Shockwave Therapy

In most cases, no. Most states allows for "Direct Access," meaning you can come directly to a physical therapist for an evaluation and treatment without seeing a doctor first. This gets you on the road to recovery faster. However, if you are using insurance there are some specific plans that do have requirements regarding signatures or referrals. If your insurance has specific requirements, we will let you know before your first visit.  (Medicare does NOT require a referral to get started with therapy).

During your first visit, you'll undergo a comprehensive evaluation. We'll discuss your medical history, assess your current condition, and perform a physical examination. This helps us understand your specific needs and goals. Based on this information, we'll develop a personalized treatment plan tailored to your unique situation. You'll also have the opportunity to ask any questions and discuss any concerns you might have about your treatment.

Yes. When appropriate, we use manual therapy techniques like joint mobilization, soft-tissue work, dry needling, and directional loading strategies. These help decrease pain quickly so you can move more easily and progress into strengthening.

In many cases, yes. Most pain improves with the right combination of movement correction, strength training, and hands-on care. We’ll also tell you honestly if imaging or a surgical consult is appropriate.

Yes. One of our main goals is education. You’ll understand exactly what is causing your pain, why it’s happening, and how to fix it. Knowing the root cause reduces fear and speeds up recovery.

If pain limits your workouts, daily activities, sleep, or quality of life—even slightly—PT is the right next step. A short evaluation can determine exactly what’s going on and what your fastest path forward looks like.

Most patients feel a mild tapping or pressure during treatment. Some areas may feel more sensitive if the tissue is irritated, but discomfort is minimal and typically decreases as the session progresses. There is no downtime—you can return to normal activities right away.

Yes. Shockwave therapy has been widely researched and is considered safe when performed by trained clinicians. It is non-invasive, does not involve medication or injections, and has minimal side effects. You may experience temporary soreness or redness that fades within 24–48 hours.

Most insurance plans do not cover shockwave therapy because it’s considered a regenerative or advanced treatment. We offer transparent, affordable cash-pay rates, and we’ll explain all costs upfront. Many patients choose shockwave because it speeds up recovery and helps avoid injections or surgery.

No. Ultrasound delivers superficial heat, while shockwave delivers high-energy mechanical pulses that stimulate cellular repair, break down adhesions, and promote real tissue healing. Shockwave is significantly more powerful and evidence-based for chronic injuries.

Shockwave therapy improves erection quality by increasing blood flow, stimulating new blood vessel growth, breaking up micro-plaque, and improving tissue health within the penis. When combined with pelvic floor physical therapy, it enhances muscular coordination and pressure control—giving you stronger, more reliable erections.

We use focused shockwave, which penetrates deeper and more precisely than radial shockwave. Focused shockwave is the type supported by research for ED, post-prostatectomy recovery, and blood flow–related sexual dysfunction.

Often, yes. Many men have pelvic floor tension, weakness, or poor pressure control contributing to ED. Combining focused shockwave with pelvic floor PT produces faster, more reliable, and more long-lasting results—especially for men with stress-related ED or post-prostatectomy changes.

Yes. Focused shockwave is safe and commonly used in post-prostatectomy rehab to improve blood flow and accelerate return of sexual function. Pelvic floor therapy is typically paired with shockwave for best results.

Yes. Many men with long-standing ED improve because shockwave targets the underlying issue—blood flow and tissue quality. When paired with pelvic PT, even chronic ED often responds well.

Men with mild to moderate ED, decreased blood flow, performance issues, or post-prostatectomy changes often benefit most. An initial evaluation determines whether shockwave, pelvic PT, or a combination is the right fit for you.