Shockwave Therapy
Shockwave therapy (SWT) uses focused acoustic sound waves, delivered through the skin with a handheld device, to address pain in muscles, tendons and joints.
Service
Shockwave Therapy for Erectile Dysfunction
Low-intensity shockwave therapy (Li-ESWT) uses low-energy sound waves to target penile tissue, with the aim of improving blood flow. At KOH Physical Therapy Lab, shockwave may be recommended and combined with men's pelvic health care. Contact us for more information, including pricing.
What is shockwave therapy for ED?
Erectile dysfunction (ED) is trouble getting or keeping an erection firm enough for sex. It is common, and it often involves reduced blood flow to the penis.
Low-intensity shockwave therapy is a non-invasive treatment that is studied for ED. A small handheld applicator delivers low-energy acoustic waves through the skin to penile tissue. Research suggests the waves may stimulate blood flow and possibly the growth of new small blood vessels.
It is different from the higher-energy focused shockwave used for tendon and muscle pain, and it is different from ED medications. It does not involve surgery or injections.
In your plan of care
How can shockwave therapy for erectile dysfunction help?
At KOH Physical Therapy Lab, shockwave for ED may be recommended and combined with men's pelvic health care. Your physical therapist evaluates the pelvic floor muscles, posture and breathing, because pelvic floor muscle problems can also contribute to ED, and builds a plan that may combine shockwave with pelvic floor exercise and hands-on care.
Because erectile dysfunction can be associated with cardiovascular and other health conditions, medical evaluation may also be appropriate.
Sessions take place in a private treatment room. Contact us for more information, including pricing.
Benefits
Benefits of shockwave therapy for erectile dysfunction
- A 2022 review found it can provide mild to moderate improvement in erectile function across several causes of ED.
- No significant side effects were reported in the trials reviewed.
- Non-invasive: no surgery, injections or medication.
- Can be combined with pelvic floor physical therapy in the same plan.
- An option to discuss if ED medications have not worked well for you or you cannot take them.
Who it is for
Who may ask about shockwave for ED
- Men who are not satisfied with their response to ED medications such as sildenafil or tadalafil
- Men who cannot take ED medications because of other health conditions or side effects
- Men looking for a non-drug option as part of a broader pelvic health plan
- Men with ED linked to reduced blood flow, after a medical evaluation
Symptoms
Symptoms men may seek an evaluation for
Patients may seek an evaluation for erectile concerns, including when they occur along with other pelvic floor symptoms. An evaluation does not mean shockwave will be recommended. Your therapist looks at what may be contributing and discusses whether shockwave fits your goals.
Common reasons men seek an evaluation
- Trouble getting an erection
- Trouble keeping an erection firm enough for sex
FAQ
Shockwave Therapy for Erectile Dysfunction questions
Is shockwave therapy for ED FDA approved?
No. Low-intensity shockwave therapy is not approved by the FDA specifically for erectile dysfunction.
What do medical guidelines say?
Guidelines differ. The American Urological Association considers it investigational for ED. The European Association of Urology says it may be used for men with mild ED caused by reduced blood flow, as a weak recommendation. A 2022 review in American Family Physician found mild to moderate improvement with no significant side effects.
Is it covered by insurance?
Most insurance plans do not cover shockwave therapy for ED. Text or call and we will explain your options.
What happens at the first visit?
A private, individualized evaluation with a licensed physical therapist, starting with your health history, symptoms and goals. Each part of treatment is explained first and done only with your consent. You can ask questions or stop at any time.
Is shockwave for ED right for everyone?
No. Your therapist screens for reasons it may not be appropriate, such as certain heart conditions, a pacemaker, or medication that affects blood clotting.
What does treatment involve?
Treatment uses a small handheld applicator with a conducting gel. Research protocols vary in the number of sessions, so your therapist will discuss a plan with you, which may include pelvic floor exercises and guidance to continue at home.
How do I get started?
Contact us for more information, including pricing. Text or call (949) 540-5641. Your first visit is a private evaluation, where your therapist discusses whether shockwave fits your goals.
Research
Sources
The research statements on this page are drawn from these sources.
Sources
- American Academy of Family Physicians, American Family Physician (2022): shockwave therapy for erectile dysfunction (opens in a new tab)
- American Urological Association: Erectile Dysfunction Guideline (opens in a new tab)
- European Association of Urology: Guidelines on Sexual and Reproductive Health, management of erectile dysfunction (opens in a new tab)
Related
Related services
Pelvic Health for Men
We specialize in pelvic health physical therapy for men. A pelvic floor specialist works with the pelvic floor muscles and the muscles around them to address problems such as urinary incontinence, pelvic pain, and sexual dysfunction.
Pelvic Floor Physical Therapy
We specialize in pelvic floor physical therapy for women and men. A pelvic floor specialist works with the muscles that support the bladder, bowel, and pelvic organs, for concerns such as urinary incontinence, pelvic pain, and pressure.
Ready to get started?
Request an appointment online, or text our scheduling team. Text is the fastest way to reach us.