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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. Itโ€™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 bodyโ€™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 bodyโ€™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. Hereโ€™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 loveโ€”pain-free.

Ready to Get Started?

Schedule aย New Patient Visitย with Dr. Joanne Siegel DPTย orย ย Dr. Jessica Binshaieg, NDย 

If youโ€™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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Services Menu

Orthopedics

  • PRP Injections
  • MFAT Injections
  • Prolotherapy
  • Sports Acupuncture & Dry Needling
  • Chiropractic
  • Physical Therapy
  • Shockwave Therapy
  • Massage Therapy
  • MSK Ultrasound
  • Ultrasound-Guided Nerve Hydrodissection

Functional Medicine

  • IV Nutritional Therapy
  • Neurofeedback
  • Acupuncture
  • Nutrition
  • Hormone testing & Functional Labs
  • Massage Therapy

Aesthetics

  • Age Defy Aesthetic Memberships
  • PRP + PRF Skin Rejuvenation
  • PRP + PRF Hair Restoration
  • Injectables
  • Cosmetic Laser
  • Advanced Aesthetic Care
  • Clinical Skincare

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 Oโ€™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 โ€ฆor at least your face. I promise you, you wonโ€™t regret the investment. I am beyond thrilled.”

โ€“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. ย With consistent treatments and home care, my skin is smoother, much more even skin tone (fewer dark spots and redness), firmer, and glows. ย It just looks so much healthier! ย Iโ€™m so happy with the results!”

โ€“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.”

โ€“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.

โ€“Professional Athlete

Dr Kai Herman and her staff are amazing!ย  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.ย  The downtime was minimal.ย  The results were impressive.ย  I noticed tighter, firmer skin and an improved complexion.ย  This will definitely be part of my anti-aging skin care routine!

โ€“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.

 

โ€“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.”

โ€“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.”

โ€“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.”

โ€“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.”

โ€“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!”

โ€“Aesthetics Patient

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โ˜€๏ธ Why we prefer mineral-based sunscreen over chem โ˜€๏ธ Why we prefer mineral-based sunscreen over chemical-based sunscreen.

Mineral > chemical, & hereโ€™s why:

Pros of Mineral-based sunscreen (zinc oxide + titanium dioxide).

โœ… Physically blocks UV rays instantly (no 20 min wait), unlike chemical sunscreen which need time to absorb 
โœ… Gentler on sensitive & acne-prone skin. Less prone to build-up + skin reactions.
โœ… Itโ€™s broad-spectrum UVA/UVB coverage that doesnโ€™t break down in the sun, so doesnโ€™t need to be reapplied as often 
โœ… Itโ€™s reef-safe & better for the environment

Flip the bottle & look for these active ingredients: ๐Ÿ” Zinc Oxide ๐Ÿ” Titanium Dioxide

If you see oxybenzone, avobenzone, octinoxate, or homosalate instead, youโ€™re looking at a chemical formula.

Take home message ๐Ÿ“ข

if youโ€™re able to be picky, choose mineral. But if chemical-based is the only option, any sunscreen beats no sunscreen when youโ€™re having fun in the sun. โ˜€๏ธ

Protect the skin you move in. ๐Ÿ’ช

#FoRM #lookbetterfeelbetter #sunbetter #funinthesun #healthyskinisbeautiful
Protect, Refresh + Reset This Summer โ˜€๏ธ Your summe Protect, Refresh + Reset This Summer โ˜€๏ธ
Your summer guide for staying in top FoRM - inside + out!

#goldenhourfacial #hydrationguide #ivtherapy #peformanceboost #recoveryboost
We have a tendency to blame aging for our skin. W We have a tendency to blame aging for our skin.  Well guess what? โคต๏ธ

Most of what you think is getting older is actually sun damage. Up to 80% of โ€œskin agingโ€

๐Ÿ‘‰๐Ÿผ fine lines
๐Ÿ‘‰๐Ÿผwrinkles
๐Ÿ‘‰๐Ÿผagespots
๐Ÿ‘‰๐Ÿผ leathery texture
๐Ÿ‘‰๐Ÿผnew tones and textures 

 is actually Photoaging. UV damage.  Sun. โ˜€๏ธ

Look at your skin on your face, your forearms and your hands and compare it to the skin on your inner thigh or your bicep.  Thatโ€™s the difference between sun exposed and sun protected skin. 

But we still have good news. 

Sun damage can be treated and sometimes reversed. 

Daily SPF can help and decrease the chances of additional damage and exposure. 

See sun damaged you want to treat?  Weโ€™re here to help. 
Services that help reverse the damage:

๐Ÿ’กIntense Pulsed Light (IPL) Facial 
๐Ÿ‘ธGolden Hour Facial 
๐Ÿ’‰Microneedling with or without PRF (depends on age, goals & degree of damage)

Schedule a service or consult using ๐Ÿ”— in bio. 
.
.
#formhealthaesthetics #sundamage #aging #agedefy #ipl
Leaders in Regenerative Medicine ๐Ÿ’‰ This June, FoR Leaders in Regenerative Medicine ๐Ÿ’‰

This June, FoRMโ€™s naturopathic docs didnโ€™t just attend XCELL RISE โ€” they helped lead it.

@drbrittanykrake and @ryanminarik served as instructors at the Integrative Medicine event with @apex_biologix, training the next generation of Naturopathic and Functional Medicine physicians in the art and science of Regenerative Orthopedic Medicine.

@drbinshaieg was there too โ€” deepening her expertise in musculoskeletal ultrasound, image-guided injections, and PRP preparation to optimize patient outcomes.

Leading. Learning. Always prioritizing education

#PRP #RegenerativeMedicine #MSKUltrasound #FORMHealth MoveBetter
We sure love Summer time! We hope all of our patie We sure love Summer time! We hope all of our patients, friends, + community members are loving all of their favorite outdoor activities too. 

Of course another favorite activity of ours is supporting our patients! If you need a little extra care to feel your best this Summer or to help recovery from being a weekend warrior, weโ€™re here providing that too. ๐Ÿซถ

#formhealthpdx #summertime #feelyourbest #summeractivitiesโ˜€๏ธ #getoutside #functionalmedicine #movebetter
Summer mode is ON. Your FoRM team is out living Summer mode is ON. 

Your FoRM team is out living it โ€” hiking, hitting the coast, water activities, and all the outdoor sports the beautiful PNW has to offer. ๐ŸŒŠโ›ณ๐Ÿฅพ

When weโ€™re off the clock, youโ€™ll find us outside moving. Hereโ€™s to a summer well spent.

#FoRM #SummerVibes #ActiveSummer #MoveMore #MoveBetter
โ˜€๏ธ Summer is here โ€” and so are summer injuries. Y โ˜€๏ธ Summer is here โ€” and so are summer injuries.

You finally are getting back to the activities you love the most: hiking, running, sports, gardening + more โ€” and then your body starts talking back.

Summer is one of the busiest seasons we see at FoRM, and itโ€™s not a coincidence. Ramping up activity after months of being more house-bound can add up to real strain on your joints, spine, tendons + muscles.

Here are the injuries we see most this season + why:

๐Ÿฆถ Ankle sprains & strains โ€” uneven terrain on a trail hike or run and a spontaneous soccer game + pickleball match, can really test your ankle stability.

๐Ÿฆต Runnerโ€™s Knee โ€” IT Band and patellar issues flare up as hikers, cyclists, and runners push their limits during the longer, sunnier days.

โš ๏ธ Achilles Injury- one of the more common Weekend Warrior injuries; sudden lunging + acceleration into a sprint, put more load than the Achilles can handle.

๐ŸŽพ Tennis & golferโ€™s elbow โ€” repetitive gripping + compounded overloading of the joint, inflame the tendons around the elbow

๐Ÿ’ช Rotator Cuff Injuries โ€” volleyball, tennis, and swimming put recurrent strain on the muscles and tendons that surround the shoulder joint.

๐ŸŒฟ Low back pain โ€” yard-work and weekend warrior activities that involve a lot of core strength and stability before your body is ready, can stress your spine.

๐Ÿ‘Ÿ Plantar fasciitis โ€” more time on your feet + unsupportive footwear = inflamed and stressed plantar fascia

The good news? Most of these are treatable โ€” and preventable.

๐Ÿ“ If somethingโ€™s been nagging you, donโ€™t wait it out. Weโ€™re here.#formhealth #formhealthpdx #movebetter #injuryprevention #summerfun
Weekend Warriors this post is for you! Prevention Weekend Warriors this post is for you!

Prevention is always easier than recovery
Prevention strategies for summer-time Weekend Warriors:
- dynamic warm-up before activity
- gradual progression 
- Mobility + Recovery work
- Cross-train with strength training

Where we come in...
Injury-preventing Care:

- Dry-needling Acupuncture
- Sports Chiropractic
- Physical Therapy

#pnwsummer #movebetterfeelbetter #injuryprevention #weekendwarrior
In a healthcare system that chases symptoms, acupu In a healthcare system that chases symptoms, acupuncturists read the pattern beneath it.

Where energy moves freely. Where it stalls. Where itโ€™s blocked. The needleโ€™s precision releases stagnation and restores flow through the channels that connect every system in your body.

Hormones. Stress + Sleep. Allergies + Immunity. Digestion + Detox. Blood flow + Lymph

The needle helps restore movement and flow, calms the nervous system, and reminds your body what it already knows how to do.

#portlandacupuncture #feelbetter #functionalmedicine #sellwoodmoreland formhealthpdx
Demands on your body change with the seasons โ˜€๏ธ๐Ÿ•ถ๏ธ Demands on your body change with the seasons โ˜€๏ธ๐Ÿ•ถ๏ธ

Longer days, increased physical activity, environmental allergens, and elevated sun exposure can strain your system โ€” often outpacing what diet, hydration and supplements can address.

IV Therapy delivers fluids, electrolytes, vitamins, and amino acids directly into the bloodstream, bypassing the digestive tract for ~100% bioavailability. 

The result: faster cellular uptake and a more efficient response than oral alternatives.

At FoRM Health, our Boost formulations are designed to provide a jumpstart for those feeling depleted. 

Our most popular Spring and Summer Boost IVs include:

โšก๏ธEnergy Boost โ€” B vitamins, vitamin C and key minerals to support cellular energy production + reduce fatigue

๐Ÿคง Immune Boost โ€” high-dose vitamin C and antioxidants to reinforce immune defenses during allergy and cold/flu season

๐Ÿง  Brain Boost โ€” Magnesium, amino acids and B vitamins to support cognitive function, improve mental clarity + mood

๐Ÿคข Detox Boost โ€” glutathione, amino acids and B vitamins to aid the bodyโ€™s natural detoxification pathways

๐Ÿ’ช Performance Boost โ€” amino acids, electrolytes and B vitamins to support endurance, strength, + pre-activity preparation

๐Ÿ˜… Recovery Boost โ€” electrolytes, vitamin C and antioxidants to support post-exertion muscle recovery, hydration, + inflammation-modulation.

Each session is administered by our Naturopathic Doctors in a comfortable + monitored setting.

Schedule with our IV specialists - Dr. Caitlan Readhead and Dr. Jessica Binshaieg to get the Boost you need.

Scheduling link in bio.

#IVTherapy #IVHydration #sellwoodmoreland formhealthpdx
The FoRM team is constantly touting the importance The FoRM team is constantly touting the importance of sleep as one of the biggest pillars of health. Itโ€™s difficult to expect anything of yourself, let alone your best self if you just arenโ€™t getting rest + quality sleep. We asked some of our naturopathic doctors & acupuncturists what they do to wind down in the evening. There are a few key habits that are repeated so take note ๐Ÿ˜‰ 

๐ŸŒ™ Turning lights down 
๐ŸŒ™ Magnesium
๐ŸŒ™ Meditation
๐ŸŒ™ Herbal teas
๐ŸŒ™ Less screen time
๐ŸŒ™ Reading 

If youโ€™re struggling with sleep, let us support you! 

Getting quality Zโ€™s every night is the foundation to 
less inflammation, better focus, more energy, metabolic health, & hormonal balance (+lots more). 

๐Ÿ“ž 503-232-5653 for questions or to schedule! 
๐Ÿ”— www.formhealthpdx.com
Most healthcare treats symptoms one at a time. We Most healthcare treats symptoms one at a time.
We do it differently.

At FoRM, our NDs and acupuncturists work as a team โ€” using your symptoms as clues to the systems that actually need support.
Hormones. Stress + sleep. Allergies + immunity. Chronic digestion.
Four areas where two lenses are better than one. 

If this strategy resonates with you, schedule with a FoRM provider using link in bio!

#functionalmedicine #naturopathicmedicine #acupuncture #hormonehealth #feelbetter

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FoRM Health
8113 SE 13th Ave
Portland, Oregon
97202

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Conveniently located in the beautiful Sellwood neighborhood of Southeast Portland.ย  Easy access to the Lake Oswego, Oregon City and the entire Portland Metro.

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