TABLE 7.

Summary of shockwave procedure and postprocedure guidelines

Procedure Guidelines	Shockwave dose Start with low energy levels, titrate up as tolerated. Treatment Use of analgesia may reduce ability to use clinical focusing technique. Treatment timeline Generally 3‐5 sessions with the exception of treatment for bone and spasticity at 1 week intervals.
Post‐Procedure Guidelines	Medications/modalities Avoidance of nonsteroidal anti‐inflammatory drugs, ice, fluoroquinolones, and corticosteroids. Acetaminophen can be used for pain relief. Physical therapy Couple with ESWT to restore tissue function and potentially optimize treatment response. Return to activity Lack of post‐procedure immobilization except in selective cases Activity limitation