BETTER PAIN starts with an evaluation!

Before we set up your Shockwave Therapy treatment sessions we will need to get to know you. Our survey helps us better understand your primary problem and if Shockwave Therapy is right for you.

Once you complete the survey our team will be reaching out to you, to answer any questions and to schedule you for an initial evaluation with one of our Doctors to conduct baseline testing.

The evaluation takes about 25 to 30 minutes and includes SWT treatment.

Let's get to know you!

First Name *

Last Name *

Cell Phone *

Email *

Date of birth

Please complete the following questions.

How often do you experience pain?

How bad is your pain?

Pain Intensity *

What is the impact on your daily life?

Pain Impact On Your Life *

I can do anything I want without limitations.

The pain affects some of my activities.

I have had to change or stop doing certain activities because of the pain.

The pain prevents me from doing most of my daily activities.

The pain wakes me up at night.

Please check any that apply.

Things that might affect Shockwave Therapy

How long have you had your problem?

Duration of your symptoms

Less than 3 months but more than 2 weeks.

Greater than 3 months but less than a year.

Greater than a year.

Have you tried other treatments?

Have you tried one or more treatments for your problem? *

Yes

No

Thank you for sharing your information. Shockwave/Radial Pressure Wave Therapy can be a great adjunctive treatment with other therapies and can improve conditions that are having trouble getting better.

Text Message Consent

You have my permission to send text messages to this number and I agree to the Terms Of Use.

Please click the submit button.

WANT TO CONNECT WITH US MORE QUICKLY?

YOU CAN GIVE US A CALL!

Here are what patients are saying about SWT.

I had stopped progressing with treatment until trying Shockwave Therapy. My first treatment series I started with my most painful shoulder. After one treatment, by the next week, my left shoulder was my better shoulder. I am sleeping better and am back to riding my mountain bike!

Matthew, tired of pain

After hitting the ground behind the ball 17 years ago and dealing with chronic Golfer's Elbow, by the 3rd treatment my pain was completely gone.

The treatments were mild to no discomfort and no worse than my usual pain.

I can play as many games as I want without pain!

Jim, no pain after 17 years!

One year ago I had a severe fall while fishing tearing my rotator cuff and needing surgery. After two bouts of therapy I was still in pain and had limited shoulder motion. After shockwave therapy I have full mobility and am back to fishing!

Thank you Cornerstone!

Mike, returned to fishing