discs

Several factors can lead to disc herniation, including:

  • Age-related wear and tear: Discs lose water content and flexibility over time, making them more prone to rupture.
  • Sudden trauma or disc injury: A fall, car accident or heavy lifting can cause lumbar disc herniation.
  • Improper posture and body mechanics: Poor ergonomics, especially during repetitive tasks, can increase the risk of disc problems.

Common symptoms to Watch For

  • Localized pain: Often in the lower back or neck, radiating to other parts of the body.
  • Numbness or tingling: Particularly in the extremities.
  • Muscle weakness: Affected spinal nerves may impair your ability to move certain muscles.

How Does Shockwave Therapy Work?

Shockwave therapy utilizes acoustic waves to deliver targeted mechanical energy to damaged tissues. This process stimulates natural healing mechanisms, reduces inflammation, and promotes cellular repair.

The Science Behind Shockwave Therapy

The high-energy sound waves interact with tissues, breaking up scar tissue and calcifications. This stimulation enhances blood flow, encouraging the body to regenerate damaged areas, including the tissues around herniated discs.

Benefits of Shockwave Therapy for Herniated Discs

  • Pain relief: Acoustic waves disrupt pain signals and reduce inflammation.
  • Improved mobility: By addressing scar tissue and improving flexibility, shockwave therapy can help restore normal movement.
  • Non-invasive and quick: No surgery or downtime makes it a convenient option for busy individuals.

How Shockwave Therapy Treats Herniated Discs

Close up view of a chiropractor applying shockwave therapy to a patient's neck and shoulder to heal musculoskeletal issue.

Shockwave therapy targets the underlying issues of herniated discs rather than just masking the symptoms. This makes it a compelling option for long-term relief.

A Step-by-Step Explanation of the Process

Understanding how shockwave therapy works can help you feel more comfortable and confident in your treatment journey. Below is a detailed breakdown of what to expect during the process:

1. Assessment and Preparation

Your shockwave therapy journey begins with a thorough assessment by one of our Bend chiropractors. During this initial consultation, your Bend chiropractor will:

  • Review your medical history and symptoms.
  • Conduct a physical exam to determine the affected areas and severity of your herniated disc.
  • Use imaging tests, such as MRI or X-rays, if needed, to pinpoint the exact location of the herniation.

Once the evaluation is complete, your chiropractor will explain the procedure, address any concerns, and outline a personalized treatment plan tailored to your specific condition.

2. Application of Acoustic Waves

When you arrive for your treatment session, you’ll be comfortably positioned to ensure the targeted area is accessible. Here’s what happens during the therapy:

  • Marking the treatment area: The practitioner identifies and marks the precise location where the acoustic waves will be applied.
  • Gel application: A specialized gel is applied to the skin over the targeted area. This helps the shockwave device transmit acoustic waves effectively.
  • Delivery of waves: Using a handheld device, the practitioner delivers focused acoustic waves to the treatment site. These waves penetrate the tissues and stimulate cellular repair and blood flow.

The chiropractic therapy is non-invasive and generally painless, though some patients might experience mild discomfort, which typically subsides quickly.

3. Post-Treatment Care and Follow-Up

After the session, your practitioner will provide guidance on what to expect and how to optimize your recovery:

  • Immediate effects: You may feel slight soreness or tingling in the treated area, which is normal and temporary.
  • Home care recommendations: Your provider might suggest light stretches, hydration, and avoiding strenuous activities for a day or two.
  • Follow-up appointments: The number of treatments varies, but most patients require 3–5 sessions spaced one to two weeks apart. This allows your body sufficient time to heal and adapt between treatments.

Shockwave therapy sessions are quick, typically lasting 15–30 minutes and don’t require any downtime, allowing you to return to your daily activities immediately. Over the course of several treatments, you’ll likely notice reduced pain, improved mobility and enhanced overall function.

Why It’s Effective for Herniated Discs

Shockwave therapy stands out as an effective treatment for herniated discs because it addresses the root causes of back and neck pain and discomfort rather than just alleviating symptoms. By delivering focused acoustic waves directly to the affected area of your spinal column, the therapy stimulates cellular repair and enhances blood circulation. This increased blood flow brings oxygen and nutrients to the damaged tissues, promoting regeneration and reducing inflammation around the herniated disc. Additionally, the mechanical energy from the waves helps to break down scar tissue and adhesions, which can improve spinal flexibility and reduce nerve compression. These combined effects work to restore normal function and provide long-term relief.

Another reason shockwave therapy is highly effective is its ability to modulate pain signals. The acoustic waves disrupt the nerve pathways that transmit pain signals to the brain, offering immediate and lasting relief for patients with herniated discs. Unlike invasive surgical procedures, shockwave therapy is non-invasive, which minimizes risks and eliminates the need for lengthy recovery periods. Patients often experience improved mobility and reduced pain after just a few sessions, making it a convenient and powerful alternative for managing herniated discs. This holistic approach to healing makes shockwave therapy a compelling choice for those seeking both immediate results and sustainable improvement.

What to Expect During Shockwave Therapy Sessions

Initial Consultation and First Session: During the initial session, your provider will assess the severity of your herniated disc and create a tailored treatment plan. The therapy itself lasts 15–30 minutes and involves applying acoustic waves directly to the affected area.

Frequency of Treatments: Most patients undergo 3–5 sessions over several weeks, depending on the severity of their condition. Consistent treatments yield better results by allowing the body to heal progressively.

Is Shockwave Therapy Right for You?

A male mountain biker stopped on his bike in the woods holding his lower back from back pain.

Shockwave therapy is an innovative and non-invasive treatment that can be an excellent choice for many individuals suffering from herniated discs, but it’s essential to determine if it aligns with your specific needs and medical history. This therapy is particularly beneficial for those who prefer a natural approach to healing without relying on surgery or medications.

If you’re experiencing chronic pain, reduced mobility, or persistent nerve symptoms caused by a herniated disc, shockwave therapy may offer the relief you’ve been searching for. It’s especially suitable for individuals who have not responded well to traditional treatments like physical therapy, medications or injections. However, it’s crucial to consult with a qualified healthcare provider to evaluate your condition and rule out any contraindications.

Certain factors, such as pregnancy, blood clotting disorders or the presence of pacemakers, may require alternative treatment options. By undergoing a thorough consultation, you can ensure that shockwave therapy is a safe and effective solution tailored to your unique situation. With its ability to target the root causes of discomfort and stimulate long-term healing, this treatment could be the next step toward reclaiming your quality of life.

Spinal Adjustments: A Complementary Treatment for Herniated Discs

Spinal manipulation, commonly performed by chiropractors, are a non-invasive treatment that can complement therapies like shockwave therapy for managing herniated discs. These adjustments involve carefully manipulating the lumbar and cervical spine to restore proper alignment and reduce pressure on the affected nerves. By alleviating nerve compression, chiropractic adjustments can relieve back pain, improve mobility and promote overall spinal health. Your chiropractor uses gentle, targeted techniques to ensure the adjustments are both safe and effective, especially for individuals with herniated discs.

In addition to providing pain relief, spinal adjustments can improve the body’s ability to heal itself by enhancing nerve function and blood circulation. Realigning the spinal cord can reduce muscle tension, improve posture and minimize the stress placed on the injured spinal disc. While spinal adjustments are not a standalone cure for herniated discs, they can work synergistically with other treatments like shockwave therapy, physical therapy or exercise programs. Patients often report significant improvements in their symptoms when these therapies are combined, making spinal manipulative therapy a valuable part of a comprehensive chiropractic treatment plan for herniated disc recovery.

FAQs About Shockwave Therapy for Herniated Discs

1. How does shockwave therapy compare to surgery for herniated discs?

Shockwave therapy is a non-invasive option, unlike spinal surgery. It promotes natural healing without the risks or downtime associated with surgical interventions.

2. Are there side effects from shockwave therapy?

Side effects are minimal and temporary, often limited to slight redness or discomfort at the treatment site.

3. How soon will I see results from shockwave therapy?

Many patients notice improvement after 1–2 sessions, but optimal results usually appear after completing the full treatment course.

4. Can shockwave therapy be combined with other treatments?

Yes, combining shockwave therapy with other modalities like physical therapy can enhance overall outcomes.

5. Is shockwave therapy safe for everyone?

While generally safe, individuals with certain medical conditions or implants should consult their healthcare provider before beginning treatment.

 

A chiropractor sitting working on the neck of a patient.
By Bari Liebowitz Chiropractic Care, General Health, Neck Soreness, Sciatica, Scoliosis, Shockwave Therapy, Spinal Decompression Therapy, Sports Injury, Work Injury

Why You Should See a Chiropractor in Bend, Oregon

Living in Central Oregon offers endless opportunities for outdoor activities, but with an active lifestyle often comes occasional discomfort, injuries, or chronic pain. Whether you are a weekend warrior, an avid skier or simply experiencing neck and back issues from desk work, chiropractic care can help restore your well-being. Seeing a chiropractor in Bend can offer significant benefits by providing natural, drug-free solutions for managing pain and improving mobility. Below, we’ll walk through when to consider chiropractic care, what to expect during an exam, types of treatments available and who can benefit from Bend chiropractic care.

When to Consider Chiropractic Care

Woman sitting on the sofa holding her lower back in pain.

Chiropractic care is a great option for treating a range of musculoskeletal conditions, especially those involving the spine and nervous system, muscles and joints. It’s not just for back pain; there are many situations where seeing one of our chiropractors in Bend can be beneficial:

  • Chronic back or neck pain: Ongoing discomfort that hasn’t responded to traditional medical treatments.
  • Sports injuries: Strains or injuries from hiking, skiing, golfing or other physical activities common in Bend.
  • Auto accidents: Chiropractic care can address whiplash injuries, soft tissue injuries and other pain following car accidents.
  • Poor posture: Issues related to desk work or prolonged sitting that cause back and neck tension.
  • Headaches and migraines: Tension headaches, sometimes related to neck issues, can improve with chiropractic adjustments.
  • Joint pain or stiffness: Inflammation or reduced mobility in shoulders, knees or hips.
  • Pregnancy discomfort: Specialized techniques can help relieve back pain associated with pregnancy.
  • Preventative care: Even if you’re pain-free, regular adjustments can help prevent injuries and support long-term wellness.

Whether you have an acute injury or are seeking preventative care, chiropractic treatment can offer relief and help you stay active and healthy.

What Happens in a Chiropractic Exam

If it’s your first appointment with one of our chiropractors in Bend, the process begins with a detailed exam to assess your condition. Here’s what you can expect in an initial visit:

1. Initial Consultation: Our chiropractors will take your health history, asking about current symptoms, past injuries, and lifestyle habits. We’ll also ask what goals you hope to achieve through treatment.

2. Physical Exam: This may include evaluating your posture, range of motion, and reflexes. Our chiropractors will also palpate areas of discomfort to identify misalignments or muscle tightness.

3. Diagnostics: If necessary, we may recommend X-rays or other imaging to get a clearer picture of any structural issues in the spine or joints.

4. Treatment Plan: After the exam, our Bend chiropractors will develop a personalized treatment plan. This plan will likely include adjustments, therapeutic exercises and lifestyle advice to address the root cause of your discomfort.

Chiropractic care takes a holistic approach, focusing on overall wellness and addressing issues beyond just pain relief.

Types of Chiropractic Treatment

Bend chiropractor Bari Liebowitz using the graston technique on the neck of a patient for neck pain.

Chiropractic care offers a variety of specialized treatments, each aimed at addressing specific issues. Below are various techniques used by our chiropractors in Bend:

1. Graston Technique 

This soft-tissue therapy involves using stainless steel instruments to gently scrape over the skin, breaking up scar tissue and adhesions that limit movement. The Graston Technique is especially effective for treating repetitive strain injuries, such as tennis elbow or plantar fasciitis.

2. Spinal Manipulation

Often called a chiropractic adjustment, spinal manipulation is the hallmark of chiropractic care. This structural correction technique involves using controlled force to realign vertebrae, reduce nerve pressure and improve mobility. Many people experience immediate relief from back pain, neck pain and headaches after spinal alignment.

3. Spinal Decompression Therapy

This non-invasive therapy stretches the spine using a specialized table to relieve pressure on spinal discs. It’s an effective treatment for conditions such as herniated discs, sciatica, and pinched nerves. Spinal decompression promotes better circulation to the affected area, supporting the body’s natural healing process.

4. Shockwave Therapy

Shockwave therapy delivers acoustic waves to targeted areas of the body, stimulating blood flow and accelerating tissue healing. This technique is often used to treat chronic conditions like tendinitis or plantar fasciitis. Many patients report reduced pain and improved mobility after just a few sessions.

These therapies can be used alone or combined, depending on your individual needs. Our Bend chiropractors will customize treatments to provide the most effective care possible.

Who Can Get Chiropractic Treatment

Chiropractic care is suitable for people of all ages and fitness levels, from children to seniors. Let’s explore who can benefit from visiting one of our chiropractors in Bend:

  • Adults with chronic pain or injuries: People dealing with persistent neck or back pain can find lasting relief through regular chiropractic care.
  • Athletes and active individuals: Preventative care can keep muscles and joints functioning optimally, while treatment for sports injuries ensures a quicker recovery.
  • Pregnant women: Gentle chiropractic techniques can ease back and hip discomfort during pregnancy and improve overall comfort.
  • Children and teenagers: Kids experiencing issues like poor posture, scoliosis, or sports injuries can benefit from chiropractic adjustments to support healthy growth.
  • Seniors: Chiropractic care helps older adults maintain mobility and manage age-related issues like arthritis or joint stiffness.

Our chiropractors use techniques tailored to individual needs, ensuring treatments are safe and effective for people at every stage of life.

Other Considerations for Chiropractic Care

When choosing a chiropractor in Bend, it’s important to find someone who aligns with your health goals and values. Here are a few considerations to keep in mind:

  • Experience and Specialties: Look for chiropractors with expertise in areas that match your specific needs, such as sports injuries, pregnancy care, or pediatric chiropractic.
  • Insurance Coverage: Many insurance plans cover chiropractic care, but it’s a good idea to confirm your benefits before starting treatment.
  • Holistic Approach: A good chiropractor will offer more than just adjustments, incorporating nutritional advice, rehabilitative exercises, and ergonomic tips to support your overall wellness.
  • Consistency: Chiropractic care works best when it’s part of a consistent routine. Regular appointments can help maintain progress and prevent future issues.

Whether you’re dealing with a specific injury or simply seeking to stay active and pain-free, choosing a trusted chiropractor in Bend is a step toward improving your quality of life.

Let Our Bend Chiropractors Help You Achieve Optimal Health

Chiropractic care offers a wide range of benefits, from relieving pain to improving overall health and mobility. With chiropractic treatments such as the Graston Technique, spinal manipulation, spinal decompression therapy and shockwave therapy, our chiropractors provide customized treatment plans to help you live your best life. Chiropractic care isn’t just for those with injuries—it’s for anyone looking to maintain wellness, prevent future issues, and stay active.

If you’re struggling with chronic pain, recovering from a sports injury, or simply want to stay in peak condition, visit our chiropractic clinic in Bend. Take charge of your health today by scheduling a consultation and exploring the natural, exceptional care that chiropractic treatment can provide.

A woman sitting in front of a laptop holding her wrist in pain from tendonitis.
By Bari Liebowitz Chiropractic Care, Shockwave Therapy, Sports Injury

How Your Chiropractor Can Provide Tendonitis Relief with Shockwave Therapy

Tendonitis is a common and frustrating condition that affects many people, causing pain, stiffness and limited mobility in the affected area. It occurs when a tendon, the tough connective tissue that attaches muscle to bone, becomes inflamed and irritated. This can happen due to overuse, sports injury, or simply aging and wear and tear on the body.

Common types of tendonitis include tennis elbow, Achilles tendinopathy, rotator cuff tendonitis, and patella tendonitis. While tendonitis can often be managed with rest, ice, anti-inflammatory medication and physical therapy, in some cases the pain and dysfunction can be stubborn and resistant to conservative treatments. That’s where shockwave therapy comes in as a potential solution.

Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is a relatively new noninvasive treatment that is growing in popularity among chiropractors to treat musculoskeletal disorders. It involves the application of high-energy acoustic waves to the affected area, which can help reduce pain and promote healing of the damaged tendon.

In this blog post, we’ll take a closer look at what extracorporeal shockwave therapy is, how it works, and how it can be leveraged by chiropractors to help patients find relief from tendonitis.

What is Shockwave Therapy?

A chiropractor applies shockwave therapy to a patient's heel to treat plantar fasciitis.

Shockwave therapy is a non-invasive treatment that uses specialized medical equipment to generate and apply acoustic pressure waves to the body. These pressure waves, or shockwaves, are focused on the area of injury or inflammation, such as a tendon that is inflamed due to tendonitis.

The shockwaves are created using an electromagnetic or electrohydraulic generator, and are then transmitted into the patient’s body through a handheld applicator. The shockwaves penetrate several centimeters into the tissues, causing both physical and biochemical changes that can stimulate the healing process.

Shockwave therapy was originally developed in the 1980s for the treatment of kidney stones, and has since been adapted for use in treating various musculoskeletal conditions like tendonitis, plantar fasciitis, and bone fractures.

Numerous clinical trials and systematic reviews have demonstrated the efficacy of shockwave therapy in treating various forms of tendonitis, with studies showing significant improvements in pain, function, and patient satisfaction compared to sham or placebo treatments.

How Does Shockwave Therapy Work?

Close up view of a chiropractor applying shockwave therapy to a patient's neck and shoulder to heal musculoskeletal issue.

The exact mechanisms by which shockwave therapy exerts its beneficial effects are not yet fully understood, but several theories have been proposed:

1. Cavitation and microtrauma: The high-energy shockwaves create small gas bubbles (cavitation) and microscopic tears (microtrauma) in the affected soft tissues. This triggers the body’s natural healing response, stimulating the release of growth factors and attracting healing cells to the area.

2. Increased blood flow: The shockwaves dilate blood vessels and increase local blood circulation to the treated area. This can enhance the delivery of oxygen and nutrients to promote tissue repair.

3. Analgesia: Shockwave therapy may also have a pain-relieving effect. The shockwaves are thought to interrupt the transmission of pain signals and have a desensitizing effect on nerve endings.

4. Cell signaling: The mechanical forces of the shockwaves can trigger changes in cell membrane permeability and activate various signaling pathways within cells. This can lead to the upregulation of genes involved in tissue regeneration.

When used to treat tendonitis, the shockwaves are specifically targeted to the areas of the tendon that are inflamed and damaged. Over the course of several treatment sessions, the cumulative effects of the shockwaves can help reduce pain and stimulate the body’s natural healing processes within the tendon.

How is Shockwave Therapy Used for Tendonitis?

Young woman massaging her painful foot from exercising and running Sport and excercise concept.

Shockwave therapy has been found to be an effective treatment option for various types of tendonitis, including:

The treatment protocol typically involves 3-5 sessions, with each session lasting 10-20 minutes. During the session, the chiropractor will use a handheld applicator to deliver the focused shockwaves to the affected tendon.

Patients may feel some discomfort during the treatment, which is often described as a deep, pulsing sensation. Local anesthesia is usually not required, as the discomfort is generally well-tolerated. The chiropractor may also recommend the use of an icing or warming protocol before or after the treatment to help manage any post-treatment soreness.

After the shockwave therapy sessions are complete, many patients report a reduction in pain and a significant improvement in function within the first 4-12 weeks. However, the full benefits may take several months to be realized as the tendon continues to heal.

It’s important to note that shockwave therapy is not a substitute for other conservative treatments like rest, physical therapy, and anti-inflammatory medications. Rather, it is often used in conjunction with these other modalities as part of a comprehensive treatment plan for tendonitis.

When to Consider Shockwave Therapy for Tendonitis

Chiropractic care and massage can treat achilles tendonitis.

Shockwave therapy is generally considered when more conservative treatments for tendonitis have been unsuccessful. Some key indications that shockwave therapy may be a good option include:

  • Chronic, persistent tendonitis that has failed to respond to rest, physical therapy, and other treatments after 3-6 months
  • Recurrent or recurring tendonitis that keeps coming back despite treatment
  • Tendonitis that is interfering with daily activities and quality of life
  • Tendonitis that is severe enough to limit range of motion or athletic/occupational performance

Chiropractors who are trained in the use of shockwave therapy will carefully evaluate each patient’s condition and determine if this modality is appropriate based on the specific characteristics of their tendonitis.

Advantages of Shockwave Therapy for Tendonitis

Compared to other treatment options for tendonitis, shockwave therapy offers several potential advantages:

  • Non-invasive: Shockwave therapy is a completely non-surgical treatment, avoiding the risks and recovery time associated with tendon surgery.
  • Drug-free: It does not require the use of oral medications like NSAIDs, which can have side effects with prolonged use.
  • Minimal downtime: Patients can typically return to normal activities within a day or two after each shockwave therapy session, with no prolonged recuperation period.
  • Long-lasting results: Studies have shown that shockwave therapy can provide lasting pain relief and functional improvements for many patients, even years after the initial treatment.
  • Avoidance of further injury: By addressing the underlying tendon pathology, shockwave therapy can help prevent the progression of tendonitis and avoid future re-injury.
  • Cost-effective: Compared to more invasive treatments like surgery, shockwave therapy is a relatively low-cost option that may save patients money in the long run.

While generally considered a safe treatment, shockwave therapy can occasionally cause minor adverse effects such as temporary skin reddening, bruising, or mild discomfort at the treatment site. In rare cases, more serious complications like tendon or nerve damage have been reported, though these tend to be uncommon when the therapy is administered by a properly trained and experienced healthcare provider.

Turn to Total Body Chiropractic in Bend for Shockwave Therapy

For patients struggling with stubborn, recalcitrant tendonitis, shockwave therapy administered by one of our Bend chiropractors can be a valuable treatment option to consider. By delivering high-energy acoustic waves to the affected tendon, shockwave therapy can stimulate the body’s natural healing processes and provide lasting pain relief and functional improvements.

While more research is still needed to fully elucidate the mechanisms of action, the existing evidence suggests that shockwave therapy is a safe, non-invasive, and effective modality for managing various types of tendonitis. By incorporating this innovative treatment into their arsenal, chiropractors can offer their patients an additional tool to overcome the challenges of this often-debilitating condition.

If you are dealing with persistent tendonitis that has not responded well to other treatments, don’t hesitate to contact us. It just may be the solution you’ve been looking for to find lasting relief and get back to living your best life.