Dynamic Shockwave+ delivers true focused shockwave (ESWT) plus EMTT every session, with radial pressure wave added only as an adjunct when indicated, on the Storz gold-standard system. The distinction matters: true shockwave is focused, and that is what we do. If a clinic only offers radial pressure wave, that is a different, more superficial modality, not focused shockwave. Aneesh Garg, DO, CAQ founded and directs the American Shockwave Training Institute, the national body that trains other physicians on this protocol.
| Factor | Dynamic Shockwave+ | Radial pressure wave only |
|---|---|---|
| Modality | True focused shockwave (ESWT) + EMTT every session | Radial pressure wave (more superficial; not focused shockwave) |
| Depth and targeting | Focused energy to the target tissue, plus deep EMTT | Surface-level pressure wave |
| Equipment | Storz gold-standard system | Varies |
| Performed and taught by | Aneesh Garg, DO, CAQ, Founder of the American Shockwave Training Institute | Varies / technician |
Not all treatments marketed as shockwave therapy deliver the same effects.
Focused shockwave therapy delivers energy to a specific depth within tissue. This allows treatment of deeper structures such as tendons, joint surfaces, and bone interfaces. This level of control is considered the clinical standard for medical shockwave treatment.
Radial pressure wave therapy disperses energy across superficial tissues. While it may be useful for circulation and muscle relaxation, it does not provide the depth control required for treating deeper pathology and is not used as a stand-alone treatment at Dynamic Athlete.
Unfocused acoustic devices lack precise depth targeting and are unable to reliably treat deeper musculoskeletal conditions.
The quality and consistency of shockwave therapy depend heavily on the device delivering the energy.
Dynamic Athlete uses physician-grade shockwave systems manufactured by Storz Medical and distributed in the United States by CuraMedix. These systems are commonly used in orthopedic and sports medicine settings and are designed to deliver consistent energy with accurate depth control.
This technology selection distinguishes Dynamic Athlete from clinics that rely on lower-energy or consumer-oriented devices that cannot deliver reliable treatment to deeper musculoskeletal structures.
Shockwave therapy at Dynamic Athlete follows a physician-led protocol tailored to each patient’s anatomy, diagnosis, and tissue response.
Treatment may include:
Dynamic Athlete is the only clinic in the region that integrates EMTT into a comprehensive shockwave treatment program and has extensive experience using this technology in regenerative orthopedic care.
Dynamic Shockwave+ runs on Storz Medical equipment: the DUOLITH SD1 T-TOP (ultra) for focused shockwave, the MAGNETOLITH for EMTT, and the D-ACTOR 100 and 200 for radial pressure wave, operated by the physician who trains other physicians on them.
Every Dynamic Shockwave+ session at Dynamic Athlete runs on Storz Medical systems: the DUOLITH SD1 T-TOP (ultra) for true focused shockwave (focused ESWT), the MAGNETOLITH for extracorporeal magnetotransduction therapy (EMTT), and the D-ACTOR 100 and D-ACTOR 200 for radial pressure wave, which is added only as an adjunct when indicated. The DUOLITH is a focused electromagnetic unit: the physician sets the focal depth to the injured tissue, which is what lets focused shockwave reach a tendon insertion, a calcific deposit, or a joint surface that a radial device cannot. These are the same units Aneesh Garg, DO, CAQ teaches on at the American Shockwave Training Institute.
Patients choose shockwave therapy at Dynamic Athlete when they are looking for medical-grade treatment rather than a generic device session.
This approach is often sought by patients who have not improved with physical therapy, injections, or prior shockwave treatments elsewhere.
Extracorporeal Magnetotransduction Therapy (EMTT) uses high-frequency electromagnetic energy to influence tissue activity without mechanical impact.
When combined with shockwave therapy, EMTT may help support tissue response in chronic or degenerative conditions and in cases where acoustic shockwave alone has not produced sufficient improvement.
In some cases, shockwave therapy is used to prepare tissue before regenerative injections such as PRP or stem cell therapy.
This preparation may help improve blood flow, cellular responsiveness, and the local healing environment, supporting the effectiveness of subsequent regenerative treatments.
Shockwave therapy may be considered for a range of musculoskeletal conditions, including:
Shockwave therapy at Dynamic Athlete is delivered within a physician-led regenerative medicine program.
All treatment decisions, dosing adjustments, and sequencing strategies are guided by a board-certified regenerative medicine physician. Clinical staff involved in treatment delivery are trained under the direction of the Medical Director of the American Shockwave Training Institute.
This structure ensures that shockwave therapy is applied accurately, safely, and in alignment with each patient’s diagnosis and goals.
A session takes about 15 to 20 minutes, requires no anesthesia and no downtime, and most protocols run three to six sessions spaced about a week apart. You can walk out and return to daily activity the same day. The best candidates have a chronic tendon, fascia, or bone problem that has plateaued, want to avoid or delay surgery, and can commit to the full course. Shockwave is not for everyone: it is generally avoided over active infection, tumor, or open growth plates, and during pregnancy. A physician evaluation is how you find out whether it fits your specific injury, or whether a different tool is the honest answer.
For calcific tendinitis of the shoulder and Achilles tendinopathy, the shockwave the published evidence base is built on is focused electromagnetic ESWT, not radial pressure wave. Focused ESWT reaches a defined focal point at the depth of a supraspinatus calcific deposit or a mid-portion Achilles lesion. Radial energy disperses superficially and does not. At Dynamic Athlete in Boulder, Colorado, focused ESWT is performed by Aneesh Garg, DO, CAQ, founder of the American Shockwave Training Institute (ASTI) and ISMST-certified, with the focal point placed by physician exam and palpation and the device’s adjustable focal depth, and combined with EMTT and radial when clinically indicated. The clinic serves Boulder, Louisville, Lafayette, Broomfield, Longmont, and the wider Denver-Boulder corridor.
A calcific deposit in the supraspinatus commonly sits several centimeters below the skin. Reaching it takes a modality with a defined focal point at that depth. Focused electromagnetic ESWT is engineered for exactly that: the clinician selects the focal depth to the deposit and delivers energy to it. Radial pressure wave has no focal point and disperses across the first few centimeters, so it cannot concentrate energy on a deep deposit the same way. This is why, when the literature reports shockwave for calcific tendinitis, it is almost always focused ESWT.
At Dynamic Athlete, calcific tendinitis is treated with focused ESWT placed by physician exam and palpation and the device’s set focal depth, so the focal point lands on the deposit, not near it. See the condition detail on shockwave for calcific tendinitis.
Achilles tendinopathy comes in two patterns, mid-portion and insertional, and the depth and location of the lesion differ between them. Focused electromagnetic ESWT lets the clinician target the specific lesion depth, which matters when the painful tissue is a discrete segment of the tendon rather than the whole structure. Radial can play a role in adjacent superficial soft-tissue work, but the depth-targeted energy the evidence base describes for Achilles tendinopathy is focused ESWT.
Treatment here is physician-performed, with the focal point set by clinical exam and the device’s focal depth, and escalated to biologics only if indicated after evaluation. See the condition detail on shockwave for Achilles tendinopathy, and why the focused versus radial choice matters on focused vs radial shockwave.
Deep tendon and calcific work often does best when focused ESWT is paired with the right adjuncts. Dynamic Athlete runs all three shockwave-family modalities in one place: focused electromagnetic ESWT for depth, radial pressure wave for superficial conditioning, and EMTT for broad tissue health. The clinician combines them by what the tissue needs, rather than using the one device the clinic happens to own.
Across PRP, Stem Cell, Shockwave, EXOMIND, and EMSELLA. Tracked across active adults, postpartum patients, athletes, and surgery-avoiders.
Focused electromagnetic ESWT is the shockwave modality the published evidence base describes for calcific tendinitis of the shoulder. The reason is depth. A calcific deposit in the supraspinatus sits several centimeters deep, and focused ESWT delivers energy to a defined focal point at that depth, while radial pressure wave disperses superficially and cannot concentrate on the deposit the same way. At Dynamic Athlete in Boulder, calcific tendinitis is treated with focused ESWT with the focal depth set from the physician’s exam, so the focal point is placed on the deposit, performed by Aneesh Garg, DO, CAQ, who founded the American Shockwave Training Institute. Individual results are self-reported and vary; a physician evaluation determines whether shockwave is appropriate for your shoulder.
The shockwave modality the evidence base describes for Achilles tendinopathy is focused electromagnetic ESWT, which lets the clinician target the specific lesion, whether mid-portion or insertional, at its actual depth. Radial pressure wave can support adjacent superficial soft tissue but is not the depth-targeted modality the literature refers to for the tendon lesion itself. At Dynamic Athlete, Achilles tendinopathy is treated with physician-performed focused ESWT, and combined with EMTT or radial when clinically indicated. Outcomes are patient self-reported and vary by individual, tendon pattern, and chronicity, which is why care begins with an evaluation by Aneesh Garg, DO, CAQ, rather than a fixed protocol.
No. Radial pressure wave and focused electromagnetic shockwave are distinct technologies, classified as separate modalities by ISMST, ASMST, and ASTI. Focused ESWT uses an electromagnetic generator to make a true acoustic shockwave with a nanosecond pulse rise time and a defined focal point reaching depths up to 6 cm. Radial uses a pneumatic ballistic mechanism that disperses energy superficially to about 3 cm with no focal point. For deep targets like a calcific shoulder deposit or an Achilles lesion, the distinction is what decides whether energy reaches the tissue. Dynamic Athlete owns both plus EMTT, so the clinician chooses by the target, not by the device on hand.
Focused shockwave is technical medicine, so it should be performed by a physician trained in the modality. At Dynamic Athlete, shockwave is led by Aneesh Garg, DO, CAQ, “The Regen Doc.” He is ISMST-certified, having passed the Instructional Certification Course at the ISMST World Congress 2026 in Madrid, a member of the American Society for Medical Shockwave Treatment (ASMST), and the Founder and Medical Director of the American Shockwave Training Institute (ASTI), where he trains other clinicians and physicians on focused shockwave. Internationally certified in shockwave, a member of the field’s societies, and the physician who trains others on it. That is the standard every shockwave session at this clinic is held to.
Shockwave therapy (extracorporeal shockwave therapy, or ESWT) is a non-invasive treatment that delivers focused acoustic energy into damaged tissue to stimulate healing, reduce pain, and promote tissue regeneration.
The shockwaves create controlled microtrauma at the cellular level, triggering your body’s natural repair response. This includes neovascularization (new blood vessel formation), activating dormant stem cells, breaking down calcifications, and releasing growth factors that drive tissue remodeling.
Our Dynamic Shockwave+ protocol combines true focused shockwave (ESWT) with radial pressure waves and electromagnetic transduction therapy (EMTT), making Dynamic Athlete the only clinic in the Boulder area offering all three technologies.
Improvement typically begins within the first few treatment sessions.
Patient Experience: One former NCAA athlete with two years of chronic pain was able to do things he thought he would never do again after his first shockwave treatment.
Shockwave therapy is one of the most effective non-surgical treatments for chronic plantar fasciitis, with strong evidence supporting its use when conservative measures have failed.
Plantar fasciitis that persists beyond six months is typically degenerative (plantar fasciosis) rather than inflammatory. Focused shockwave stimulates neovascularization, breaks down calcifications, and activates tissue remodeling at the cellular level, addressing structural degeneration that stretching and orthotics cannot fix.
Dynamic Shockwave+ for plantar fasciitis uses focused ESWT targeted at the fascial insertion on the calcaneus, combined with EMTT to enhance the cellular repair response. Significant pain reduction typically occurs within three to five sessions.
Patient Experience: One patient reported her heel pain felt ten times better after a single shockwave session. Plantar fasciitis patients consistently see meaningful improvement within the first few treatments.
The cost of shockwave therapy varies based on the condition being treated, the number of sessions required, and the specific modalities used. We provide transparent pricing during your consultation.
Shockwave is significantly less expensive than surgery and involves no anesthesia, no incisions, and no extended recovery. The investment reflects the advanced technology, clinical expertise, and ASTI-trained application required for effective treatment.
Dynamic Shockwave+ pricing is discussed during your evaluation at Dynamic Athlete with clear information about the recommended number of sessions. The value is best measured against the cost of surgery, prolonged rehabilitation, and time away from the activities that matter to you.
Patient Experience: The investment consistently proves worthwhile when compared to the alternatives.
Yes. Shockwave is typically less expensive per session than PRP or stem cell therapy, and for many tendon and soft tissue conditions, shockwave alone may be sufficient.
Shockwave addresses tissue pathology through mechanical and cellular stimulation rather than biologic injection. When the condition responds to shockwave alone, you avoid the additional cost of a biologic procedure. When a biologic is needed, shockwave serves as a cost-effective tissue primer that enhances its effectiveness.
Dynamic Shockwave+ works as both a standalone treatment and a component of comprehensive protocols using Dynamic PRP+ or Dynamic Stem Cell+. Starting with shockwave often determines whether a biologic is even necessary.
Patient Experience: Many patients resolve their condition with shockwave alone, saving the cost of injection.
Shockwave therapy is better for long-term outcomes because it promotes tissue repair, while cortisone only provides temporary inflammation suppression and can weaken tissue with repeated use.
Cortisone offers fast pain relief but does not address underlying structural damage. Repeated injections accelerate tendon degeneration, cartilage loss, and tissue weakening. Shockwave works in the opposite direction by stimulating neovascularization, collagen production, and cellular repair.
Dynamic Shockwave+ at Dynamic Athlete is designed for patients who want to fix the problem rather than temporarily mask it. Short-term relief that damages tissue is not a long-term solution.
Patient Experience: One patient described shockwave as life-changing after spending ten years cycling through cortisone and conventional treatments across multiple orthopedic practices without lasting relief.
Most patients tolerate shockwave well. You feel a firm tapping and some deep pressure at the treatment site, and it can be briefly uncomfortable when the pulses reach a sensitive, injured area, but it does not require anesthesia. The physician adjusts the energy level to keep it within your tolerance while still delivering a therapeutic dose. Sessions are short, about 15 to 20 minutes, and there is no numbing and no recovery time afterward. Some people notice mild soreness in the treated area for a day or two, similar to the feeling after a workout, which is a normal part of the healing response. Most patients drive themselves home and return to their day immediately.
Most focused shockwave protocols run three to six sessions, spaced about a week apart, though a long-standing or multi-site problem can need more. The interval matters: shockwave works by triggering a healing response, and the tissue needs time between sessions to carry that response forward, which is why the treatments are spread out rather than stacked together. Many patients begin to notice change partway through the course, but the fuller benefit typically builds over the weeks after the final session as the tissue continues to remodel. At Dynamic Athlete, the number of sessions is set by your specific diagnosis and how the tissue responds, not by a fixed package sold to everyone.
No. They are different technologies. True shockwave is focused ESWT, generated inside the applicator and aimed by a lens to converge at a defined depth, so it can reach deep tendon and bone. Radial pressure wave is created by firing a projectile down a tube, so its energy is highest at the skin and fades quickly with depth. This is the modality the shockwave societies, ISMST and ASMST, recognize as true shockwave. Radial is a legitimate tool for superficial soft tissue, but many clinics market it as shockwave and charge shockwave prices without telling patients the difference. Dynamic Shockwave+ leads with focused ESWT and uses radial only as an adjunct when the case calls for it.
Shockwave is most effective for chronic soft-tissue and bone injuries that have stopped improving with rest, therapy, or injections. Common targets include plantar fasciitis and heel pain, Achilles tendinopathy, patellar tendinopathy or jumper’s knee, tennis and golfer’s elbow, calcific and rotator cuff tendinopathy, gluteal and hamstring tendon problems, and slow-healing stress fractures. It works best when the injury is chronic rather than acutely inflamed, because the goal is to restart a healing process that has stalled. In the right case, focused shockwave can also prime tissue before or alongside high-dose PRP or cellular therapy. A physician evaluation confirms whether your specific problem is a good fit for shockwave or for a different treatment.
Every shockwave treatment at Dynamic Athlete is performed by Aneesh Garg, DO, CAQ, a double board-certified sports medicine physician who founded and directs the American Shockwave Training Institute, where other clinicians and physicians learn focused shockwave. He is a member of the international shockwave societies, ISMST and ASMST, and a CuraMedix key opinion leader, and he treats on multiple units of the Storz gold-standard system, the same equipment he teaches others to use. That means the person choosing your device, your dose, and your depth is the physician who trains the field, not a technician running a single machine. The clinic serves Boulder, Louisville, Lafayette, Erie, Broomfield, and Longmont.
Dynamic Athlete Sports Medicine and Regenerative Orthopaedics in Boulder provides true focused ESWT, EMTT, and radial pressure wave, stacked and matched to your injury in the Dynamic Shockwave+ protocol. Treatment is performed by Aneesh Garg, DO, CAQ, founder of the American Shockwave Training Institute, on the Storz gold-standard system. A consultation starts by finding the true source of the problem, then matching the modality and dose to it, and being honest when shockwave is not the right tool or when pairing it with regenerative therapy would serve you better. The clinic serves Boulder and the surrounding Front Range, and treatment is HSA and FSA eligible with Cherry financing available.
Dynamic Athlete uses Storz Medical systems for every part of the Dynamic Shockwave+ protocol: the DUOLITH SD1 T-TOP (ultra) for focused shockwave (focused ESWT), the MAGNETOLITH for EMTT, and the D-ACTOR 100 and 200 for radial pressure wave, which is used only as an adjunct. The focused unit matters most: it is a focused electromagnetic device, so the treating physician chooses the depth the energy reaches rather than relying on a surface-level radial applicator. If you are comparing clinics, ask which focused device they use and who operates it; at Dynamic Athlete that is Aneesh Garg, DO, CAQ, who founded and directs the American Shockwave Training Institute.
“I was told I needed knee replacement. Dr. Garg found the real problem at my SI joint. Now I’m pain-free, climbing, and ready for ski season.”
“I saw too many people my age with negative results after rotator cuff surgery. PRP was a complete success. I will not be needing surgery.”
“Ten difficult years of chronic ankle and knee conditions. PRP and shockwave were life-changing. Finally healing up completely.”
All Dynamic PRP+ and Dynamic Stem Cell+ procedures are performed exclusively by Dr. Garg. Dynamic Shockwave+, Dynamic Mind+, and Dynamic Core+ are performed by Dr. Garg and his clinical team.
Aneesh Garg, DO, CAQ. Founder of Dynamic Athlete Sports Medicine and Regenerative Orthopaedics. Yale residency trained. Andrews Sports Medicine fellowship trained. Double board-certified Sports Medicine and Internal Medicine. Team Physician USA Hockey and U.S. Soccer. Founder and Medical Director of ASTI (American Shockwave Training Institute).
Teaching faculty RMTI and Rocky Vista University. Host of The Regen Doc podcast. Dr. Garg developed the Dynamic PRP+, Dynamic Stem Cell+, Dynamic Shockwave+, Dynamic Mind+, and Dynamic Core+ protocols used at this practice.
Yale residency trained. Andrews Sports Medicine fellowship trained. Double board-certified Sports Medicine and Internal Medicine.
Yale-New Haven Hospital residency
Fellowship-trained at the American Sports Medicine Institute (ASMI) / Andrews Sports Medicine
Team Physician for USA Hockey and U.S. Soccer
Medical Director of the American Shockwave Training Institute (ASTI), training clinicians nationwide in ESWT, RPW, and EMTT
Known for physician-performed, ultrasound-guided PRP, BMA/MFAT, and shockwave-primed biologic injections
The Regen Doc breaks down real patient cases, protocol design, and what actually works vs. what the industry sells. New episodes on Apple Podcasts, Spotify, and wherever you get your podcasts.
Talk with our team about whether you're a candidate. Care is directed by Aneesh Garg, DO, CAQ, here in Boulder.
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