Shockwave Done Right

Most clinicians hear about shockwave, buy a machine, skim the manual, and hope it “just works.” Then they wonder why some patients say, “Nothing changed after 10 sessions.”

In this episode of Shockwave Done Right, Uran sits down with chiropractor Dr. Lacina, who has 12 years of daily, in-clinic shockwave experience. They unpack what she thought she knew when she first bought a machine versus what she actually knows now after treating thousands of cases.

You’ll learn why some clinics get massive range-of-motion and pain improvements in as little as 2–5 treatments while others struggle to see any change, plus the real differences between radial and focal shockwave that most marketing glosses over. Dr. Lacina breaks down how device quality, protocols, and proper training turn shockwave from an expensive gadget into a true clinical asset.

They also dig into how shockwave has changed the way she treats rotator cuff tendinopathy, frozen shoulder, plantar fascia, ankle injuries, TMJ, spine, and stubborn scar tissue, and why “treat the painful spot only” is one of the fastest ways to get mediocre results.

If you’re a chiropractor, physio, RMT, or other hands-on clinician who’s curious about shockwave (or quietly skeptical), this conversation shows you what shockwave done right actually looks like in a modern practice: faster results, less practitioner fatigue, and more confidence with complex cases.

Key takeaways:

• What 12 years of daily shockwave use taught a practicing chiropractor
• Radial vs focal: comfort, depth, indications, and where each really fits
• Why localized-only treatment fails, and how to think in terms of chains and patterns
• How proper training and step-by-step protocols protect your patients and your reputation
• Patient stories where “shockwave didn’t work elsewhere” but did once fundamentals were applied
• The ethical obligation to stop winging it with powerful tools and start using them deliberately