Your body’s tissues are equipped with their own innate healing mechanisms, perfectly designed to self-repair and regenerate. But multiple factors can slow or prevent the healing process, prolonging your pain and physical dysfunction. Extracorporeal shockwave therapy (ESWT) uses high-pressure acoustic waves to stimulate and accelerate tissue healing and repair.
True shockwaves have unique mechanisms of action that trigger a cascade of biological reactions, stimulating tissue repair at the cellular level. EPAT technology is often advertised as shockwave therapy, but it uses low energy waves that do not have regenerative effects. While EPAT can be beneficial in early stage inflammatory conditions, it does not stimulate tissue repair.
Your body’s tissues are equipped with their own innate healing mechanisms, perfectly designed to self-repair and regenerate. But multiple factors can slow or prevent the healing process, prolonging your pain and physical dysfunction. Extracorporeal shockwave therapy (ESWT) uses high-pressure acoustic waves to stimulate and accelerate tissue healing and repair.
True shockwaves have unique mechanisms of action that trigger a cascade of biological reactions, stimulating tissue repair at the cellular level. EPAT technology is often advertised as shockwave therapy, but it uses low energy waves that do not have regenerative effects. While EPAT can be beneficial in early stage inflammatory conditions, it does not stimulate tissue repair.
In many cases, shockwave therapy is provided without a specific diagnosis, subjecting patients to inefficient and ineffective treatment with no clear objective, and administering far more treatment sessions than are recommended or warranted.
When administered responsibly under ultrasound guidance, shockwave therapy is an evidence-based approach that requires only 5-6 sessions to stimulate tissue regeneration.
Dr. Kalika and Dr. Agyakwah Team Up to Deliver State-of-the-Art Shockwave Therapy
Dr. Lev Kalika, DC, is a world-class expert in the field of sports medicine, pain management, and rehabilitation, with 27 years of hands-on clinical experience. He is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and is the only specialist in NYC certified by the ISMST to perform extracorporeal shockwave therapy. In 2007, Dr. Kalika earned the credential RMSK – Registered in Musculoskeletal Sonography – a credential reserved for clinicians who demonstrate expertise in musculoskeletal ultrasound.
Dr. Kalika leverages the most evidence-based combination of focused, defocused, and radial shockwaves, enhanced by EMTT and HEIT regenerative technologies to synergistically optimize the efficacy of shockwave procedures and improve patient outcomes. Dr. Kalika has published multiple peer-reviewed research articles demonstrating the success of various ultrasound guided procedures.
Dr. Lev Kalika, DC, is a world-class expert in the field of sports medicine, pain management, and rehabilitation, with 27 years of hands-on clinical experience. He is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and is the only specialist in NYC certified by the ISMST to perform extracorporeal shockwave therapy. In 2007, Dr. Kalika earned the credential RMSK – Registered in Musculoskeletal Sonography – a credential reserved for clinicians who demonstrate expertise in musculoskeletal ultrasound.
Dr. Kalika leverages the most evidence-based combination of focused, defocused, and radial shockwaves, enhanced by EMTT and HEIT regenerative technologies to synergistically optimize the efficacy of shockwave procedures and improve patient outcomes. Dr. Kalika has published multiple peer-reviewed research articles demonstrating the success of various ultrasound guided procedures.
Dr. Kalika recently participated in the 27th International Society for Medical Shockwave Treatments (ISMST) World Conference in Bogotá, Columbia, where he showcased his work in two presentations before some of the world’s leading experts in regenerative medicine and orthobiologics. He also led a workshop on ultrasonography.
Not only was it an honor to present before such esteemed and inspiring colleagues, but the conference was an incredible learning opportunity. Especially appreciated was the warmth and energy of the shockwave family—a group that not only advances science, but also knows how to celebrate life together.
Dr. Michelle Agyakwah, DC is a gifted manual therapist with expertise in various soft tissue techniques, including cross-friction massage, post isometric relaxation, myofascial release, and Stecco fascial manipulation. She applies various mobilization techniques such as Red Cord, DNS, AIM, and therapeutic Pilates to rehabilitate a broad range of patient conditions. To enhance patient outcomes, Dr. Aguakwah integrates shockwave therapy into her soft tissue treatment protocols.
Why Shockwave Therapy at NYHIRehab
is Superior to Shockwaves Offered
at Other Clinics
Most injuries involve multiple tissue types, potentially affecting a combination of muscles, tendons, fascia, ligaments, bones, nerves and blood vessels. To target different tissue types, we combine four different types of shockwaves – focused, defocused, linear and radial – at no extra cost to the patient.
The clinic at NYIHRehab features the most advanced shockwave equipment available, enabling us to adjust the frequency, intensity, breadth and depth of tissue-specific shockwaves. Guidance with ultrasound imaging ensures that the shockwaves hit their mark, to produce optimal results.
focused
defocused
RADIAL
Piezowave Linear
Our multi-modal approach to shockwave therapy allows us to vary the depth and width of penetration, zoom in to focus on specific tissues, and zoom out to cover larger areas. Research shows that combining focused electromagnetic and focused electrohydraulic waves produces superior results. All our shockwave sessions are supplemented with radial shockwave for fascia, to achieve holistic results.
SoftWave
SoftWave – a groundbreaking regenerative mechanotransduction technology – is the latest addition to our shockwave family. It delivers defocused and linear focused shockwaves to damaged tissues, to recruit maximum stem cells to the treatment site. SoftWave’s wider and deeper penetration using defocused energy is a preferred treatment option for a broad spectrum of conditions, ranging from orthopedic injuries to pelvic health.
Extracorporeal Magnetotransduction Therapy (EMTT)
Amplifies Shockwave Results
For the best patient outcomes, we often combine shockwave therapy with extracorporeal magnetotransduction therapy (EMTT) to enhance pain relief, boost tissue regeneration, and accelerate recovery. EMTT uses high-intensity electromagnetic fields, tapping into the body’s own magnetic fields to stimulate cellular processes.
EMTT’s broad tissue stimulation complements ESWT’s targeted mechanical effects, priming tissues by reducing inflammation and enhancing cellular responsiveness to ESWT’s repair mechanisms.
We combine ESWT with EMTT to treat:
- Chronic pain syndromes such as low back, neck and shoulder pain
- Tendon and ligament injuries such as Achilles tendinopathy and tennis elbow (lateral epicondylitis).
- Fascial densifications and adhesions, including plantar fasciitis
- Joint disorders like osteoarthritis, degenerative disc disease, and spondylarthrosis
- Bone non-unions, stress fractures and delayed fracture healing
- Erectile dysfunction (ED) and chronic pelvic pain syndrome
- Sports injuries such as muscle strains, ligament sprains, and overuse injuries
When used together, ESWT and EMTT enhance, amplify and accelerate tissue response to treatment, reducing treatment time while delivering superior results. Both therapies are non-invasive and painless, with no need for anesthesia, and no post-treatment downtime.
High-Resolution Ultrasonography Ensures Accuracy
At NYIHRehab, we use the most advanced high-resolution ultrasound equipment for on-site imaging, giving us a clear picture of your injury on your very first visit. Ultrasound is far superior to outdated imaging technologies like Xray and MRI that only provide static images.
While Xray and MRI can show bone pathologies like cancer, the dynamic capabilities of high resolution diagnostic ultrasound make it far more useful in cases such as:
- Slipped rib syndrome
- Periosteal edema
- Stress reactions or stress fractures
- Fascial tears and adhesions
- Injuries involving multiple tissue types
Unlike MRI or Xray, high resolution diagnostic ultrasound lets us examine multiple areas in a single visit:
- We can check scapular gliding in cases of scapular dyskinesis
- We can identify densified fascia and detect entrapped nerves and blood vessels that are causing pain
- We can examine rib spacing, symmetry and mobility during movement and breathing
- We can compare the injured and uninjured sides of the body
At NYIHRehab, we use the most advanced high-resolution ultrasound equipment for on-site imaging, giving us a clear picture of your injury on your very first visit. Ultrasound is far superior to outdated imaging technologies like Xray and MRI that only provide static images.
While Xray and MRI can show bone pathologies like cancer, the dynamic capabilities of high resolution diagnostic ultrasound make it far more useful in cases such as:
- Slipped rib syndrome
- Periosteal edema
- Stress reactions or stress fractures
- Fascial tears and adhesions
- Injuries involving multiple tissue types
Unlike MRI or Xray, high resolution diagnostic ultrasound lets us examine multiple areas in a single visit:
- We can check scapular gliding in cases of scapular dyskinesis
- We can identify densified fascia and detect entrapped nerves and blood vessels that are causing pain
- We can examine rib spacing, symmetry and mobility during movement and breathing
- We can compare the injured and uninjured sides of the body
Focal shockwave therapy
Orthobiologic injection therapies
Nerve hydrodissection
Myofascial release therapy
Trigger point dry needling
Dr. Kalika is an expert in musculoskeletal ultrasonography, with 25 years of experience and multiple scientific papers to his credit. High-resolution ultrasound imaging provides us with a cutting-edge diagnostic tool, and enables us to guide shockwave and needling procedures with accuracy and precision.
Experience the Benefits of Real Shockwave Therapy in NYC
Multimodal shockwave therapy guided by ultrasound imaging is only offered at a handful of private clinics nation-wide, and the expertise of clinicians providing shockwave therapy varies widely. Hospitals often market shockwave therapy to patients without an accurate diagnosis or clear objective, and patients are often given more treatments than are considered safe or necessary.
Only true shockwaves can activate your body’s healing mechanisms to accelerate tissue repair, and a combination of shockwaves is most beneficial for targeting multiple tissue types. However, without real-time ultrasound guidance, shockwave therapy can be hit-or-miss, reducing its effectiveness and potentially doing more harm than good.
To get the most effective shockwave therapy guided by high-resolution ultrasound, contact NYIHRehab today, and start healing so you can get back out there!
500$
1-hour initial evaluation with Dr. Kalika using high-resolution diagnostic ultrasound imaging
175$
Focused and Radial Shockwaves with Dr. Agyakwah
*(Requires $200 pre-treatment evaluation)
Imaging not included – please bring any available MRI or xray images.