Orlando SpinalAid Disc Center

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(407) 277-5555

(407) 277-5555

Focused Shockwave Therapy Orlando

New Advanced Shockwave Therapy

✅ Evidence-Based 

✅ Non-Surgical

✅ No Side Effects

✅ No-Downtime

✅ FDA Cleared

407-277-5555

New Advanced Shockwave Therapy

✅ Evidence-Based 

✅ No Drugs, Injection, or Surgery

✅ No Down Time

✅ No Side Effects

✅ FDA Cleared

Superior Technology. Proven Results.

Orlando Spinal Aid Disc Center is a leading provider of advanced Extracorporeal Shockwave Therapy (ESWT), led by Dr. David Nahali.

We use FDA-cleared, high-energy, deep-penetrating focused ESWT technology trusted by top medical professionals, elite athletes, and performance-driven clinics worldwide.

This advanced technology delivers precise, deep-tissue therapeutic energy to stimulate healing and improve outcomes where other treatments fail.

Do not settle for low-energy, superficial shockwave devices commonly used in many clinics. Precision and depth matter when it comes to real results.

What is Shockwave Therapy (ESWT)?

Peer-Reviewed Clinical Studies

Verified Patient
Joel Gonzalez
★★★★★
I’ve been dealing with back pain for over 10 years. After treatment, my range of motion improved and the relief is amazing.
Verified Patient
Alex
★★★★★
After diagnosis, I came here before surgery. I can now sit longer and move without bracing.
Verified Patient
Ivelissa Gonzalez
★★★★★
My husband improved after just a few sessions. We’re very grateful.
Spinal Decompression
★★★★★
I dealt with back pain for over 10 years. Nothing lasted. After treatment here, my mobility improved and the relief is real.
Joel G. • Google
Spinal Decompression
★★★★★
Diagnosed with a disc herniation and told surgery was next. After treatment, I can sit and move without constantly thinking about my back.
Alex • Google
Spinal Decompression
★★★★★
I had herniated discs, nerve pain, and numbness. Physical therapy didn’t help. After decompression, the pain is gone and I avoided surgery.
Patrycja S. • Google
Focused Shockwave
★★★★★
I started treatment using a walker, then a cane. Now I’m walking on my own again. The progress has been steady and real.
Janice G. • Google
Focused Shockwave
★★★★★
After years of pain, I was walking bent over. Now I’m standing upright again and moving much better.
Greg S. • Google
Orlando Shockwave Therapy-Dr. Nahali

Back

Efficacy of high-energy, focused ESWT in treatment of lumbar facet joint pain: a randomized sham-controlled trial.

J Orthop Surg Res. 2025 Jul 1;20(1):40391994.

Focused extracorporeal shockwave therapy for the treatment of low back pain: a systematic review.

Front Med (Lausanne). 2024 Aug 29;11:1435504.

Extracorporeal shock wave therapy for low back pain: A systematic review and meta-analysis.

Medicine (Baltimore). 2023 Dec 29;102(52):e36543.

Shoulder

Effect of extracorporeal shockwave therapy for rotator cuff tendinopathy: a systematic review and meta-analysis.

BMC Musculoskeletal Disorders. 2024 May 3;25(1):355. doi: 10.1186/s12891-024-07445-7.

Efficacy and safety of extracorporeal shock wave therapy for upper limb tendonitis: a systematic review and meta-analysis of randomized controlled trials.

Frontiers in Medicine (Lausanne). 2024 Apr 28;11:1394268. doi: 10.3389/fmed.2024.1394268.

Extracorporeal Shockwave Therapy as an Adjunctive Therapy for Frozen Shoulder: A Systematic Review and Meta-analysis.

Orthopaedic Journal of Sports Medicine. 2022 Feb 3;10(2):23259671211062222. doi: 10.1177/23259671211062222.

Hand

Clinical utility of extracorporeal shock wave therapy in restoring hand function of patients with nerve injury and hypertrophic scars due to burns: a double-blind randomized controlled trial.

Burns. 2024 Nov 30.

Focused electromagnetic high-energetic extracorporeal shockwave (ESWT) reduces pain levels in the nodular stage of Dupuytren’s disease—a randomized controlled trial.

Journal of Hand Surgery (European Volume). 2021 Jan 22.

Extracorporeal shockwave therapy for the treatment of finger tenosynovitis (trigger digit)

Journal of Hand Surgery (European Volume). 2016 Oct 30.

Elbow

Extracorporeal Shock Wave Therapy Versus Local Corticosteroid Injection for Chronic Lateral Epicondylitis: A Systematic Review with Meta-Analysis of Randomized Controlled Trials.

Orthopaedic Surgery. 2024

Nov.Extracorporeal Shock Wave Therapy Shows Superiority Over Injections for Pain Relief and Grip Strength Recovery in Lateral Epicondylitis: A Systematic Review and Network Meta-analysis.

Arthroscopy. 2022 Jun.

A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials.

Journal of Orthopaedic Surgery Research. 2019 Aug 6.

Hip

Extracorporeal Shockwave Therapy for Tendinopathies Around the Hip and Pelvis: A Systematic Review

Extracorporeal shock wave therapy with imaging examination for early osteonecrosis of the femoral head: a systematic review.

International Journal of Surgery. 2025 Jan 1;111(1):1144–1153. doi: 10.1097/JS9.0000000000001836. PMID: 38896858; PMCID: PMC11745610.

Focused Shockwave Treatment for Greater Trochanteric Pain Syndrome: A Multicenter, Randomized, Controlled Clinical Trial

Knee

A systematic review of the use of shockwave therapy for knee osteoarthritis.

J Orthop Transl. 2024 Apr 30;40:1–10.

Extracorporeal shockwave therapy improves pain and function in subjects with knee osteoarthritis: A systematic review and meta-analysis of randomized clinical trials.

J Orthop Surg Res. 2020 Oct 25;15(1):489.

Extracorporeal shockwave therapy for the treatment of knee osteoarthritis: a meta-analysis.

J Orthop Surg Res. 2020 May 4;15(1):174.

What is Shockwave Therapy [ESWT]?

Shockwave Therapy Video Guides

3 Videos

✅ Evidence-Based 

✅ No Drugs, Injection, or Surgery

✅ No Down Time

✅ No Side Effects

✅ FDA Approved 

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Peer-Reviewed Clinical Studies

Shoulder

Effect of extracorporeal shockwave therapy for rotator cuff tendinopathy: a systematic review and meta-analysis.

BMC Musculoskeletal Disorders. 2024 May 3;25(1):355. doi: 10.1186/s12891-024-07445-7.

Efficacy and safety of extracorporeal shock wave therapy for upper limb tendonitis: a systematic review and meta-analysis of randomized controlled trials.

Frontiers in Medicine (Lausanne). 2024 Apr 28;11:1394268. doi: 10.3389/fmed.2024.1394268.

Extracorporeal Shockwave Therapy as an Adjunctive Therapy for Frozen Shoulder: A Systematic Review and Meta-analysis.

Orthopaedic Journal of Sports Medicine. 2022 Feb 3;10(2):23259671211062222. doi: 10.1177/23259671211062222.

Care You Can Trust

Dr. David Nahali, D.C.

Dr. David Nahali has over 26 years of experience in non-surgical spine and joint care, helping patients avoid surgery and get back to a normal life. 

He specializes in disc conditions such as herniated discs, sciatica, and chronic back and neck pain.

His approach combines spinal decompression therapy, focused shockwave therapy, and Class IV laser therapy to target the source of pain and support faster healing.

FAQs

Focused Extracorporeal Shockwave Therapy (f-ESWT) is a non-invasive treatment that uses precisely targeted acoustic energy to stimulate deep tissue healing, reduce pain, and restore function.

Unlike other therapies that only calm inflammation, focused shockwave reactivates your body’s regenerative response — increasing blood flow, stimulating growth factors, breaking up scar tissue, and triggering the repair of stubborn soft-tissue and joint problems.
 

It’s not just pain relief. It’s tissue regeneration.

Yes. Shockwave Therapy is FDA-approved for the treatment of multiple musculoskeletal conditions, such as plantar fasciitis, lateral epicondylitis (tennis elbow), and more.

It is widely used in sports medicine and physical rehabilitation clinics across the U.S.

✅ Chronic Tendon & Soft         Tissue Injuries

  • Plantar fasciitis (heel pain)

  • Achilles tendinopathy

  • Tennis & golfer’s elbow (lateral/medial epicondylitis)

  • Patellar tendinopathy (jumper’s knee)

  • Rotator cuff and shoulder pain

✅ Calcifications & Scar                Tissue

  • Calcific tendonitis of the shoulder

  • Post-surgical adhesions or fibrosis

  • Myofascial trigger points

✅ Degenerative Joint                  Conditions

  • Knee and hip osteoarthritis

  • Shoulder Osteoarthritis

  • Chronic joint pain with stiffness or swelling

✅ Fibrotic Disorders

  • Dupuytren’s contracture and other hand fibroses (emerging evidence supports its use)

In each of these conditions, the body has stopped trying to heal, and focused shockwave gives it a reason to start again.

Most patients experience significant improvement after 4-6 treatments, typically performed weekly. The exact number of treatments for your condition depends on the diagnosis, severity, and your body’s response.

You may feel some minor discomfort during the treatment, similar to a pulsing or tapping sensation.

However, treatments are brief, typically 10 minutes or less, and discomfort usually decreases as your condition improves.

Most patients tolerate the treatment well without any pain medication.

Shockwave Therapy is very safe, with minimal or no side effects. Some patients may experience temporary mild redness, soreness, or swelling at the treatment site. These effects typically subside within 24-48 hours.

No. One of the many advantages of Shockwave Therapy is that it is non-invasive with no downtime. Most people can resume normal activity immediately after their session.

Shockwave therapy is considered an elective treatment and is not covered by most insurance plans, so services are provided on a self-pay basis.

We offer affordable self-pay options and flexible payment plans. We believe everyone should have access to safe and effective care, including Shockwave Therapy.

Clinical studies have reported success rates of 80–90% for many patients with various painful conditions.

Patients often report significant improvement in pain and function within 4-6 sessions, and sometimes even after just a few sessions.

Even chronic, persistent conditions that have not responded well to other treatments often respond well to Shockwave Therapy.

Yes. Shockwave Therapy can be safely used in patients who have other medical problems, such as high blood pressure, high cholesterol, diabetes, heart problems, lung problems, pacemakers, and more, because it is very safe and non-invasive,, without any medications, needles, or surgery.

No. Referrals are not needed. Even though Dr. Rodriguez is a specialist, he is also a primary care provider, so no referral is needed. You can contact us directly to schedule a consultation and begin your treatment plan as soon as you are ready.

Focused shockwave therapy is performed right in our office. Here’s what a typical session looks like:

  1. Evaluation: We identify your exact pain source and tailor your protocol.

  2. Treatment: Each session lasts approximately 5–15 minutes, depending on your diagnosis. A full treatment course is typically 5-6 sessions, administered 1-2 weeks apart.

  3. Aftercare: Mild soreness is normal for 24–48 hours — a sign your body is responding.

  4. Results: Many patients notice improvement within 1–3 sessions, with full benefit after a short series.

There’s no downtime, no injections, and no medication required.

Dr. David Nahali, DC

Dr. David Nahali has over 26 years of experience in non-surgical spine and joint care, helping patients avoid surgery and get back to a normal life. 

He specializes in disc conditions such as herniated discs, sciatica, and chronic back and neck pain.

His approach combines spinal decompression therapy, focused shockwave therapy, and Class IV laser therapy to target the source of pain and support faster healing.

FAQs

Focused Extracorporeal Shockwave Therapy (f-ESWT) is a non-invasive treatment that uses precisely targeted acoustic energy to stimulate deep tissue healing, reduce pain, and restore function.

Unlike other therapies that only calm inflammation, focused shockwave reactivates your body’s regenerative response — increasing blood flow, stimulating growth factors, breaking up scar tissue, and triggering the repair of stubborn soft-tissue and joint problems.
 

It’s not just pain relief. It’s tissue regeneration.

Yes. Shockwave Therapy is FDA-approved for the treatment of multiple musculoskeletal conditions, such as plantar fasciitis, lateral epicondylitis (tennis elbow), and more.

It is widely used in sports medicine and physical rehabilitation clinics across the U.S.

✅ Chronic Tendon & Soft         Tissue Injuries

  • Plantar fasciitis (heel pain)

  • Achilles tendinopathy

  • Tennis & golfer’s elbow (lateral/medial epicondylitis)

  • Patellar tendinopathy (jumper’s knee)

  • Rotator cuff and shoulder pain

✅ Calcifications & Scar                Tissue

  • Calcific tendonitis of the shoulder

  • Post-surgical adhesions or fibrosis

  • Myofascial trigger points

✅ Degenerative Joint                  Conditions

  • Knee and hip osteoarthritis

  • Shoulder Osteoarthritis

  • Chronic joint pain with stiffness or swelling

✅ Fibrotic Disorders

  • Dupuytren’s contracture and other hand fibroses (emerging evidence supports its use)

In each of these conditions, the body has stopped trying to heal, and focused shockwave gives it a reason to start again.

Most patients experience significant improvement after 4-6 treatments, typically performed weekly. The exact number of treatments for your condition depends on the diagnosis, severity, and your body’s response.

You may feel some minor discomfort during the treatment, similar to a pulsing or tapping sensation.

However, treatments are brief, typically 10 minutes or less, and discomfort usually decreases as your condition improves.

Most patients tolerate the treatment well without any pain medication.

Shockwave Therapy is very safe, with minimal or no side effects. Some patients may experience temporary mild redness, soreness, or swelling at the treatment site. These effects typically subside within 24-48 hours.

No. One of the many advantages of Shockwave Therapy is that it is non-invasive with no downtime. Most people can resume normal activity immediately after their session.

Shockwave therapy is considered an elective treatment and is not covered by most insurance plans, so services are provided on a self-pay basis.

We offer affordable self-pay options and flexible payment plans. We believe everyone should have access to safe and effective care, including Shockwave Therapy.

Clinical studies have reported success rates of 80–90% for many patients with various painful conditions.

Patients often report significant improvement in pain and function within 4-6 sessions, and sometimes even after just a few sessions.

Even chronic, persistent conditions that have not responded well to other treatments often respond well to Shockwave Therapy.

Yes. Shockwave Therapy can be safely used in patients who have other medical problems, such as high blood pressure, high cholesterol, diabetes, heart problems, lung problems, pacemakers, and more, because it is very safe and non-invasive,, without any medications, needles, or surgery.

No. Referrals are not needed. Even though Dr. Rodriguez is a specialist, he is also a primary care provider, so no referral is needed. You can contact us directly to schedule a consultation and begin your treatment plan as soon as you are ready.

Focused shockwave therapy is performed right in our office. Here’s what a typical session looks like:

  1. Evaluation: We identify your exact pain source and tailor your protocol.

  2. Treatment: Each session lasts approximately 5–15 minutes, depending on your diagnosis. A full treatment course is typically 5-6 sessions, administered 1-2 weeks apart.

  3. Aftercare: Mild soreness is normal for 24–48 hours — a sign your body is responding.

  4. Results: Many patients notice improvement within 1–3 sessions, with full benefit after a short series.

There’s no downtime, no injections, and no medication required.