Shockwave Therapy in Maple Ridge: What It Is, What It Treats, and What to Expect

Asana Physiotherapy • 17 June 2026

What Is Shockwave Therapy?


Shockwave therapy, formally known as Extracorporeal Shockwave Therapy (ESWT), is a non-invasive treatment that delivers high-energy acoustic waves directly to damaged tissue through the skin. The term "extracorporeal" means the waves are applied from outside the body — no needles, no surgery, no downtime.


Originally developed in the 1980s to break up kidney stones, the technology was later adapted for musculoskeletal medicine. Today it is widely used in orthopaedics, sports medicine, and physiotherapy as an evidence-based tool for chronic pain and slow-healing injuries. Both Health Canada and the FDA have approved its use for musculoskeletal conditions.


At Asana Physiotherapy in Maple Ridge, shockwave therapy is seamlessly integrated into physiotherapy assessments and treatment plans at no extra charge. It is one of several advanced technologies available to every patient as part of their standard care.


What Conditions Does Shockwave Therapy Treat?


Shockwave therapy performs best on chronic musculoskeletal conditions, particularly where connective tissue attaches to bone. These are injuries where the body's natural healing process has stalled — often because the affected area has low blood flow or has built up calcific deposits.


  • Foot and Ankle: Plantar fasciitis (heel pain), Achilles tendinopathy, heel spurs.


  • Knee: Patellar tendinopathy (jumper's knee), hamstring tendinopathy.


  • Hip: Greater trochanteric pain syndrome (hip bursitis).


  • Elbow: Lateral epicondylosis (tennis elbow), medial epicondylosis (golfer's elbow).


  • Shoulder: Calcific tendinitis of the rotator cuff, chronic rotator cuff tendinopathy.


  • Other: Shin splints, chronic neck and back muscle trigger points.


Shockwave is particularly effective for injuries that have not responded to conventional treatments like rest, NSAIDs, or standard physiotherapy exercises. If you have been managing a nagging injury for months with limited progress, shockwave therapy may be the missing piece.


How Does Shockwave Therapy Work?


The acoustic waves delivered during shockwave therapy cause a process called mechanotransduction — converting mechanical energy into biological responses at the cellular level. This triggers several healing mechanisms simultaneously.


  • Increased blood flow: Waves stimulate new blood vessel formation in the treatment area, restoring circulation to tissue that had become chronically under-supplied.


  • Collagen production: The mechanical stimulus prompts fibroblast activity, encouraging the production of new collagen to repair damaged tendons and ligaments.


  • Breakdown of calcifications: Shockwave waves break down calcium deposits that accumulate in tendons over time, clearing the way for new tissue to form.


  • Pain reduction: The treatment reduces the concentration of Substance P, a neurotransmitter that signals pain, producing an analgesic effect that can be felt within the first session.


The result is a genuine restart of the healing process — not a masking of symptoms.


How Many Sessions Do You Need?


Most patients require 3 to 5 sessions, spaced approximately one week apart. The number depends on the condition being treated, its chronicity, and how your body responds.


  • Plantar fasciitis: typically 3 to 5 sessions


  • Achilles tendinopathy: usually 3 to 6 sessions


  • Calcific shoulder tendinitis: 3 to 5 sessions, sometimes fewer if the calcification is well-defined


  • Tennis elbow: 3 to 5 sessions


Many patients report a noticeable reduction in pain and improved function within the first 1 to 3 sessions. Full results continue to develop for 6 to 12 weeks after the final session as the tissue remodels and repairs.


At Asana Physiotherapy, your physiotherapist monitors your progress at every session and adjusts the treatment plan to match your recovery.


Does Shockwave Therapy Hurt?


Shockwave therapy is not painful for most people — though you will feel something. Patients commonly describe the sensation as a firm tapping or pulsating feeling over the treatment area, a dull ache similar to deep tissue pressure, or occasional brief, intense pulses when the probe contacts a particularly sensitive spot.


Patients have described it as "a deep tissue massage," "a little jackhammer," and "it hurts so good." Discomfort is typically manageable, and your physiotherapist can adjust the intensity at any point during the session.


Immediately after treatment, you may notice mild redness, warmth, or slight swelling in the area — all normal responses that resolve within 24 to 48 hours. You do not need anesthesia, and most patients return to light activity the same day.


Is Shockwave Therapy Covered by Insurance in BC?


In British Columbia, shockwave therapy is often covered when administered as part of a physiotherapy treatment, depending on your extended health benefits plan. Many group plans from providers like Sun Life, Canada Life, Great-West Life, and Manulife cover physiotherapy sessions that may include shockwave as an integrated modality.


At Asana Physiotherapy in Maple Ridge, shockwave therapy is included in your standard physiotherapy appointment at no additional cost. You pay one session rate — whatever your insurance covers for physiotherapy applies to the full treatment, including any shockwave therapy used during your session.


This removes a barrier that exists for some, where shockwave is billed as a separate add-on fee on top of the physiotherapy cost. Asana also provides direct billing for ICBC, WorkSafeBC, and 25+ extended health insurance providers.


Is Shockwave Therapy Right for You?


Shockwave therapy suits most people with chronic musculoskeletal pain or stubborn injuries. Your physiotherapist will assess your condition and confirm whether shockwave is appropriate for your specific case.


Shockwave is typically a strong fit if your injury or pain has persisted for 6 weeks or more, you have tried rest, anti-inflammatories, or standard exercises without full resolution, imaging has identified tendinopathy, calcification, or soft tissue damage, or you want to avoid injections or surgery.


Shockwave is not appropriate for active infection or open wounds in the treatment area, blood clotting disorders or anticoagulant medication, pregnancy when treating the lower back or pelvis, or malignancy in the treatment area.


If you are unsure whether shockwave therapy fits your situation, a physiotherapy assessment at Asana Physiotherapy will give you a clear answer. Your physiotherapist will review your history, examine the affected area, and build a treatment plan designed around your recovery goals.


Get Shockwave Therapy in Maple Ridge


Asana Physiotherapy is located in Maple Ridge, BC, and offers shockwave therapy as part of every standard physiotherapy treatment — no extra fees, no referral needed. Direct billing is available for ICBC, WorkSafeBC, and most major extended health plans.


Book your appointment online at asanapt.ca/booking or call 604-773-0670.

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