Extracorporeal Shockwave Therapy (ESWT)
Looking for non-invasive solutions for persistent pain?
We specialize in providing Extracorporeal Shockwave Therapy (ESWT) treatment to patients experiencing ongoing discomfort from conditions such as chronic low back pain, neck pain, complex regional pain syndrome, or muscle and bone pain.
Extracorporeal Shockwave Therapy (ESWT)
Looking for
non-invasive solutions for persistent pain?
We specialize in providing Extracorporeal Shockwave Therapy (ESWT) treatment to patients experiencing ongoing discomfort from conditions such as chronic low back pain, neck pain, complex regional pain syndrome, or muscle and bone pain.
Shockwave Therapy

The SoftWave device we use is at the forefront of medical innovation. With its cutting-edge design, it enables maximum tissue penetration, unlocking the full potential of biological effects for unparalleled healing.
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Extracorporeal Shockwave Therapy (ESWT)

Calcific Tendonitis of the Shoulder: A common cause of shoulder pain and stiffness due to calcium deposits on tendons.
Frozen Shoulder (Adhesive Capsulitis): Stiffness and pain in the shoulder joint, often leading to limited mobility.
Rotator Cuff Tendinopathy: Inflammation or damage to the shoulder’s rotator cuff tendons.
Golfer’s Elbow (Medial Epicondylitis): Inner elbow pain from overuse, common in golfers and athletes.
Tennis Elbow (Lateral Epicondylitis): A condition causing outer elbow pain, affecting tennis players and others.
De Quervain’s Tenosynovitis: Painful condition of the wrist affecting thumb motion.
Trigger Finger: A condition where fingers or thumb lock in a bent position.
Bursitis of the Hip: Inflammation of the hip bursa, causing joint pain and tenderness.
Greater Trochanteric Pain Syndrome: Pain on the outer side of the hip.
Hip Flexor Tendinopathy: Stiffness and pain in the hip flexors.
Jumper’s Knee (Patellar Tendinopathy): Knee pain at the front, common in athletes.
Osgood-Schlatter Disease: Knee pain below the joint, common in growing adolescents.
Runner’s Knee (Patellofemoral Pain Syndrome): Pain around the kneecap, common in runners.
Medial Tibial Stress Syndrome (Shin Splints): Pain along the shinbone, common in runners.
Tibialis Anterior Syndrome: Inflammation in the shin’s tibialis anterior muscle.
Achilles Tendinopathy: Pain in the Achilles tendon, affecting mobility.
Heel Spur: Bony growth on the heel causing pain.
Plantar Fasciitis: Bottom foot pain, especially in the heel.
Non-specific Lower Back Pain: General back pain not linked to a specific cause.
Spinal Stenosis: Narrowing of the spinal column, causing nerve pressure.
Chronic Enthesopathies: Pain at tendon or ligament attachment points. Keywords: enthesopathy treatment, chronic pain relief.
Chronic Tendinopathy: Long-term tendon pain or inflammation. Keywords: tendinopathy therapy, tendon pain treatment.
Dupuytren’s Contracture: Fingers bending towards the palm, unable to straighten. Keywords: Dupuytren’s treatment, hand therapy.
Myofascial Pain Syndrome: Sensitivity in muscle tissues causing chronic pain. Keywords: myofascial pain solution, chronic muscle pain relief.
Scar Tissue Treatment: Improving movement and reducing pain by breaking down scar tissue.
Stress Fractures: Small bone cracks from overuse or repetitive force.
Tendinitis: Tendon inflammation causing joint pain.
Ultrasound-Diagnosed Pathologies: Conditions identified by ultrasound that may benefit from shockwave therapy.
Shockwave FAQs
FAQ
Shockwave therapy is a non-invasive medical treatment that uses acoustic waves to promote tissue repair and alleviate pain. It is commonly used in orthopedics, physiotherapy, and sports medicine to enhance recovery from injuries and reduce pain caused by various musculoskeletal conditions.
Shockwave therapy uses mechanical high-energy sound waves to stimulate tissue at a cellular level, enhancing blood circulation and accelerating healing. In contrast, TENS (Transcutaneous Electrical Nerve Stimulation) uses low-voltage electrical currents to relieve pain by blocking the nerve signals that convey pain sensations to the brain. Shockwave therapy focuses more on promoting natural healing and regeneration, whereas TENS primarily aims to manage pain.
“Soft wave” shockwave therapy is a form of shockwave treatment that uses a gentler approach compared to traditional shockwave methods. It distributes energy more evenly over a broader area, which can reduce discomfort and target tissues more comprehensively, making it ideal for treating various chronic pain conditions and enhancing tissue regeneration.
Yes, shockwave therapy is highly effective for treating plantar fasciitis, a common condition causing heel pain. It helps by promoting healing of the damaged plantar fascia and reducing inflammation, which can significantly alleviate pain and improve foot function.
Shockwave therapy is generally considered safe when performed by a qualified practitioner. It is a non-invasive treatment with minimal side effects, primarily limited to transient soreness or swelling at the treatment site
The number of shockwave therapy sessions varies depending on the severity and duration of the condition being treated. Most patients typically require between 3 to 5 sessions, spaced a week apart, to achieve optimal results.
Patients may experience mild discomfort during shockwave therapy, which is often described as tolerable and not painful. The “soft wave” technology tends to be gentler and is generally well-tolerated by patients.
Shockwave therapy can treat a variety of conditions including Achilles tendinopathy, tennis elbow, rotator cuff tendinitis, hip trochanteric bursitis, and other chronic tendon issues. It is also effective in accelerating wound healing and treating certain bone healing conditions.
Yes, shockwave therapy can be used as a preventive treatment to strengthen tissues and increase their resilience, potentially preventing future injuries, especially in athletes.
Coverage for shockwave therapy varies by insurance provider and plan. It is advisable to consult with your insurance company to determine if shockwave therapy is covered under your specific plan.
Shockwave therapy is not recommended for pregnant women, individuals with blood clotting disorders, people with malignancies, or those with infections in the target area.
Many patients report some pain relief after the first or second session of shockwave therapy, but optimal results typically emerge gradually over several weeks as the body’s natural healing processes are stimulated.
About Dr. Patrick Tyrance Jr.
Serving Palm Beach & Broward County
About Dr. Patrick Tyrance Jr.
What our patients say
We believe in earning the trust of our patients, not only by providing the highest quality and leading-edge medical care but also by treating each patient and their family with sincere compassion.
Loraine Gomez2. July, 2025.Trustindex verifies that the original source of the review is Google. From the moment I arrived at Dr. Tyrance's office in Delray Beach, I was met with kindness and genuine care from his entire staff. After 25 years of struggling with pain due to rheumatoid arthritis, I had nearly lost hope. My right hand was swollen, and the joint pain was unbearable. Dr. Tyrance took the time to listen and suggested a stem cell and tissue regeneration treatment. I began this journey on May 28, and as of today, July 2, I feel better than I have in decades. The improvement is truly remarkable. The treatment has been incredibly effective, and the entire experience—from the knowledgeable and compassionate staff to Dr. Tyrance's professionalism and care—has been life-changing. Unlike my regular RA doctor who only offered temporary relief with cortisone injections, Dr. Tyrance introduced me to integrative medicine that actually works and comes without harsh side effects. I can't say enough to express my gratitude. If you're looking for real healing and a doctor who truly cares about his patients, I highly recommend Dr. Tyrance. June Bosik10. June, 2025.Trustindex verifies that the original source of the review is Google. From the moment I walked in to the moment I walked out I had an excellent experience! The office staff was awesome and I felt extremely comfortable with Dr. Tyrance! He was very informative as well as pleasurable! Looking forward to returning! Update 6/10/25 Just left Dr Tyrance’s office. My final visit. Had knee surgery in January and rotator cuff/ tendon surgery in March. Can’t say enough about all of my visits. They even worked with me with my shoulder surgery and had it done within 2 weeks! Yvette and Yesenia are wonderful and such an asset to the office. All I can say it’s hats off to you Dr Tyrance! You’re the best and like family!! Susan Schrier2. May, 2025.Trustindex verifies that the original source of the review is Google. What an amazing doctor. Kind, compassionate, super intelligent/perceptive, proposes excellent solutions. The office staff are wonderfully kind and very competent as well. Thanks so much for all that you do. Looking forward to further appointments. Barry Satarsky9. April, 2025.Trustindex verifies that the original source of the review is Google. The office and staff were great. I would highly recommend Dr. Turance and his staff Robert Eyrich18. March, 2025.Trustindex verifies that the original source of the review is Google. Great Dr. Spends time with you, patient and answers your questions in layman's terms. Staff is very friendly, courteous and helpful. Lou Tobia19. February, 2025.Trustindex verifies that the original source of the review is Google. Tyrance Orthopedics treated us like Family. Great Place, Highly Recommend. Susan Cruz7. January, 2025.Trustindex verifies that the original source of the review is Google. Absolutely wonderful experience the doctor was very helpful. His staff is just wonderful from the moment. I walked in. It was a very friendly environment. The doctor answered all my questions and narrow things down for me that I haven’t heard from other doctors. I will definitely be back. I absolutely love him. I’ve already recommended him to two people, and they are going my advice to you. Is you have to go and see Dr. Patrick tyrance he is wonderful and his staff is phenomenal. Jonathan J31. December, 2024.Trustindex verifies that the original source of the review is Google. I had an exceptional experience! From the moment I walked in, the team made me feel like family with their warm and personable care. Dr. Tyrance took the time to thoroughly explain my issues and treatment plan, and after following his recommendations, my pain has significantly subsided. Thanks to their expertise, I’m now able to enjoy physical activities again. I highly recommend them to anyone looking for compassionate and effective orthopedic care!Google rating score: 4.9 of 5, based on 178 reviews
“We have the ability to reclaim and maintain the mental and physical vitality we had in our youth. Your health is wealth!”
– Patrick H. Tyrance Jr. MD
Get treatment today with one of South Florida’s top Orthopedic Surgeons.
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We’re here to assist you before, during, and after your visit to

For your convenience you may schedule your appointment online below, fast and easy. You may also call our offices to schedule with a member of our staff.