Shockwave Therapy
It’s what we do best — helping patients find lasting relief from stubborn tendon and muscle pain through a proven, step-by-step treatment plan.
Shockwave Therapy (also called Extracorporeal Shockwave Therapy, ESWT, Radial Pressure Wave Therapy, or Acoustic Wave Therapy) is provided by our licensed doctors and therapists at Muscle & Spine, trusted by Collingwood for nearly two decades. It is a safe and proven treatment option for soft-tissue and tendon conditions that have plateaued on conservative care.
Targeted acoustic pulses are delivered directly to the injured tissue — stimulating circulation, breaking down calcific deposits, and triggering the body's natural repair response. Even when rest, orthotics, cortisone injections, and other treatments have failed, patients often still benefit from Shockwave Therapy.
We see excellent results for conditions such as plantar fasciitis, tennis elbow, rotator cuff tendinopathy, and Achilles tendinopathy — especially when symptoms have persisted for months despite doing everything right.
If you're looking for Shockwave Therapy in Collingwood, Muscle & Spine is your trusted choice. No referral needed. New patients welcome. Covered by most extended health plans.
Shockwave Therapy Experts in Collingwood
We've made treatment of tendons and soft tissue our focus with award-winning services and advanced shockwave technology. We love helping people out of pain so they feel young and strong again.
Read our hundreds of 5-star reviews online from patients we’ve helped to see how we can help you too. Book your appointment today to get started towards lasting relief.
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Shockwave Therapy
Treatment begins with a consultation to confirm the diagnosis and identify whether shockwave therapy is the right next step. We'll design a treatment plan and walk you through exactly what to expect.
Shockwave Therapy uses a handheld device that delivers targeted acoustic pulses directly to the injured tissue through the skin. No needles, no incisions. Each session is performed in-clinic by your practitioner.

Shockwave Therapy is one of the most effective non-surgical options available for chronic tendon and soft-tissue pain — particularly for patients who have already tried conservative care and are looking for the next step before considering injections or surgery.
Treatment aims to reduce pain from the first few sessions, with cumulative improvement building across the course of care for long-lasting improvement. Our practitioners also provide home exercises and motivate you to make the necessary life changes for more complete recovery.
Below is a list of the short and long-term benefits of Spinal Decompression.
Restarting Stalled Healing
Chronic tendon and fascia injuries often reach a point where the tissue has stopped repairing itself. The normal inflammatory healing response has resolved, but the tissue remains degenerated — stiff, weak, and pain-sensitive — with no active repair underway. This is why months of rest, stretching, and even other treatment can manage symptoms without resolving the underlying problem.
Shockwave delivers a controlled mechanical stimulus directly to the degenerated tissue. This re-initiates an acute healing and remodelling response — effectively restarting a process that had stalled.
Pain Relief
Chronic tendon and muscle pain often becomes self-perpetuating — the tissue stops healing and the pain signal persists long after the original injury. Shockwave Therapy delivers mechanical pulses that stimulate sensory nerve endings in the tissue, activating large-fibre sensory nerves that override the pain signal at the spinal cord level. Patients frequently report a noticeable reduction in pain after the first few sessions.
Circulation & Tissue Repair
Chronically injured tendons and soft tissue are poorly vascularized — they lack the blood supply needed to heal. Shockwave Therapy stimulates the formation of new blood vessels (neovascularization) in the treated area. This restores the flow of oxygen, nutrients, and immune cells to tissue that has been stuck in a degenerative cycle, creating the biological conditions necessary for genuine repair.
Collagen Remodelling
Tendons are built from collagen. In chronic tendinopathy, the normal collagen structure breaks down and is replaced by disorganized scar-like tissue that is weaker and more pain-sensitive. Shockwave Therapy stimulates fibroblast activity, promoting the production and remodelling of healthy collagen. Over the course of treatment this rebuilds tensile strength and resilience in the tendon.
Calcific Deposit Breakdown
In conditions like calcific rotator cuff tendinopathy, calcium deposits form within the tendon, causing pain and restricting movement. The mechanical energy of shockwave pulses breaks down these deposits, allowing the body to reabsorb them. This is one of the most well-researched applications of shockwave therapy, with strong clinical evidence for meaningful improvement.
Muscle & Trigger Point Release
Shockwave Therapy is also effective for hypertonic muscle tissue and myofascial trigger points — areas of persistent muscle contraction that refer pain and resist manual treatment. The acoustic pulses disrupt the contraction cycle, improve local circulation, and reduce referred pain patterns. This makes shockwave a useful tool for paraspinal muscle pain and other deep soft-tissue complaints.
For acute or subacute muscle strains, the goal is different — rather than restarting stalled healing, shockwave accelerates an active repair already underway, supporting faster clearance of bruising, more organized fibre repair, and reduced scar tissue burden.
Conditions Shockwave Therapy Helps
The conditions Shockwave Therapy is most effective for are chronic tendon and soft-tissue pain in the heel, knee, shoulder and back. When a tendon or fascia injury has entered a degenerative state and the body's own repair response has stalled, Shockwave Therapy is a particularly strong option. The conditions it is most used for are heel pain from plantar fasciitis, elbow pain from tennis or golfer's elbow, shoulder pain from rotator cuff tendinopathy, and Achilles, knee and hip tendon pain — especially when symptoms have persisted for months and other treatments have only managed them rather than resolved them.

When a tendon becomes chronically degenerated — from years of overuse, repeated strain, or an injury that never fully healed — it can stop repairing on its own. This is called tendinopathy, and it is resistant to rest and traditional treatment approaches, but can still respond favourably to Shockwave Therapy.
Most patients' symptoms are the result of a tendon or soft-tissue injury that has become degenerative and stopped healing on its own. Shockwave Therapy can offer a distinct advantage over traditional treatment approaches. It delivers a mechanical stimulus directly to the degenerated tissue, restarting the repair response at the source in a way other techniques cannot.
In addition to tendons and fascia, shockwave can also be used to effectively treat chronic muscle pain including deep paraspinal restrictions and more acute muscle strains.
Shockwave Therapy is a safe, non-invasive alternative to cortisone injections and surgery. It stimulates the body's own healing mechanisms to allow tissue repair and remodeling to occur. Many patients who follow their treatment plan get significant relief. Several sessions close together can have a dramatic improvement on your symptoms.
Below are some of the more common conditions we treat with Shockwave Therapy.
Plantar Fasciitis
Sharp pain at the bottom of the heel that is worst with the first steps in the morning or after sitting for a while. Tends to ease once you get moving but returns after long periods on your feet or at the end of an active day.
Tennis Elbow
Persistent pain on the outside of the elbow that flares with gripping, lifting, or everyday use. Often lingers for months and tends to worsen with repetitive hand and wrist activity.
Rotator Cuff
Shoulder pain that limits reaching, lifting, or sleeping on the affected side. Can include a sharp catch with certain movements or a deep aching that doesn't settle with rest.
Achilles Tendon
Pain and stiffness at the back of the heel or lower calf, especially first thing in the morning or when returning to running or sport after time off.
Knee Pain
Chronic pain at the front of the knee below the kneecap, or general knee pain that persists despite rest and strengthening. Often worsens with stairs, squatting, or prolonged sitting.
Hip Pain
Pain on the outside of the hip or deep in the upper buttock that worsens with walking, stairs, or lying on the affected side. Often mistaken for bursitis and resistant to rest alone.
Shockwave Practitioners
Muscle & Spine is one of the most experienced staff of practitioners in Collingwood. Read more in their bios below.
Dr. Adam Martynuik
Chiropractor, kinesiologist and experienced personal trainer Dr. Adam Martynuik has dedicated his career to treating the spectrum from professional athlete to working professional for spine and related…
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