Is It Time to Try PRP or Shockwave Therapy for Chronic Pain?

Is It Time to Try PRP or Shockwave Therapy for Chronic Pain?

Jun 11, 2025

PRP or Shockwave Therapy for Chronic Pain

Chronic pain can erode quality of life, undermine productivity, and drive long-term reliance on medications. In Frisco, two regenerative approaches—platelet-rich plasma (PRP) injections and extracorporeal shockwave therapy (ESWT, often called SoftWave)—are emerging as powerful alternatives to traditional care. By harnessing the body’s own repair processes or mechanical bio-stimulation, these modalities offer targeted relief for tendinopathies, osteoarthritis, myofascial pain, and beyond.

Understanding PRP Therapy Frisco

PRP therapy concentrates a patient’s platelets—tiny blood cells rich in growth factors like PDGF, TGF-β, and VEGF—into an autologous injectable solution. Once delivered into injured tendon, ligament, or joint tissue under ultrasound guidance, these factors stimulate:

  • Angiogenesis and new blood vessel formation

  • Fibroblast proliferation and collagen synthesis

  • Modulation of inflammatory cytokines

PRP is indicated for lateral epicondylitis (tennis elbow), Achilles tendinopathy, rotator cuff tears, knee osteoarthritis, and early degenerative disc disease. Studies show pain scores dropping by 40–60% and functional gains lasting up to 12 months.

Learn how regenerative injections fit into comprehensive chronic pain relief new treatments in Frisco.

How Shockwave Treatment Frisco Works

Extracorporeal shockwave therapy (ESWT) delivers high-energy acoustic pulses to affected areas. These pulses create microtrauma that:

  • Triggers neovascularization and improved perfusion

  • Breaks down calcific deposits in tendons

  • Stimulates stem cell migration and tissue remodeling

SoftWave is FDA-cleared for plantar fasciitis, calcific shoulder tendinopathy, patellar tendonitis, and myofascial trigger points. Patients typically undergo 3–5 weekly sessions, each lasting 10–20 minutes, with measurable relief within 2–4 weeks.

A deeper dive into these regenerative therapies for chronic pain can be found in our detailed overview.

Table 1. PRP vs. Shockwave Therapy Comparison

Feature

PRP Injection

Shockwave (SoftWave)

Source

Autologous blood

Mechanical acoustic device

Mechanism

Growth factor release

Microtrauma and mechanotransduction

Invasiveness

Minimally invasive (needle)

Non-invasive (probe)

Common Indications

Tendinopathies, osteoarthritis

Plantar fasciitis, tendon calcification

Onset of Relief

4–6 weeks

2–4 weeks

Duration of Benefit

6–12 months

3–6 months

Clinical Evidence and Indications

Numerous randomized controlled trials validate both modalities:

  • PRP outperforms corticosteroids in lateral epicondylitis at 6-month follow-up.

  • ESWT shows 80–90% success in plantar fasciitis refractory to orthotics and NSAIDs.

  • Combined PRP plus shockwave yields synergistic improvements in rotator cuff tendinopathy.

Ideal PRP therapy Frisco candidates are those with moderate tendon degeneration or early osteoarthritis who seek to avoid surgery. Shockwave excels when soft-tissue calcifications or chronic myofascial pain points resist conservative care.

Table 2. Conditions Treated & Typical Protocols

Condition

PRP Sessions

Shockwave Sessions

Expected Relief Onset

Tennis Elbow

1–2 injections

3–5 treatments

4–6 weeks

Plantar Fasciitis

1 injection

3–5 treatments

2–4 weeks

Knee Osteoarthritis (Grade I–II)

2 injections

3 sessions

6–8 weeks

Rotator Cuff Tendinopathy

2–3 injections

4–6 treatments

4–6 weeks

Myofascial Trigger Points

1 injection

3–4 treatments

2–3 weeks

Candidacy and Diagnostic Work-Up

Before recommending PRP or shockwave, specialists conduct:

  • Detailed patient history and pain scales

  • Physical exam focusing on range of motion and palpation

  • Imaging: MRI, musculoskeletal ultrasound, or radiographs

  • Functional assessments to pinpoint biomechanical deficits

Patients can learn more about local experts at our guide to the best pain clinics in Frisco.

What to Expect During Treatment

Both therapies are outpatient procedures:

  • PRP: Blood draw (30 ml), centrifugation, local anesthetic, and ultrasound-guided injection. Total time: ~60 minutes. Minor soreness and swelling may persist for 48 hours.

  • ESWT: No anesthesia required. A coupling gel is applied, and shockwave pulses deliver mechanical energy. Sessions last 10–20 minutes with immediate return to activities; mild bruising or discomfort is rare.

Combined protocols—alternating PRP injections with shockwave—can accelerate tissue remodeling and extend relief. Explore case studies in our regenerative therapies for chronic pain blog.³

Integrating Supportive Therapies

For optimal outcomes, regenerative or shockwave treatments should be paired with:

  • Physical therapy: eccentric loading, core stabilization, gait retraining

  • Ergonomic and biomechanical assessments for work or sport

  • Mind-body techniques: mindfulness, biofeedback, or yoga

  • Nutritional counseling: anti-inflammatory diet rich in omega-3s and antioxidants

  • Neuromodulation adjuncts like TENS or pulsed electromagnetic field (PEMF) therapy

A multimodal plan fortifies results, reduces flare-ups, and curbs reliance on NSAIDs or opioids.

Choosing the Right Provider

Selecting a clinic with both expertise and outcomes transparency is critical. Ideal centers feature:

  • Board-certified pain physicians, sports medicine specialists, or physiatrists

  • Access to image-guided interventions (ultrasound, fluoroscopy)

  • In-house physical therapy and rehab services

  • Outcome tracking registries and patient-reported metrics

Frequently Asked Questions

1. Does PRP therapy require multiple visits? Most protocols involve 1–3 injections spaced 4–6 weeks apart, depending on the condition and response.

2. Is shockwave treatment covered by insurance? Coverage varies; many insurers recognize ESWT for plantar fasciitis but may consider other indications experimental.

3. Can PRP and shockwave be combined safely? Yes. Alternating PRP injections with shockwave sessions capitalizes on growth factor release and mechanostimulation.

4. How long before returning to sports or heavy labor? Patients typically resume low-impact activities within days; full return to sport occurs 4–6 weeks post-treatment.

5. What are the risks of PRP and shockwave? Both have excellent safety profiles. PRP may cause mild soreness or bruising; shockwaves can induce transient skin redness or discomfort.

Conclusion

PRP therapy Frisco and shockwave treatment Frisco represent transformative steps in chronic pain management. Modern Skin Med Spa Frisco partners with leading specialists to deliver these state-of-the-art solutions. 

Ensuring every patient benefits from personalized, evidence-based care designed to heal, restore, and revitalize.