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Shockwave Therapy vs. Cortisone Shots: Which is Better for Chronic Joint Pain?

by | Mar 3, 2026 | Knee Pain

Young man holding knee with hands in pain after suffering a running injury

If you’ve been dealing with chronic knee pain, shoulder pain, or the sharp sting of plantar fasciitis for months, you know the frustration of “waiting it out.” You’ve likely tried the ice packs, the Ibuprofen, and the rest—yet that first step out of bed or that overhead reach still hurts.

When you finally visit a doctor, the most common suggestion is often a cortisone shot. It sounds like a quick fix, but many active adults are now looking for alternatives to cortisone—seeking a non-invasive, longer-lasting solution that does more than just numbing the problem.

At PRO Therapy, we believe you deserve to understand exactly what is happening inside your joints before you choose a treatment path.

The Comparison: Masking Pain vs. Healing Tissue

It is easy to get these two treatments confused, but they work in completely opposite ways.

Cortisone Shots: The Temporary Mask

Cortisone is a powerful anti-inflammatory medication. When injected into a joint, it works quickly to decrease swelling and quiet the pain signals.

  • The Downside: Cortisone doesn’t actually “fix” the damaged tendon or ligament. It suppresses the immune response to provide temporary relief. Furthermore, repeated injections can actually weaken the local tissue over time.

Shockwave Therapy: Stimulating the Root Cause

Unlike an injection, Shockwave Therapy is a non-invasive technology that sends acoustic pressure waves into the injured area.

  • The Benefit: Instead of suppressing your body, it “wakes it up.” The energy from the shockwaves physically stimulates the tissue to promote increased blood flow and cell regeneration. It triggers your body’s natural healing response to repair the damaged area rather than just hiding the inflammation.

cortisone injection into the knee conceptAdvanced Relief Close to Home

For many active adults in the North Metro, finding specialized care used to mean a long commute. We’ve changed that. If you live in Blaine, Anoka, Fridley, or Mounds View, you don’t have to drive into the city for advanced pain relief.

Our Coon Rapids physical therapy clinic offers cutting-edge shockwave therapy right in your backyard. Whether you are a golfer in Lexington struggling with elbow pain or a runner in Brooklyn Park dealing with a stubborn Achilles, we’ve made it convenient to access the same technology used by professional athletes.

Why “Longer-Lasting” Matters

The goal of treating chronic knee pain or shoulder pain shouldn’t be to feel better for three weeks; it should be to return to your favorite activities permanently. Because Shockwave Therapy addresses the structural integrity of the tissue, the results tend to be cumulative. Patients often find that while cortisone wears off, the benefits of Shockwave Therapy actually improve as the tissue continues to regenerate.

To see the data behind why medical professionals are shifting toward regenerative options, you can review the clinical efficacy of shockwave therapy for musculoskeletal disorders provided by the National Institutes of Health.

Tired of Temporary Fixes?

Don’t settle for another “band-aid” solution that leaves you back in pain a month later. Take the first step toward actual healing.

Book a free screening at our Coon Rapids or Northeast Minneapolis clinics today to see if Shockwave Therapy is the right alternative for you.

Dr. Kevin Spahr has extensive expertise in post-surgical rehab, work-related injuries, sports injuries and motor vehicle accidents. He has clinical experience in treating all regions of the body including neck, back, shoulder, elbow, hand/wrist, hip, knee, and ankle/foot orthopedic conditions.
Dr. Kevin Spahr

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Over the summer I was dealing with lower leg injuries after trying to get back into distance running. I had been working towards completing the Twin Cities Marathon (16 years after my first marathon TCM). I was starting to think I would have to drop out but someone I knew referred me here and to Dr. Kelvyn. He shared that he thought the race was still in reach and worked me to in the final several weeks, and I'm proud to say I showed up healthy on race day and completed the 2026 TCM thanks to his help.
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10/10 would recommend Kevin and the clinic. The PT is top notch and cutting edge. I had them use the Stemwave technology for my MCL sprain, and noticed a dramatic improvement after just one session, and consistent improvements after each of my next three sessions. Pro Therapy is much more cutting edge and sports medicine based than most other PTs. I’d highly recommend them!
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I am so grateful to Dr. Lily and everyone at PRO Therapy for the exceptional care I received after my total knee replacement. Dr. Lily helped me not only recover, but also return to the activities I love and regain confidence in my fitness journey. Her approach is truly personalized. She is extremely knowledgeable, listens to your needs and goals, and knows exactly how to challenge and motivate you without pain/injury. She also recognizes when treatment needs to be adjusted. Her wonderful personality makes even the toughest days manageable and fun. The entire PRO Therapy staff is kind, encouraging, and genuinely invested in each patient. You feel cared for as an individual—not just another number. Having experienced physical therapy at large healthcare institutions, I can say PRO Therapy is a far superior experience: personal, attentive, and focused on your goals. I’m having my second total knee replacement next month and have already scheduled appointments with Dr. Lily. There is nowhere else I would want to be for my rehab and fitness journey. I wholeheartedly recommend and thank Dr. Lily and PRO Therapy!
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Pro therapy is great! They quickly make you feel like a friend rather than a patient. Dr Kevin listens first then comes up with reasonable approaches to strengthen the root cause of my knee pain rather than a quick band aid type fix. The stem wave machine is also a godsend!
Ty L.
Have used PRO Therapy for a couple injury's now and they are great! Easy to work with, listen to your concerns and adapt treatments as needed! I highly recommend!
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