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Shockwave Therapy

Shockwave Therapy (ESWT)

At FoRM Health, one of the most effective, non-invasive treatments we offer in our Portland, Oregon, clinic is shockwave therapy, also known as extracorporeal shockwave therapy (ESWT). This advanced therapy promotes healing, reduces pain, and helps break down scar tissue and fibrosis, allowing patients to recover faster and regain their active lifestyles.

What is Shockwave Therapy?

Extracorporeal shockwave therapy (ESWT) is a non-invasive treatment that uses shockwaves to help heal tissue and reduce pain. It’s a type of regenerative medicine that can provide significant relief for injuries and pain affecting the tendons, ligaments, muscles, joints, and areas affected by fibrosis or scarring.

Our Portland clinic uses a method of ESWT therapy called focused shockwave therapy. This therapy uses high-energy sound waves to stimulate the body’s natural healing processes. Focused shockwave therapy not only addresses musculoskeletal injuries but is also highly effective in treating scar tissue and fibrosis, which can restrict movement and cause chronic pain.

How Does ESWT Work?

Extracorporeal shockwave therapy uses focused acoustic waves to penetrate deep into tissues, where they stimulate cellular activity, promote tissue repair, and break down adhesions. ESWT works by:

  • Stimulating blood flow to the damaged area, enhancing healing.
  • Breaking down scar tissue and fibrosis, improving tissue elasticity and function.
  • Promoting collagen production, which strengthens and repairs tissues.
  • Reducing inflammation and calcifications in tendons and ligaments.
  • Relieving pain by desensitizing nerve endings and promoting tissue regeneration.

Shockwave Therapy for Scar Tissue and Fibrosis

One of the key benefits of focused shockwave therapy is its ability to reduce and break down scar tissue and fibrosis. After injuries or surgeries, excessive scar tissue formation can lead to stiffness, restricted movement, and chronic pain. Fibrosis, the thickening or hardening of tissue due to excess collagen formation, can further exacerbate these symptoms. ESWT helps by:

  • Breaking up adhesions and fibrotic tissue that restrict movement.
  • Stimulating tissue regeneration, encouraging healthier, more elastic tissue to replace scar tissue.
  • Restoring flexibility and mobility in areas affected by scarring, such as tendons, ligaments, and muscles.

This makes ESWT an ideal treatment for individuals suffering from post-injury or post-surgical scar tissue, as well as those with chronic conditions where fibrosis has developed.

Conditions Treated with Shockwave Therapy

ESWT is an ideal treatment option for a variety of musculoskeletal and pain conditions, including:

  • Plantar Fasciitis: Chronic heel pain due to inflammation of the plantar fascia.
  • Tendinitis: Such as Achilles tendinitis, patellar tendinitis, and tennis elbow.
  • Calcific Tendinitis: Calcium deposits in tendons causing pain and limited movement. This is most common in the shoulder rotator cuff.
  • Medial Tibial Stress Syndrome (Shin Splints): Pain and inflammation along the shinbone, common in runners.
  • Hip Bursitis: Inflammation of the hip bursa, causing pain and restricted movement.
  • Chronic Muscle Pain: Such as myofascial pain syndrome, where pressure on sensitive points in muscles leads to pain.
  • Scar Tissue and Fibrosis: Post-surgical or post-injury scarring, as well as fibrosis affecting soft tissue.

Key Benefits of ESWT

  • Non-Invasive: No surgery or injections are required, making it a safe and gentle option for pain relief.
  • Quick Recovery: Most patients experience significant improvement after 4-6 sessions, with minimal downtime.
  • Natural Healing: ESWT boosts the body’s natural healing mechanisms, making it an excellent alternative to medications or invasive procedures.
  • Scar Tissue Reduction: ESWT effectively reduces the formation of excessive scar tissue and breaks down existing fibrosis, improving tissue health.
  • Long-Term Relief: The benefits of shockwave therapy extend beyond short-term pain relief, addressing the root cause of conditions for lasting improvement.

What to Expect During Treatment

Shockwave therapy sessions at FoRM Health typically last around 10-15 minutes. Here’s what you can expect:

  1. Consultation: During your initial visit, our Portland ESWT doctors will evaluate your condition and determine if ESWT is the right treatment for you.
  2. Treatment: Focused shockwaves are applied to the affected area using a handheld device. Most patients experience some discomfort that immediately resolves once the procedure is complete.
  3. Follow-Up: Depending on the severity of your condition, a series of sessions (usually 4-6) is typically recommended. Some patients notice improvement after just one session, with further relief in the following weeks.

Is Shockwave Therapy Right for You?

Shockwave therapy is an excellent treatment option for individuals who have not found relief from conventional treatments like physical therapy, anti-inflammatory medications, or corticosteroid injections. It is ideal for treating chronic pain and injuries that have not responded to other therapies. ESWT is particularly effective for athletes or active individuals looking to minimize downtime.

Why Choose FoRM Health for Shockwave Therapy?

At FoRM Health, our Portland, Oregon, orthopedics and sports medicine team specializes in non-invasive, cutting-edge treatments like EWST to ensure the best outcomes for our patients. We combine the latest technology with personalized care, tailoring each treatment to your specific needs and condition. Our goal is to help you recover quickly and return to the activities you love—pain-free.

Ready to Get Started?

Schedule a New Patient Visit with Dr. Joanne Siegel DPT or  Dr. Jessica Binshaieg, ND 

If you’re suffering from chronic pain or a musculoskeletal injury, contact FoRM Health today to schedule a consultation and learn how extracorporeal shockwave therapy (ESWT) can help you. Our team is here to guide you on the path to recovery.

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Orthopedics

  • PRP Injections
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  • Physical Therapy
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Functional Medicine

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  • PRP + PRF Skin Rejuvenation
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We Love Our Patients

“I have loved participating in the Skin Rehab Program! I received 3 treatments per month customized to meet my skin care needs and goals.  With consistent treatments and home care, my skin is smoother, much more even skin tone (fewer dark spots and redness), firmer, and glows.  It just looks so much healthier!  I’m so happy with the results!”

–Look Better Member

“I am fairly new to acupuncture and dry needling and I cannot tell you how lucky I feel to have found THE Trusted Authority when it comes to these modalities. The experience at FoRM has been consistently amazing from beginning to end. I have not been able to stop sharing my experience and the benefits of going to see Dr. Minarik and his team with everybody that I know. They truly listen, are incredibly knowledgeable, candid and they set you up for longtime success/relief.”

–Sports Acupuncture Patient

So thankful for (Dr.) Paul Molina, his help every week has helped keep me together as a professional athlete. Very professional and overall a great person and friend. Would definitely recommend to anyone and everyone.

–Professional Athlete

Dr Kai Herman and her staff are amazing!  I have been under Dr Herman’s naturopathic care for years. I fully trust Dr Herman with my medical needs and when I heard she was doing PRP facials, I knew I could also trust her with my face/skin care needs. The procedure itself was seamless and done in a comfortable, relaxed setting.  The downtime was minimal.  The results were impressive.  I noticed tighter, firmer skin and an improved complexion.  This will definitely be part of my anti-aging skin care routine!

–PRP Skin Rejuvenation Patient

Acupuncture and Chinese Medicine used to be a place I would turn when my primary care provider was unable to address my concerns. After seeing Natasha, I now think of her first.

 

–Natasha’s patient

“Hilary is very thoughtful and a great listener when providing a customized solution. I was new to acupuncture and she was patient and communicative. She really cares for her patients. I’d recommend her to anyone.”

–Acupuncture Patient

“Dr. Herman thoughtfully and thoroughly addressed all of my concerns and recommended testing and treatments my PCP has never mentioned. I look forward to continuing my care with her.”

–Functional Medicine Patient

“Dr. Minarik is incredibly knowledgable. He’s been helping me for the last year and he’s top notch. I’ve been impressed with his understanding of both eastern and western treatment options.”

–Dry Needling & PRP Injections Patient

“Dr. Minarik is very skilled and knowledgeable about prp and prolotherapy. He is very thorough and precise in his treatments. He has a very good bedside manner with patients and explains his findings and treatments very thoroughly.”

–Orthobiologic Injections Patient

“Dr. Herman is amazing! I completed 2 laser resurfacing treatments and am loving the results. Many friends and family members have commented on how great my skin looks! Thanks, Dr. Herman!”

–Aesthetics Patient

READY to FEEL Better?

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👩‍⚕️ Meet our newest naturopathic doctor, 👩‍⚕️ Meet our newest naturopathic doctor, Dr. Brittany Krake! She has a wealth of knowledge and so many tools to help you feel better + move better at any age! Between utilizing functional medicine & regenerative medicine — this is a rich conversation that Dr. Krake has in-depth with her patients. 
✨ 
Questions or want to schedule? 
Visit our website through link in bio or 
call us at 📞 503-232-5653! 📞

#formhealth #feelbetter #regenerativemedicine #hormonehealth #hormonebalance #healthyaginglifestyle #movebetter #functionalmedicine #longevity #healthyhabits
How is aging showing up for you? If you’re feel How is aging showing up for you?

If you’re feeling foggy, sluggish, unmotivated, or lost that pep-in-your-step, it could be hormonal changes or deficiencies.

Here are some of the benefits of hormones, the body’s regulators:

💖 Estrogen – Supports mood, protects our brain, bones and heart health, regulates body temp & keeps skin youthful ✨ 

🌙 Progesterone – Calms the nervous system, improves sleep & balances estrogen 💤 

🔥 Testosterone – Fuels energy, muscle mass, libido & motivation 💪 

When these hormones are in flux, like in perimenopause, or low, as in a post-menopause & andropause era, it is common to feel fatigued, moody, foggy, or not like your usual self. 

Bio-Identical Hormone Replacement Therapy (BHRT) helps restore balance naturally, so you can feel like yourself again! 

💛 Supports energy & mood 
🧠 Improves mental clarity & focus 
🔥 Boosts metabolism & weight management 
💤 Enhances sleep & stress resilience 
💪 Protects bone, joint & heart health 

Our providers customize BHRT to your unique needs, using hormones that mimic what your body naturally produces. Ready to feel your best? Let’s find your balance!

Schedule an appointment with one of our naturopathic doctors to get started by calling 503.232.5653 opt 2.

#FeelBetterMoveBetter #FeelBetterLookBetter #agedefy #menopausesolutions #liveintopform #hormonehelp #bhrt #hrt
You gotta stop to smell the flowers but are you al You gotta stop to smell the flowers but are you also stopping to peep the leaves?! 🍂 🍁 🍂 

One of the simplest ways to protect your health & increase longevity is time outside, getting your steps in, + having some hot herbal tea. 🪴 

Research shows that even 7-8k steps is enough to gain longevity benefits & reduce all cause mortality. 

This is your sign to stop the scroll & head out for a crisp Autumn walk today! 🎃

#longevity #healthyaginglifestyle #functionalmedicine #feelbetter #autumnmood #steps #freshair #getoutside #formhealthpdx
Aging is an honor! Yes, but there are some unwante Aging is an honor! Yes, but there are some unwanted side effects!
How is aging showing up on you?

Wrinkles? Texture changes and fine lines? Discolored complexion? Or volume loss? Let’s change that!

Our Look Better Memberships utilize powerful, evidenced-based techniques including light and energy therapies, microneedling and regenerative aesthetic procedures like Platelet Rich Fibrin (PRF) Skin Rejuvenation.

We have 3 Membership Tiers to choose from:

🌟 Glow Up – Perfect for those with early signs of aging and texture changes. 

- Primary service included: 1 Hour Custom Combo 

💆 Skin Rehab – Includes targeted treatments to repair + restore skin barrier function, address inflammation + correct discoloration.

- Primary Service included: Intermittent Pulse Light (IPL) Photorejuvenation or Microneedling (depending on skin-type)

⏳ Age Defy – Includes advanced aesthetic therapies to boost collagen, smooth fine lines, and restore volume loss.

- Primary Service included: PRF Skin Rejuvenation

Aging is an honor - and we believe in helping you age your way!

Our Aesthetician, O’Brien, and Aesthetic specialist, Dr. Kai will design a plan tailored to your goals, then watch your skin evolve month after month.

Use link in bio to learn more about Look Better Memberships + schedule your consultation with our aesthetician.

#formhealth #formhealthpdx #TopForm #sellwoodmoreland #naturalaesthetics #healthyisbeautiful #agedefy #Skinrehab #glowup #SkinRejuvenation #PRFskinrejuvenation #naturalbeauty #microneedling #ipl #iplfacial #photorejuvenation #botox #biotherapeutic #advancedaesthetician #skinbetterscience #epionce #dermaplaning #microcurrent #hydrodermabrasion #nofilterneeded
Love the way you age 💪✨ At FoRM, we combine Love the way you age 💪✨

At FoRM, we combine Functional + Regenerative Medicine to help you look, move, and feel your best at every stage of life.

💉 Regenerative Aesthetics: PRF, Microneedling, Light Therapy + more
🦵 Regenerative Orthopedics: PRP, MFAT, Prolotherapy
⚖️ Functional Medicine: Root-cause care with a focus on hormonal health

Longevity should feel + look good!

#regenerativemedicine #functionalmedicine #aestheticmedicine #hormonetherapy #bhrt #prp #prf #prolotherapy #mfat #skinrehab #glowup #menopausehelp #lookbetterfeelbetter #agedefy #formhealth
The FoRM team is all about getting you back to fee The FoRM team is all about getting you back to feeling 💯 & continuing to feel 💯 at any age! Dry-needling is amazing for targeting tight muscles + trigger points to reduce pain, improve mobility, & speed up healing so you can do what you love for as long you want. We’re so fortunate to have Sharon’s skill + expertise — she’s helping so many patients feel strong & live pain-free at every age! 💪 ✨ 

#dryneedle #movebetter #feelbetter #agingstrong #mobility #functionalmedicine #formhealthpdx #portlandacupuncture
Dr. Ryan introduces Dr. Brittany Krake, ND — the Dr. Ryan introduces Dr. Brittany Krake, ND — the newest member of our Regenerative Orthopedics team- to Regenerative Medicine, the FoRM way!

Here she joins Dr. Ryan, FoRM’s Director of Regenerative Orthopedics, for a hands-on look at our Platelet-Rich Plasma (PRP) process 🩸.

While Dr. Brittany is a already an experienced injector, our providers like to collaborate on best practices and techniques, to ensure patients get a seamless experience + most effective treatment.

Dr. Brittany observed Dr. Ryan prepare + perform a PRP injection on a painful thumb joint — helping restore mobility and reduce chronic discomfort. 💪✨

At FoRM, our Regenerative Orthopedic team uses advanced therapies including:
🧬 Micro-Fragmented Adipose Tissue (MFAT)
💉 Platelet-Rich Plasma (PRP)
🌿 Prolotherapy + Prolozone

These evidence-informed treatments help patients recover from injury, reduce arthritis pain, and improve joint function — without surgery.

#FoRMHealth #RegenerativeMedicine #PRP #OrthopedicMedicine #NaturopathicMedicine #MFAT #Prolotherapy #Prolozone #JointHealth #PainRelief #sellwoodmoreland #sellwood
Welcome Fall 🍁🍂— finally…back to cozy ro Welcome Fall 🍁🍂— finally…back to cozy routines, cooler mornings, and a chance to properly decompress ☕️📖

As we embrace the beginning of Fall, we wanted to give Summer a proper send off with photo dump of seasonal highlights 📸.

Our FoRM providers packed this season full: social get-togethers, golf (and yes, more golf), lake days + beach bonfires, long nights + bike rides, family trips + touring, outdoor concerts + sporting events — and some good trouble in Vegas runs. We came back sun-kissed, tired in the best way, and smarter for the pause.

Bring on the cooler mornings, steady rhythms, and the work we love. If your reset requires a little professional help, we’ve got you. #FoRMHealth #FallReset 
#formhealth #formhealthpdx #functionalmedicine #regenerativemedicine #naturopathicmedicine #naturopathicdoctor #feelbettermovebetterlookbetter #TopForm #sellwoodmoreland #portlandoregonclinic #integrativemedicine #feelbetter #movebetter #lookbetter
✨ Physical Therapy, the FoRM way ✨
 At FoRM ✨ Physical Therapy, the FoRM way ✨

At FoRM Health, PT isn’t just a list of prescribed exercises.
Our highly-experienced Physical Therapist, Dr. Joanne Siegel DPT, has a very “hands-on” practice!

She starts with a comprehensive, hands-on re-evaluation—spending a full 60 min with every new and return patient to uncover what’s really going on.

Every PT session includes hands-on manual therapy to address dysfunction, reduce pain, and restore mobility before even talking exercises.

Only then does she create a custom movement plan that’s strategic, sustainable, and specific to you.

📍This is PT designed to actually get you better.

#FoRMHealth #PhysicalTherapy #SportsMedicine #ManualTherapy #InjuryRecovery #MoveBetter #RegenerativeMedicine #HolisticHealth #PortlandHealthcare #sellwoodmoreland
We’re *shocked* at how well these acoustic waves We’re *shocked* at how well these acoustic waves work! 😉 

🔊 🔊 🔊 

Shockwave therapy is a non-invasive treatment that uses sound waves to stimulate healing in damaged tissues, reduce pain, + improve mobility. By promoting blood flow, reducing scarring, & accelerating tissue repair, Shockwave therapy supports the body’s natural healing processes, helping you recover faster with minimal downtime! 

Ideal for any tendinopathy (tendinitis, tendinosis, calcifications), plantar fasciitis, general pain associated with fascial adhesions/scarring, + nerve pain.

@drbinshaieg used shockwave therapy & took our nutritionist’s tennis elbow from a 5 to 1 pain level in ONE treatment. 🙌 

Want to learn more? 
🔗 in bio
📞 503 232 5653

#movebetter #shockwavetherapy #formhealthpdx #sportsmedicine #feelbetter #regenerativemedicine #orthopedicsportland #functionalmedicine
Meet Dr. Brittany Krake, ND 🌿 Regenerative Med Meet Dr. Brittany Krake, ND 🌿

Regenerative Medicine + Functional Hormone Specialist @formhealthpdx 

We’re thrilled to welcome Dr. Brittany Krake ND to the FoRM family!👏🏽
⁠
Dr. Brittany is a licensed Naturopathic Doctor with advanced training in Regenerative Orthopedic Medicine—including ultrasound-guided Platelet-Rich Plasma (PRP) injections—to help patients recover from chronic pain and acute injuries.
She also specializes in Functional Medicine and hormone health, guiding patients through every stage of hormonal change—from reproductive health and perimenopause to menopause and andropause—helping them regain balance, energy, and resilience.

Her whole-person approach blends cutting-edge regenerative therapies, hormone optimization, and lifestyle medicine to support healing, recovery, and long-term vitality.

We’re so excited to have her expertise here at FoRM to help our patients move, feel, and live better 💪✨

📍 Now accepting new patients
📌 Insurance credentialing expected Fall 2025

#FoRMHealth #RegenerativeMedicine #PRP #OrthopedicMedicine #FunctionalMedicine #HormoneHealth #WomensHealth #MensHealth #SportsMedicine #InjuryRecovery #PRPinjections #Prolotherapy #ChronicPainRelief #MoveBetter #IntegrativeMedicine #NaturopathicMedicine #PacificNorthwestHealth #PRPforInjuries #HormoneOptimization #FeelBetterLiveBetter
Summer Fun, Meet Fall Recovery 🏃‍♀️💪 Summer Fun, Meet Fall Recovery 🏃‍♀️💪

Time to focus on recovery! FoRM's Rehab program includes #prp #mfat #shockwave #sportchiropractic #physicaltherapy #dryneedling 

Schedule with one of our Naturopathic Doctors who specialize in Sports Medicine for a thorough exam and customized rehabilitation plan!

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8113 SE 13th Ave
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