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How a Shockwave Machine for Horses Can Boost Their Recovery and Comfort

With clinical success rates reaching 90%, shockwave machines for horses offer a scientifically proven alternative to surgery, delivering focused energy to resolve stubborn musculoskeletal conditions and significantly reduce rehabilitation time.


An illustration of a veterinarian in blue scrubs administering shockwave therapy to a brown horse inside a stable, with white concentric lines visualizing the acoustic waves penetrating the horse's hindquarters.



Key Takeaway


  • It delivers proven results. Clinical studies show 70% to 90% success rates, with tendon and ligament injuries improving by up to 80% in just three months.

  • It heals where others can't. Unlike lasers, shockwaves penetrate 12 centimeters deep to treat chronic injuries, stimulate blood flow, and repair tissue without surgery.

  • It cuts recovery time. Non-invasive treatments reduce the need for long stall rest, helping horses return to peak performance faster and lowering long-term veterinary costs.






Faster Healing for Horses with Shockwave Therapy


Managing performance horses with tendon or musculoskeletal injuries is never easy. Long periods of stall rest can slow recovery and impact results, making effective, reliable treatments a must.


Shockwave therapy delivers just that. 


Known as Extracorporeal Shock Wave Therapy (ESWT), it sends high-energy acoustic waves into injured tissue to boost blood flow, stimulate collagen, and support natural healing. It’s now widely used in equine veterinary practices.


Why are professionals choosing it? Because it works.


Shockwave therapy can reduce pain, support recovery from tendonitis, suspensory desmitis, and back pain, and improve injury outcomes by up to 80 percent within three months. 


Clinical studies report overall success rates, giving vets and trainers a dependable, non-invasive tool for helping horses get back to peak performance.




How Shockwave Machines Work for Horses


Shockwave machines for horses do more than just vibrate the tissue; they trigger a powerful biological process called mechanotransduction


Think of this as a cellular "wake-up call." The machine converts high-energy acoustic waves into chemical signals that tell the horse’s body to actively repair itself.


Crucially, this stimulates neovascularization, which is the formation of new blood vessels mediated by the release of specific growth factors (like VEGF).


Since tendons and ligaments have poor natural circulation, this fresh supply of oxygen is often the key to fixing stagnant, chronic injuries.


Simultaneously, the therapy offers significant pain relief by depleting Substance P, the neurotransmitter responsible for sending pain signals to the brain.


Unlike lasers or ultrasound that treat the surface, these waves penetrate up to 12 centimeters deep, allowing you to target and heal deep-seated pathologies directly at the source.


Types of Shockwave Machines for Horses


There are two main types of shockwave machines used in equine care:

Type of Shockwave Machine

Coverage / Depth

Best For

Example / Notes

Focused Shockwave (fESWT)

Deep, precise

Tendons, ligaments, bones

PulseVet models, commonly used in veterinary practices

Radial Shockwave (rESWT)

Broader, superficial

Soft tissue injuries, circulation improvement

Portable, affordable, convenient for barn or clinic use

The best type for your horse depends on the location and depth of the injury. Deep tendon or ligament issues usually respond better to focused shockwave, while surface-level or soft tissue problems can be effectively treated with radial shockwave.


Treatment Process for Horses


A typical shockwave therapy session lasts 5 to 10 minutes per affected area. Most horses require 2 to 5 sessions spaced 2 to 3 weeks apart


The treatment is generally well-tolerated, with minimal sedation needed only for particularly anxious horses. Many horses show improvement in pain reduction, mobility, and tissue repair within a few weeks.


If you are curious about shockwave therapy for horses and how it works, understanding the types of machines and the treatment process can help you make informed choices for your horse’s recovery.




What Conditions Do Shockwave Machines Treat in Horses?


Tendons, Ligaments, and Joints


Shockwave therapy is highly effective for musculoskeletal injuries. Common conditions include superficial and deep flexor tendonitis, suspensory desmitis, and osteoarthritis


Studies show significant improvement in tendon injuries, with horses showing faster pain relief, increased mobility, and better tissue repair compared to rest alone.


 A veterinarian in a green shirt administering shockwave therapy to the hindquarters of a brown horse inside a wooden stable.

Fractures, Back Pain, and More


Shockwave machines are also used for bone and soft-tissue problems, such as stress fractures, navicular syndrome, chronic back pain, wounds, and even headshaking


While data is still emerging, some studies suggest benefits for conditions like EIPH or mild equine asthma, with reduced coughing and improved comfort.


Racing and Sport Horses


Many sport and performance horses benefit from shockwave therapy not only for injury recovery but also for prevention and maintenance.


It is commonly used in disciplines such as barrel racing, dressage, and show jumping to support healthy tendons, joints, and muscles.


Note that pre-competition regulations typically require therapy to be administered at least 36 hours before an event to comply with rules.




Why Invest in a Shockwave Machine


Equine shockwave therapy demonstrates success rates in both clinical studies and veterinary practice


Horses recover faster, often returning to full performance without invasive surgery. The treatment is non-invasive, drug-free, and can be combined with advanced therapies such as PRP or stem cells to enhance healing outcomes.


For equine clinics and performance facilities, investing in a shockwave machine offers clear advantages. 


Faster recovery times reduce veterinary costs, increase client satisfaction, and support better performance outcomes for sport and competition horses


Chronic tendon and ligament injuries respond particularly well, with benefits lasting months to years, making shockwave therapy a reliable component of a comprehensive treatment program.


Comparisons to Other Treatments

Therapy Type

Depth & Precision

Targeted Use

Notes

Shockwave Therapy

Deep penetration up to 12 cm

Tendons, ligaments, joints, soft tissue

Highly focused and controlled; suitable for chronic and acute injuries

Laser Therapy

Shallow to moderate

Surface-level soft tissue

Fast-acting for inflammation; less effective for deep structures

PEMF Devices

Moderate, diffuse

General tissue support

Non-specific, less targeted; often used for overall circulation and recovery support

This table shows why shockwave therapy is preferred for stubborn or deep equine injuries, while laser therapy and PEMF can be complementary or for milder cases.




Best Shockwave Machines for Horses


Model

Type

Key Features

Price Range

Best For

PulseVet (Zomedica)

Focused

Portable, touchscreen, durable; treats shoulders and headshaking

$10K-$30K

Performance horses

MASTERPULS MP100

Radial/Focused

Adjustable energy, reliable, clinic-grade

$15K+

Veterinary clinics

PiezoWave

Focused

Smart handpiece, portable, precise treatment

$15K+

On-site events or mobile vets

ShockWave Equine (MTS)

Radial

5 heads, preprogrammed protocols, versatile

$5K-$15K

Soft-tissue injuries






PulseVetOne of the most trusted brands in equine shockwave therapy, PulseVet machines for horses are frequently used by veterinarians for conditions like tendon injuries, suspensory desmitis, and even EIPH. 


Its portability, touchscreen interface, and durable design make it ideal for high-performance horses.


STORZ MEDICAL -  MASTERPULS MP100 VETA versatile machine offering both radial and focused settings, perfect for clinic environments. Known for adjustable energy levels and consistent results, it is widely used in veterinary practices.


ELEVATION USA VET - PiezoWaveFocused for deep tissue therapy, PiezoWave is highly portable, allowing on-site treatments at events or barns. The smart handpiece ensures precise targeting of tendons and ligaments.


MTS FOCUS ON AESTHETIC - ShockWave Equine (MTS)Designed for soft-tissue injuries, this radial machine comes with preprogrammed protocols and multiple heads, making it a flexible choice for clinics and barns.






Costs, Side Effects, and Practical Considerations


Shockwave machines for horses vary widely in cost depending on type and features. Professional veterinary devices can reach up to $30,000.


Individual treatment sessions usually cost $100 - $500, and a full course of therapy can total $300 - $2,500, depending on the number of sessions needed.


Insurance coverage is limited and typically applies only to devices cleared for specific veterinary indications, such as approved models like PulseVet


Shockwave therapy is generally safe for most horses when administered correctly. Common side effects are mild discomfort, localized swelling, or temporary sensitivity, usually resolving within 24–48 hours.


Some precautions are necessary. Avoid treating horses that are pregnant, have tumors near the treatment site, or suffer from acute infections. Professional training ensures proper technique and minimizes risks.


For equine facilities or mobile practices, portability is key. Many professional machines are designed to be lightweight and easy to transport for field use.


Most high-end models include training, ensuring staff can operate the device safely and effectively. 




Real‑Life Cases for Shockwave Therapy for Horses


Case

Condition / Injury

Treatment & Result

Deep digital flexor tendonopathy, lameness after strenuous training

Treated with a focused shockwave machine (electrohydraulic ESWT) 3 times over 3 months. By 10 weeks, lameness had significantly decreased; by 3 months, horse returned to full training — ultrasound showed improved tendon fibre alignment and reduced lesion size. 

Chronic suspensory ligament inflammation and intermittent lameness, stalled under normal rest / rehab

4 sessions of shockwave therapy + controlled rehab. After 6 weeks, owner and vet report marked reduction in pain and improved mobility; horse returned to light work after 3 months. 

Lameness due to osteoarthritic degeneration in hock joint, poor response to NSAIDs

Treated with ESWT (electrohydraulic) once, with follow‑up after 8 weeks. At follow-up the horse exhibited reduced lameness, improved joint flexibility and reduced pain on palpation. Owner reported improved comfort for up to 6–12 months.




Which Shockwave Machine Should You Choose? 


Choosing the right shockwave machine for your horse depends on budget, intended use, and type of injury.


Step 1: Define Your Budget

Budget Range

Recommended Type

Use Case

$15,000 – $35,000+

Focused or combination radial/focused machines

Professional clinics, equine rehab centers, or performance horses with chronic tendon/ligament injuries


Step 2: Determine Intended Use


  • Clinic Use: Ideal for veterinary clinics and equine rehab centers. These machines are high-capacity, adjustable, and suitable for treating multiple horses per day. Best for chronic tendon, ligament, and joint injuries.

  • Portable Professional Use: Perfect for onsite treatments at barns, events, or competition venues. Portable machines are still professional-grade and deliver focused or combination ESWT, but are easier to transport and set up for single or multiple horses in the field.


Step 3: Match to Injury Type

Injury / Condition

Recommended Machine

Deep tendon or ligament injuries

Focused ESWT (e.g., PulseVet, PiezoWave)

Superficial soft-tissue injuries or minor recovery

Radial ESWT (professional-grade radial models)

Mixed or chronic issues

Combination or adjustable energy machines (MASTERPULS MP100 VET)




Better Results for Your Clinic, Happier Horses


Shockwave therapy has proven itself as a reliable solution for equine musculoskeletal injuries. With adoption by over 65 percent of equine veterinarians, it offers consistent results in treating tendon, ligament, joint, and soft-tissue issues. 


Clinical studies and real-world cases show success rates between 70 and 90 percent, with horses often returning to full performance within weeks or months without surgery.


For equine clinics, rehab centers, and performance facilities, investing in a professional-grade shockwave machine delivers clear benefits.


Faster recovery times reduce veterinary costs, improve client satisfaction, and enhance overall horse performance.


With options ranging from focused ESWT machines like PulseVet and PiezoWave for deep injuries to radial professional-grade devices for soft-tissue care, clinics can select the right machine for their needs and treatment scope.


Shockwave therapy represents a smart, evidence-based investment in equine care. By integrating it into your practice, you provide faster, more efficient recovery for horses while offering clients cutting-edge solutions backed by science and veterinary expertise.




FAQ


How does shockwave therapy work in horses?

Shockwave therapy (ESWT) uses high-energy acoustic waves to stimulate healing in deep musculoskeletal tissues, improving blood flow, collagen production, and tissue regeneration.


What types of shockwave machines are suitable for clinics?

Professional-grade machines include focused ESWT (e.g., PulseVet, PiezoWave) for deep injuries and radial ESWT for soft-tissue treatment, depending on injury type and clinic workflow.


How many sessions are typically needed in a clinical setting?

Most treatment protocols involve 2–5 sessions spaced 2–3 weeks apart per affected area, with each session lasting 5–10 minutes.


What are the safety considerations for professional use?

Shockwave therapy is safe when used correctly. Avoid treatment on pregnant horses, horses with tumors near the site, or acute infections. Mild swelling or sensitivity may occur but is usually temporary.


What are the benefits of owning a shockwave machine for a clinic?

Investing in a professional-grade machine allows faster recovery for patients, reduces repeat vet visits, improves client satisfaction, and can increase clinic revenue by offering advanced therapy in-house.




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