Providers commonly use this therapy in conservative care plans for chronic knee and hip pain, particularly when patients have not responded adequately to rest, exercise, or other routine approaches alone.

• Patellar Tendinitis (Jumper’s Knee) – Inflammation at the patellar tendon insertion.
• Chronic Knee Pain – Including patellofemoral pain and periarticular knee pain.
• Osteoarthritis – Degenerative joint changes in the knee or hip contributing to pain and stiffness.
• Trochanteric Bursitis (Hip Bursitis) – Lateral hip pain related to inflamed bursae.
• Hip Tendinopathy – Chronic gluteal or peri-hip tendon pain.
• Hamstring Injuries – Soft tissue strains or tears during rehabilitation.

The shoulder and elbow remain core clinical applications for providers working with athletes, active adults, and patients dealing with repetitive strain or chronic tendon-related pain.

• Rotator Cuff Tendinitis – Shoulder tendon inflammation.
• Calcific Tendinopathy – Calcium deposits in rotator cuff tendons causing pain and reduced mobility.
• Frozen Shoulder (Adhesive Capsulitis) – Stiff, painful shoulder with restricted range of motion.
• Tennis Elbow (Lateral Epicondylitis) – Tendon overload at the lateral elbow.
• Golfer’s Elbow (Medial Epicondylitis) – Medial elbow tendon irritation.
• De Quervain’s Tenosynovitis – Inflammation of tendons on the thumb side of the wrist.

For carefully selected patients, providers may integrate this therapy into broader conservative care plans for chronic spinal and myofascial pain presentations.

• Myofascial Pain Syndrome – Trigger points and referred pain patterns.
• Bursitis – Shoulder, hip, knee, and elbow bursae.
• Facet Joint Pain – Pain associated with degenerative facet joints.
• Cervical & Lumbar Strain – Muscular strain in the neck and lower back.
• Non-Infectious Joint Inflammation – Overuse-related joint irritation in the knee, shoulder, or hip.

When coordinated with the treating provider or surgeon, this therapy may be incorporated into performance, recovery, and rehabilitation strategies.

• Sports Injuries – Tendon and muscle strains, sprains, and overuse injuries.
• Post-Surgical Rehabilitation – Following tendon repair or joint replacement, as clinically appropriate.
• Intervertebral Disc Protrusion* – Select cases where therapy is included in a broader spine care plan.

*Always within scope of practice and under appropriate clinical supervision.

Some practices explore additional musculoskeletal applications as clinical experience expands and patient needs vary.

• Carpal Tunnel Syndrome (CTS) – In select cases to support symptom management.
• General Tendinopathy – Persistent tendon-related pain across multiple regions.