When Rehab Has
Plateaued — Restart
the Healing Response.
High-energy mechanical pulses that stimulate tissue healing in stubborn tendon and fascia pain. Used when symptoms have stalled despite doing the right things — always paired with a loading plan.
Secure Your Results-First Assessment →When It Makes Sense — and When It Doesn't
Shockwave isn't prescribed by default. We first assess movement, strength, and load tolerance. If shockwave adds value at the right time — we use it. If it doesn't — we don't.
- Tendon or fascia pain lasting 3+ months
- Symptoms that have plateaued with rest or basic rehab
- Localised pain aggravated by loading
- Willing and able to follow a progressive loading plan
- Pain is acute and inflammatory (recent onset)
- Significant nerve involvement present
- Unable to tolerate progressive loading
- Looking for a passive one-session fix
"Shockwave reduces pain and stimulates tissue healing — but long-term results come from restoring load tolerance. Shockwave without a loading plan is an incomplete treatment."
How It Works at MVMT Kinetic
-
01
Assess & confirm
Confirm shockwave is the right tool
Before any shockwave begins, we confirm your pain is coming from a tendon or fascia issue appropriate for treatment. We assess movement, loading tolerance, and symptom behaviour. If shockwave isn't the right tool — we say so.
-
02
Treatment
Targeted shockwave to the affected tissue
Short, controlled mechanical pulses delivered to the affected area. Treatment typically lasts 5–10 minutes per area and is adjusted to your tolerance. You may feel discomfort — this should remain manageable and brief.
-
03
Load & move
Progressive loading between sessions
Shockwave works best when paired with targeted loading. You'll receive specific movement or loading exercises to guide tissue adaptation between sessions. This step is critical — it's how results last beyond pain relief.
-
04
Reassess
Reassess and progress — or pivot if needed
We reassess symptoms, function, and tolerance over a short series of sessions. If progress stalls, the plan changes. Shockwave is adjusted, paused, or discontinued as needed. We don't continue what isn't working.
No referral required · Results evaluated in session one
Typical Timeline
Assessment: 60 min · Follow-up: 30 min
First session includes full assessment before any shockwave is applied
Most patients need 3–5 sessions
Spaced 1–2 weeks apart to allow tissue adaptation between treatments
Symptom ease often after session one
Though meaningful tissue change continues over the full course of treatment
Light activity the same day
Mild soreness is normal — heavy loading immediately after is not recommended
Where Shockwave Has Strong Evidence
Shockwave therapy is supported by clinical research for specific chronic tendon and fascia conditions — particularly when combined with progressive loading. These are the presentations where we use it most.
- Plantar fasciitis / heel pain
- Mid-portion Achilles tendinopathy
- Peroneal tendinopathy
- Posterior tibial tendinopathy
- Patellar tendinopathy (jumper's knee)
- Quadriceps tendinopathy
- Chronic anterior knee pain
- Gluteal tendinopathy / lateral hip pain
- Proximal hamstring tendinopathy
- Adductor tendinopathy
- Calcific rotator cuff tendinopathy
- Chronic rotator cuff tendinopathy
- Tennis elbow / Golfer's elbow
Before You Book
If shockwave doesn't produce meaningful change within the first few sessions, we stop using it. We don't continue treatments that aren't moving the needle. That's why shockwave at MVMT Kinetic is always paired with reassessment — so we can pivot early if your body needs a different approach.
For many people, exercise and hands-on care are enough. Shockwave is considered when tissue has stopped adapting — often after weeks or months of rehab where pain plateaus despite doing the right things. In those cases, shockwave can restart the healing response so exercise starts working again.
Yes. Shockwave therapy is supported by clinical research for specific chronic tendon and fascia conditions, particularly when combined with progressive loading. It's not appropriate for everyone — which is why we assess first and recommend it only when it fits your presentation.
No referral needed. Book directly online and we'll assess whether shockwave is appropriate for your condition in the first session. If it's not the right tool — we'll tell you what is.
If We Can't Find It, We'll Find Who Can.
Shockwave or not — you don't need to know what you need before booking. The assessment tells us. And if we can't identify your mechanical driver — we say so.
We don't build care plans around uncertainty. If we don't find your mechanical driver in session one, or meaningful change within two to three weeks, we give you a direct roadmap to the specific specialist in Toronto who can. You leave with an answer — no matter what.
No referral required · Book online in 2 minutes
Chronic tendon pain that
won't respond to anything.
One assessment. Confirmed the right approach. A plan that actually addresses the tissue — not just the symptom.
Secure Your Results-First Assessment →151 Bloor St. W · Suite 890 · Yorkville · (647) 957-7761