new york city
integrative rehabilitation group

Extracorporeal Shockwave Therapy

A New York, winner of the Patients' Choice Awards.
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Pain syndromes and movement disorders are plaguing Americans in ever-growing numbers, thanks to sedentary lifestyles, environmental toxins and chronic stress. According to the World Health Organization (WHO), musculoskeletal conditions are the leading cause of disability, worldwide.

Conventional medical approaches, including physical therapy and chiropractic care, often fail to provide long-term solutions for patients suffering from pain syndromes and movement disorders. Surgical solutions pose significant risks, with no assurance of successful outcomes.

Now, breakthrough advances in technologies are changing the game in rehabilitative medicine, ushering in a new era of patient care that produces fast and enduring results. NYCIRG is at the cutting edge of innovative solutions for musculoskeletal disorders. Our integrative and patient-centric approach makes NYCIRG the clinic of choice for pain and disability treatment in NYC.

Comparison of Shock Wave Technologies

Penetration Depth of Shock Waves

Dr. Lev Kalika

Our Experience

Dr. Lev Kalika has dedicated his life’s work to finding the most effective solutions for treating musculoskeletal pain and dysfunction. His early mentors include some of the world’s most recognized pioneers in rehabilitative medicine.

Dr. Kalika was among the first to bring cutting-edge therapies and technologies to the United States. He has multiple peer-reviewed scientific studies to his credit, and continues to explore new ways to treat and resolve musculoskeletal disorders.

With over 20 years of hands-on experience using high resolution diagnostic musculoskeletal ultrasonography, Dr. Kalika is one of the world’s top practitioners of rehabilitative medicine. He uses three different types of shockwave therapy (focused, defocused and radial), along with other advanced technologies, dramatically enhanced with ultrasound guidance.

Dr. Kalika’s Manhattan NYC clinic features some of the world’s most advanced technological innovations for diagnosing and treating patients. His unique and proprietary approach to rehabilitation and patient care makes him one of the most sought-after rehabilitative practitioners in NYC.

Our Technologies

In recent decades, technology has impacted almost every aspect of our lives, for better or worse. In the realm of rehabilitative medicine, technology has been an enormous boon for precise diagnosis and quantitative analysis, and provides multiple tools for tracking and measuring patient progress. Artificial intelligence and virtual reality augment interactive feedback training that restores functional pain-free movement.

The clinic at NYCIRG features some of the most advanced technologies available for musculoskeletal rehabilitation.

SoftWave Electro-Hydraulic Shockwave Therapy

SoftWave is a groundbreaking regenerative mechanotransduction technology that accelerates tissue healing. Its patented electro-hydraulic applicator delivers high-speed soundwaves that can penetrate up to six inches in depth. SoftWave’s defocused and linear focused shockwaves recruit maximum stem cells to the treatment site to promote healing. SoftWave’s wider and deeper penetration using defocused energy is a preferred treatment option for a broad spectrum of conditions, ranging from orthopedic injuries to pelvic health.

Extracorporeal Shockwave Therapy (ESWT)

Focused ESWT technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. ESWT helps to reduce pain and inflammation, increase circulation to targeted tissues, and stimulate the body’s innate healing mechanisms. Depending on the type, location and severity of damaged tissues, the effects of ESWT may be enhanced by other advanced technologies.

Extracorporeal Shockwave Therapy (ESWT)

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, to trigger a reparative response. EMTT waves are able to target difficult-to-reach tendons, muscles, bones and nerves.

Myofascial Acoustic Compression Therapy (MyACT)

Our new PiezoWave shockwave machine features MyACT, a new type of focused shockwave technology that allows for deeper compression of the focused waves. Its higher frequency allows for precise neuro modulation under ultrasound guidance, with a special linear head for treating myofascial pain.

This innovative shockwave technology transforms the mechanical energy of shockwaves into biochemical signals that precisely target damaged tissues. Its versatile system of controls lets us fine-tune its output levels for precise and personalized patient care. With MyACT, we are able to repair and regenerate damaged tissues by stimulating the body’s own reparative mechanisms.

Myofascial Acoustic Compression Therapy (MyACT)

NESA Neuromodulation Therapy

The NESA device generates a biphasic low-frequency electrical current that travels through autonomic neural pathways, to restore optimal neural signaling to the brain.

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, also known as defocused or radial shockwave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. Many practitioners use only radial shockwave therapy – aka EPAT – which is a pressure wave and not a true shockwave. EPAT does not have the same reparative potential as ESWT, and research shows that even focused shockwaves are less effective than ultrasound-guided ESWT.

Extracorporeal Pulse Activation Technology (EPAT)

High Energy Inductive Therapy (HEIT)

HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate optimal electrochemical function and stimulate healing of nerves, muscles and blood vessels.

INDIBA Radiofrequency Therapy

INDIBA technology converts electrical current into a stable frequency of 448 kHz, designed to increase the exchange of ions in damaged tissues and evoke a healing response.

INDIBA Radiofrequency Therapy

Localized Cryotherapy

Cold therapy has been used for centuries to treat soft tissue injuries, numb pain and reduce inflammation. Today, modern technology brings us a more efficient and effective means of leveraging cold therapy using nitrogen gas. When used with other therapies, localized cryotherapy helps to provide fast relief and speed recovery during the rehabilitation process.

Ultrasound Guided Therapies

We use ultrasound to guide many of our targeted therapies. Guidance with high resolution ultrasound ensures that our therapeutic techniques hit their mark, for maximum effectiveness.

Conditions We Treat

Athletic and occupational injuries
Chronic pain syndromes like fibromyalgia and arthritis
Low back pain
Neck pain
Chronic and acute joint pain
Plantar fasciitis
Degenerative tendon disorders
Myofascial pain and dysfunction
Musculoskeletal instability
Hypermobility syndromes
Pelvic pain and dysfunction
Walking and running gait disorders
Biomechanical deficits
Vestibular balance disorders
TMJ syndrome
Chronic headaches
Multiple other categories of musculoskeletal conditions

Our Treatment Approach

Musculoskeletal pain and dysfunction are often diagnosed based on symptoms alone, and treatment zeros in on the locus of pain. This approach often fails, because the underlying cause of pain may originate elsewhere in the body. Nevertheless, insurance providers only compensate for location-specific treatment, tying the hands of providers, and relegating the patient to suboptimal results.

At NYCIRG, we take an integrative and holistic approach to patient care. Our goal is to identify the underlying cause(s) of your condition and resolve it. We treat the patient, not just the symptoms, with personalized treatment protocols and one-on-one therapy sessions geared to the individual. Our unique approach to rehabilitative medicine makes NYCIRG the clinic of choice for patients suffering from pain and disability in NYC.