Musculoskeletal Pain

musculoskeletal pain
An excellent way to treat musculoskeletal pain!

Don’t live your life in pain.

Musculoskeletal pain is pain that affects the muscles, ligaments and tendons, and bones. Symptoms vary from person to person, but common symptoms include pain, fatigue, and sleep disturbances.


Dr. Terry and his staff offer the most advanced and highly effective non-invasive treatment methods cleared by the FDA – FocusedWave Therapy and TotalWave Therapy. Both therapies use proprietary technology based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation, and accelerate the healing process.


TotalWave Therapy is a combination therapy that uses radial waves (which do not penetrate the tissue as deeply) and FocusedWave, which provides precise, deeper penetrating wavelengths.


TotalWaveTherapy allows Dr. Terry and his staff to individualize a patient’s treatment for musculoskeletal pain.

musculoskeletal pain
Non-invasive, office-based

Treatment areas

Both TotalWave Therapy is a non-invasive, office-based procedure that treats a broad range of musculoskeletal conditions- generally, acute or chronic musculoskeletal pain and/or pain that significantly impairs mobility or quality of life. These include:

  • Neck
  • Shoulder
  • Back and Chest
  • Upper Extremity
  • Lower Extremity
  • Foot and Ankle
  • Myofascial Trigger points

Medical effects.

TotalWave Therapy carries high energy to painful spots and promotes regeneration and reparative processes of the bones, tendons, and other soft tissues.

New blood vessel formation

Nutrient blood flow is necessary to start and maintain the repair processes of damaged tissue structure. The application of acoustic waves creates capillary micro-ruptures in tendons and bones. Due to micro-ruptures, the expression of growth factors such as eNOS, VEGF, PCNS, and BMP is significantly increased.


As a result of these processes, arterioles are remodeled, stimulated to grow and new ones are formed. The new blood vessels improve blood supply and oxygenation of the treated area and support faster healing of both the tendon and the bone.


Scientific support
Biological Mechanism of Musculoskeletal Shockwaves

Reversal of chronic inflammation

Chronic inflammation occurs when the inflammatory response is not completely halted. It can damage healthy tissue and result in chronic pain. Mast cells are one of the key components of the inflammatory process. Their activity may be increased by using pervasive acoustic waves.


Mast cell activation is followed by the production of chemokines and cytokines. These pro-inflammatory compounds first enhance the inflammatory process and help restore normal healing and regenerative processes in the next step.

Stimulation of collagen production

The production of a sufficient amount of collagen is a necessary precondition for the repair processes of the damaged musculoskeletal and ligamentous structures. Shockwave therapy accelerates procollagen synthesis. The therapy forces the newly created collagen fibers into a longitudinal structure which makes the newly formed tendon fibers denser and stiffer and creates a firmer structure.  

Dissolution of calcified fibroblasts

Calcium build-up is most often a result of micro-tears or other trauma to a tendon. Acoustic waves break up the existing calcifications. Shockwave therapy starts the biochemical decalcification of the calcium build-up of a toothpaste-like consistency and treats the tendon. The granular particles of calcium are then removed by the lymphatic system.

Dispersion of pain mediator “Substance P”

Substance P is a neurotransmitter that mediates pain information through C-fibers. This neuropeptide is generally associated with intense, persistent, and chronic pain. It relays pain messages to the central nervous system. Lowering the concentration of Substance P reduces the stimulation of afferent nociceptive fibers and thus reduces pain. Decreasing Substance P, histamines, and other nociceptive metabolites also helps inhibit the development of inflammatory oedema. Acoustic waves generated by Shockwave therapy lower the Substance P concentration and trigger pain relief. 

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