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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
  • MFAT Injections
  • Prolotherapy
  • Sports Acupuncture & Dry Needling
  • Chiropractic
  • Physical Therapy
  • Shockwave Therapy
  • Massage Therapy
  • MSK Ultrasound
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Functional Medicine

  • IV Nutritional Therapy
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  • Hormone testing & Functional Labs
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Aesthetics

  • Age Defy Aesthetic Memberships
  • PRP + PRF Skin Rejuvenation
  • PRP + PRF Hair Restoration
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We Love Our Patients

“As a self-declared sun-worshiper it is fair to say I had significant sun damage and my face just looked older than my years. I started working with Dr. Herman and O’Brien Cox and the results have been amazing! At a party I was asked if I changed my hair because I looked 10 years younger but I can assure you it was not my hair. These two talented professionals will change your life …or at least your face. I promise you, you won’t regret the investment. I am beyond thrilled.”

–Age Defy Member

“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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🍂 Fall at FoRM is here — and we've been busy. New 🍂 Fall at FoRM is here — and we've been busy.

New services. New equipment. New Membership. A very special announcement!

Here's what's new 👇

📊 SECA Body Composition Analysis
Your scale only tells you how much you weigh. SECA tells you what that weight is made of — muscle, fat, visceral fat + water. It's MRI-validated and trusted by leading hospitals.
👉 First analysis just $40 through October.

✨ The Laser Membership — Officially Launched
Summer's over. Your skin is ready for a reset. For $280/month, choose IPL for sun damage + discoloration, or Laser Hair Removal to get ready for next summer. 30 minutes every month, and you pick the treatment.

👶 Welcome, Charlotte Rosa!
Congratulations to Dr. Paul + Katie on the arrival of their first daughter 💛 Dr. Paul is back seeing patients October 7th.

💧 Coming Soon: An Elevated IV Experience at FoRM
A redesigned room, new chair + a calmer space to recharge and recover. Stay tuned.

Feel Better. Move Better. Look Better. 🌿
📲 Book through the link in bio.

#FoRMHealth #seca #BodyComposition #LaserHairRemoval #ipl
We’ve got a new machine coming online for our pati We’ve got a new machine coming online for our patients! 👀 

The SECA medical body composition scale is a precise look at your body composition including muscle mass, fat percentage, fat mass, water components & more. We want to reframe your health journey from only weight loss to finding your healthiest + strongest body composition! The SECA machine will help us tailor your treatment plans even more specifically to your needs. Another way we support you in feeling + moving better. 💪 💪 @seca_usa 

We’ll have the SECA available in October. Give us a call or DM us for more info!! 📞 503-232-5653

#bodycomposition #feelbetter #movebetter #seca #healthiswealth #functionalmedicine #formhealthpdx #feelstronger
Moving Better starts with personalized care that c Moving Better starts with personalized care that considers your individual needs. FoRM Health offers chiropractic services designed to support mobility, reduce pain, & improve overall function. Our sports chiropractor focuses on rehabilitation as much as he focuses on soft-tissue work and manual therapy. 

Link in Bio to our website: https://formhealthpdx.com/

#sportschiropractor #movebetter #orthopedicmedicine #rehabilitation #injuryrecovery #functionalmedicine #formhealthpdx #portlanchiropractor
Prolotherapy is a regenerative injection therapy f Prolotherapy is a regenerative injection therapy for acute injuries + chronic pain caused by various musculoskeletal conditions like sprains, back pain, + joint instability. Prolo involves injecting diluted sugar solution into damaged tendons & ligaments to stimulate your body's natural healing process. Prolotherapy can also act as a natural pain reliever! It can be an absolute gamechanger in your recovery getting back to what you love most. 🏄🏌️‍♀️🏂

Link in bio to learn more! #prolotherapy #regeneratuivemedicine #movebetter #nonsurgicalorthopedics #formhealthpdx #feelbetter #naturopathicmedicine #injuryrecovery
Nagging pain? Old injury hanging around much too l Nagging pain? Old injury hanging around much too long? We offer non-surgical regenerative medicine options including PRP injections, prolotherapy, trigger point injections, hydro dissection in addition to orthopedic care like physical therapy, chiropractic, shockwave therapy, dry-needling, acupuncture, + more! Come see us so we can get you back to doing what makes you feel best!! 🏌️‍♀️🚴🏄‍♀️

Link in Bio to learn more! https://formhealthpdx.com/.

#movebetter #orthopedicmedicine #functionalmedicine #functionalmovement #rehab #injuryrecovery #regerativemedicine #nonsurgicalorthopedics #healthiswealth #strength #athletes #sportsmedicine
Goodbye, summer — you were a good one. ☀️ Celebra Goodbye, summer — you were a good one. ☀️

Celebrating the season’s end with a photo dump of the highlights:

World Cup soccer⚽️ 4th of July Fireworks 
🎇Music fests 🎸 & garden parties
Long afternoons with a book📚. 
Berry-picking 🫐🍓& Coastal sunsets
Family time, nature hikes 🥾& summer-time sports 🏌️‍♂️
Christmas in July at FoRM 🎄

Our providers soaked up every last minute — & we’re carrying that warmth into fall. 🍂

Welcome, Autumn….Grounded mornings. Steady routines. A perfect season to restore & reset. 

#FoRMhealth #movebetter #feelbetter #summervibes #pnwsummer
Arthritis is a common problem that keeps people fr Arthritis is a common problem that keeps people from moving. At FoRM Health, our mission is to help you overcome the obstacle of pain that limits activities. Between chiropractic care, physical therapy, and our regenerative injections therapies, we'll get you back to doing what you love, pronto! 💪🏃‍♀️💪 #arthritis #regenerativemedicine #movebetterfeelbetter #orthopedicmedicine #arthritissolutions #injuryrecovery #chronicpain #nonsurgicalorthopedics
Recovery looks different for everyone! & the right Recovery looks different for everyone! & the right support can help you move forward with confidence + a very efficient game plan to get you back to doing what makes you feel best 💪 

FoRM Health offers physical therapy designed to support mobility, strength, function, + recovery based on YOUR individual needs and goals. Visit our website to learn more. https://formhealthpdx.com/
Aging is a privilege! The goal is to feel well whi Aging is a privilege! The goal is to feel well while doing it. At FoRM Health, we have so many therapies to help you thrive in every decade. 🌻

From regenerative injections for arthritis to PRF for hair restoration to bio-identical hormone replacement, let us help you be your best self for decades to come! ✨✨

#feel better #lookbetter #movebetter #hormonehealth #hormonereplacementtherapy #regenerativemedicine #naturopathicmedicine #sellwoodmoreland #formhealthpdx
You just got hurt — now what? 🏃‍♀️ A hard cut on You just got hurt — now what? 🏃‍♀️

A hard cut on the court. A missed step off a curb. A deadlift that felt fine until it didn’t. However it happens, the first steps you take after an acute injury can make or break your recovery. Here’s FoRM’s 4-step framework ⬇️

🧊 Step 1 — 24 -72 hours post-injury
Skip RICE, try PEACE. 

Prevent further damage, Elevate, Avoid anti-inflammatories, Compress & Educate yourself on active recovery. Total rest & constant icing can actually blunt the healing your body needs to kick off.

🩺 Step 2 — Week 1
Get a diagnosis, not a guess. 

Book an orthopedic exam with one of our sport-specific NDs — Dr. Ryan, Dr. Brittany or Dr. Jessica — the sooner the better. They’ll help you formulate a comprehensive and appropriate conservative care recovery plan.

💪 Step 3 — Weeks 1 - 4
Be consistent with your care plan. 

Acute injuries heal well with the right support — PT, manual therapy, acupuncture +/or shockwave — to manage pain, restore range of motion & rebuild strength before it becomes chronic.

🎯 Step 4 — Not improving after a month? 
Consider Regenerative Injection Therapy.

Give conservative care 4–6 weeks. If it’s not clicking, it’s time to talk regenerative injection therapy — PRP or Prolotherapy — to stimulate a stronger tissue healing response at the injury site.

An acute injury doesn’t have to become a chronic one. The difference is usually just having a plan.

📅 Book your orthopedic exam — link in bio 

#FoRM #MoveMore #MoveBetter #SportsMedicine #InjuryRecovery
A lot of little stress reducing, metabolism boosti A lot of little stress reducing, metabolism boosting, confidence building, strength increasing habits really add up! These are some of the things your FoRM providers do to help themselves feel & move better as we all enjoy the privilege of aging. 

🌺 Bubbles Baths
🌺 Walking Pups
🌺 Sprint Training 
🌺 Learning New Things 
🌺 Infrared Sauna 

What are you currently using to feel better & stronger with age?? Let us know 👇 

#agewell #feelbetter #movebetter #lookbetter #naturalmedicine #healthiswealth #functionalmedicine #lessstress #reducestress #braingain #agestrong
Newly injured? 😩... These 4 steps will get you on Newly injured? 😩... 
These 4 steps will get you on the road to recovery!

- First 24 - 72 hours: PEACE not RICE. Protect, Elevate, Avoid Anti-inflammatories, Compress + Educate. 
- 1-2 weeks: schedule an orthopedic exam with Dr. Ryan, Dr. Brittany, or Dr. Jessica.
- Next 4-6 weeks, follow your recovery plan: Physical Therapy, Shockwave, Acupuncture, +/or Body Work.
- If you're not improving within the month, consider regenerative injection therapy with PRP or Prolotherapy.

#movebetter #form

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8113 SE 13th Ave
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