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Shockwave Therapy

Tennis Elbow (Lateral Epicondylitis) ESWT

October 11, 2021 · 4 min read · Dr. Jeffrey Robinson

Don’t be fooled by the name! Tennis elbow isn’t just a risk for tennis players. While people who put in time on the court are especially susceptible to this overuse condition, people from all walks of life can experience the pain and stiffness of tennis elbow. Tennis elbow (lateral epicondylitis) is characterized by inflammation, swelling, and “micro-tearing” of tendons joining the forearm muscles positioned on the outside portion of the elbow. This is not to be confused with a similar condition called golfer’s elbow that involves the muscles on the inside of the elbow.

Tennis elbow is caused by overuse. This is why it’s common among people who make repetitive movements when swinging a tennis racket. However, you can still have tennis elbow even if you’ve never picked up a racket in your life! Anyone who performs repetitive motions of any kind using their arm is at risk for developing tennis elbow. This includes painters, plumbers, line workers, mechanics, butchers, medical professionals, caretakers, landscapers, auto workers, and desk workers. The telltale symptoms of tennis elbow include:

  • Pain, burning, or aching along the outside of the forearm.
  • Pain that travels to your wrists.
  • Weak grip strength extending from the forearm to the hands.

Many people find that pain from tennis elbow tends to flare up at night. While the immediate treatment for a suspected case of tennis elbow is rest, this often isn’t enough to provide relief and restoration for people who are in pain. Many people look for immediate and lasting relief from tennis elbow because they need to use their arms and hands to continue with their work. At AZMulticare in Scottsdale, we use cutting-edge shockwave therapy to help our patients achieve great results while healing from tennis elbow. Dr. Robinson has been treating patients for tennis elbow pain for 18 years!

What Can You Expect From Shockwave Therapy?

Shockwave therapy is a targeted non-invasive treatment that offers tailored therapeutic benefits based on the location and severity of your pain. Shockwave therapy helps to repair tissue injuries by inducing “microtrauma” at the spot of your pain. This activity jumpstarts your body’s natural healing response at the cellular level. During your session, the shockwaves that are administered will instantly boost the production of blood vessels in the affected area of your arm to ramp up the delivery of nutrients to the spot.

“Shockwave therapy can reduce the severity of pain and improve daily activity,” according to a 2018 clinical study on the short-term effects of shockwave therapy for tennis elbow. In addition to helping people get back to work, this fast relief can also make it easier to follow through with physical exercises for strengthening and healing the arm without pain and stiffness. A 2008 study looking at the effectiveness of shockwave therapy versus percutaneous tenotomy (surgery) for tennis elbow found that shockwave therapy is a useful noninvasive treatment method that reduces the necessity for surgical procedures. What’s more, this study shows that even patients who do not get relief from traditional treatments for tennis elbow can still benefit from shockwave therapy to facilitate recovery following a treatment like surgery.

When you visit us at AZ Multicare for your shockwave therapy appointment, you’ll remain fully awake and alert. We’ll use our shockwave machine to target your specific area of pain. While this is generally a pain-free procedure, you may experience the pulsating sensation of the device on your skin during your treatment. Some people do experience some redness and swelling immediately following shockwave treatment. However, this is a normal, temporary experience that should not cause any concerns. While this treatment does not require any downtime, you will be advised to avoid using your arm for any strenuous activity for a brief period. Most people experience some relief almost immediately after the first treatment. However, we’ll work with you to design a plan that uses several shockwave sessions to create full, lasting results.

What Can Shockwave Therapy Help Treat?

Shockwave therapy has been used by doctors, chiropractors, and physical therapists for several decades. As numerous studies show, shockwave therapy has been proven to be an effective treatment for tennis elbow. However, it’s also commonly used to treat a long list of musculoskeletal disorders that include:

  • Plantar fasciitis.
  • Shoulder tendinopathy.
  • Patellar tendon.
  • Golfer’s elbow.
  • Jumper’s knee.
  • General tendonitis.

Shockwave therapy’s effectiveness rests in the fact that it actually provides relief in three ways. First, it has an analgesic benefit for reducing pain. Next, it assists with restoring overall mobility. Lastly, the accelerated tissue repair that is generated through shockwave treatments helps to regenerate the damaged tissue on a long-term basis.

Shockwave Therapy Frequently Asked Questions

Does Shockwave Therapy Hurt?

Generally, shockwave therapy does not hurt. While shockwaves are used to penetrate down to the injury at a cellular level, this is a noninvasive, incision-free procedure. However, it’s not uncommon for patients to feel slights pulses that may cause discomfort.

How Many Shockwave Treatments Are Needed for Tennis Elbow?

Most patients find some level of relief after the first shockwave therapy appointment. However, most don’t see the results reach full impact until finishing two to three sessions. After your initial assessment, our team will work with you to determine the ideal amount of sessions to produce lasting relief and healing based on the specifics of your injury.

Can Anyone Get Shockwave Therapy for Tennis Elbow?

Generally, shockwave therapy is considered to be an appropriate treatment option for most people. Even people who have had surgery to correct tennis elbow can often use shockwave therapy to promote healing in the area. We’ll review your medical history with you to confirm that you’re a good candidate for shockwave therapy during your consultation.

This article is for education only and is not medical advice. Diagnosis and treatment decisions belong with a qualified clinician who has examined you. Questions about your situation? Dr. Robinson reviews cases personally: contact AZMulticare.

Questions about your situation? Dr. Robinson reviews cases personally.

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What Scottsdale patients say

★★★★★

Great experience with Dr. Robinson and my pain is 95% better after treatments and incorporating his advice. He's caring, efficient, intuitive and very knowledgeable about all things chiropractic and health related. Not sure if I will avoid minor surgery in the future, but I'm continuing my 'trio of treatments' journey. I'm really grateful for his services and highly recommend Dr. Robinson and his friendly & attentive staff at AZMulticare Chiropractic.

Deanna PetersGoogle review · September 2026
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Goes above and beyond to make sure you feel your best

Julianna L.Google review · September 2026
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My daughter has been having hip issues due to playing soccer. She had 2 appointment with Dr. Jeff (adjustment and acupuncture) and she has noticed the difference!

Ruth AbrahamGoogle review · September 2026
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Dr. Robinson is wonderful, professional, caring and truly dedicated to his patience. He goes above and beyond and you can tell he genuinely cares about helping you feel your best. I am very grateful to have found him.

Chico JasperGoogle review · September 2026
★★★★★

We have been seeing Dr. Robinson for over 11 years and we can’t recommend him enough! We are grateful to have someone like him to help us.

Vesna DGoogle review · August 2026
★★★★★

I’ve had such a positive experience at AZ Multicare. Dr. Robinson truly listens to my concerns, explains everything in a way that’s easy to understand, and never makes me feel rushed. I always feel comfortable and cared for at every visit. I highly recommend him to anyone looking for thoughtful, personalized care.

Nicole McCabeGoogle review · August 2026
★★★★★

I honestly didn't think my pain would ever go away. I've struggled with back pain and sciatica ever since playing sports in college, and after graduating, I just learned to live with it. During my third trimester of pregnancy, however, the pain became so severe that I had to stop working. My OB referred me to physical therapy, but unfortunately, I wasn't seeing any improvement. I was told it was likely due to my baby's position and that the pain would improve after delivery. Instead, one week after giving birth, I was in excruciating pain. I could barely walk from my bed to the bathroom, let alone pick up and care for my newborn. I genuinely believed this was something I would have to live with for the rest of my life. A family member recommended acupuncture for my back pain, and I came across Dr. Robinson office because it was close to home and accepted my insurance. I went in convinced my pain was simply sciatica. After a thorough evaluation, Dr. Robinson explained that while acupuncture could certainly help, he believed another treatment approach alongside it would give me the best results. I appreciated that he took the time to explain everything instead of just treating what I assumed was the problem. After just three sessions with Dr. Robinson, I am officially pain-free. I still can't believe I'm saying that. Being able to pick up my baby, walk without pain, and enjoy this time as a new mom is something I don't take for granted, and I am incredibly grateful. If I ever experience body pain again, Dr. Jeffrey Robinson will be my first call. I've already recommended his office to three other people, and I wouldn't hesitate to recommend him to anyone else. If you're considering making an appointment, do it—you may be surprised by how much it can change your life.

Taylor SimkinsGoogle review · July 2026
★★★★★

Dr. Robinson's holistic knowledge to treat the human body is incredible. I went to him for a neck injury and during treatment had a shingles outbreak this led to being tested and treated for autoimmune issues. Continued treatments and following his diet recommendations and prescribed supplements has me on the path to being healthiest in years. Side benefit I lost 33 pounds and back to enjoying exercising and the desire to be super healthy. Highly recommend, it's a great feeling to love seeing your doctor cause he truly cares that you get better.

VICKI MARTINGoogle review · July 2026
★★★★★

I met Dr. Robinson while playing hockey and mentioned a sharp, shooting pain running down my arm into my hand. He shared his cell number, and two days later I was in his office. After just one visit, my pain dropped from a 10 to a 4. I’m super happy with the results and looking forward to my next appointment.

Daniel MortonGoogle review · May 2026

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