After each treatment, the tissues may feel a bit tender for a day or so, and some reddening on the skin may occur. This is completely normal. Typically we will do 3 treatments, each up to a week apart. After the first 3 treatments, we will wait for a few weeks to see the results. Some people feel relief immediately after treatment. If we need to do more treatments, another 2 treatments may be done. After 3-5 treatments, the shockwaves will have started a regeneration cycle in the tissue, and changes and improvement will continue for up to three months after the last treatment. Typically we don’t do shockwave with a manual treatment, because that can be too much for the tissue. Shockwave can be effectively combined with a laser treatment.