When people begin comparing non surgical therapies for pain relief and tissue repair, two options usually rise to the top: SoftWave and StemWave. Both are known for offering relief without medication or surgery, and both aim to support healing in damaged or inflamed tissue.

However, the science behind these devices and the real world results they produce show clear differences.

At SpineWell Disc & Joint Centers we rely on SoftWave Tissue Regeneration Technology because it consistently provides deeper, faster, and longer lasting improvement. This is especially true for degenerative joint issues, disc related pain, chronic inflammation, and conditions involving irritated nerves.

This blog breaks down why SoftWave stands out compared to other shockwave systems and how it supports patients who have not improved with other treatments.

How Each Technology Works: Wide Field Energy vs. Focused Shockwaves

SoftWave and its unfocused electrohydraulic design

SoftWave uses a patented parabolic reflector that sends thousands of energy vectors into the tissue at the same time. This creates a broad treatment field rather than a single concentrated point.

This design allows SoftWave to:

• Activate resident mesenchymal stem cells

• Increase blood flow significantly

• Break apart fibrosis and scar tissue

• Stimulate deeper tissue remodeling

• Reduce pain quickly

StemWave and its focused shockwave approach

StemWave concentrates energy into a pinpointed focal area. Although this can help with very small and localized problems, it does not offer the same broad regenerative effect needed for complex or degenerative conditions.

Focused devices typically require:

• More precision during application

• A higher number of pulses

• Additional treatment sessions

• Greater operator skill

• A more uncomfortable experience for many patients

The wide field regenerative effect of SoftWave is what gives it a consistent clinical advantage.

Depth and Comfort: How Each Device Feels During Treatment

SoftWave reaches deep tissue with less sharp discomfort

SoftWave penetrates approximately six to eight centimeters or more. Because the energy spreads across a wider area, patients do not experience the strong pressure sensation that focused systems produce.

Most people describe SoftWave as:

• Deep but manageable

• Therapeutic and productive

• Helpful in identifying areas with hidden damage

StemWave may feel more concentrated and sharper

Since StemWave directs its energy into a very small focal point, deeper or inflamed tissues can feel more sensitive during treatment.

SoftWave Therapy for Monthly Stem Cell Activation

Scientific Backing: SoftWave Has Stronger Research Support

SoftWave’s technology is supported by extensive evidence, including:

• More than fifty peer reviewed studies

• Over forty patents

• More than twenty five million dollars invested in research and development

• Demonstrated activation of stem cells within forty five minutes

• Documented release of growth factors such as VEGF, BDNF, and TGF beta

• Use in institutions like Mayo Clinic, Cleveland Clinic, and several professional sports teams

SoftWave has FDA clearances for:

• Pain reduction

• Improved blood circulation

• Activation of connective tissue

• Reduction of chronic inflammation

• Wound healing support

In contrast, StemWave depends largely on general ESWT research rather than studies focused on its specific device.

How Other Shockwave Devices Compare

The growth in shockwave therapy has led many clinics to purchase devices that sound similar but do not create true regenerative effects. Most fall into the following categories:

1. Radial pressure wave devices

These devices generate vibration instead of true shockwaves.

They typically provide:

• Very shallow penetration

• Minimal regenerative benefit

• Short term pain relief rather than lasting change

2. Pneumatic or air driven devices

These systems use a projectile to create force, functioning more like a mechanical impact than a biological signal.

Common issues include:

• Higher discomfort

• Inconsistent energy delivery

• Limited regenerative capability

• Ineffective results for chronic degeneration

3. Low energy acoustic pulse devices

These produce gentle pulses that can temporarily reduce discomfort but do not:

• Activate stem cells

• Improve blood flow

• Remodel degenerative tissue

• Reach deep joint structures

Why this matters

Many of these devices are marketed as shockwave systems even though they do not trigger the same cellular or vascular responses produced by true unfocused electrohydraulic shockwaves like SoftWave.

This becomes especially important for conditions such as knee degeneration, rotator cuff damage, disc problems, neuropathy, and long standing inflammation.

Common Degenerative Conditions Treated with SoftWave

SoftWave is particularly effective in degenerative conditions because it affects multiple tissues at once, including cartilage, ligaments, tendons, and surrounding soft tissue.

Below are the knee and shoulder conditions we frequently treat at SpineWell.

Knee Degeneration

1. Osteoarthritis from mild to severe

Cartilage loss leads to pain, stiffness, swelling, and difficulty with everyday movement. SoftWave increases circulation, decreases inflammation, and stimulates cellular activity that supports stronger tissue quality.

2. Degenerative meniscus changes

Instead of trimming tissue surgically, SoftWave helps the body release natural repair signals.

3. Chronic tendinopathy in the patellar or quadriceps tendon

Microtears and fibrosis accumulate over time. SoftWave breaks down unhealthy adhesions and promotes healthier tendon remodeling.

4. Degeneration of knee ligaments such as the MCL, LCL, or partial ACL injuries

SoftWave supports angiogenesis and collagen strengthening in these structures.

5. Post surgical degenerative pain

Many patients experience increased stiffness six to twenty four months after arthroscopy. SoftWave helps restart biological healing pathways.

Shoulder Degeneration

1. Rotator cuff tendinosis and partial tears

SoftWave improves fibroblast activity, decreases chronic inflammation, and enhances tendon organization.

2. Glenohumeral osteoarthritis

SoftWave increases circulation in a joint that naturally receives very limited blood flow.

3. Biceps tendinopathy

The treatment reduces inflammatory cytokines and encourages stronger tendon repair.

4. AC joint degeneration

SoftWave can support comfort and function in this frequently overloaded joint.

THE 100 YEAR LIFESTYLE®

Frequently Asked Questions

SoftWave uses broad-field energy to treat larger areas, while StemWave focuses on pinpointed spots, ideal for localized issues.

SoftWave activates stem cells, boosts circulation, reduces pain, and supports tissue repair.
Yes, it’s effective for conditions like osteoarthritis, tendon injuries, and post-surgical pain.

Yes, StemWave can be more uncomfortable due to its focused energy on specific areas.

SoftWave is supported by over 50 peer-reviewed studies and FDA clearance for pain reduction and improved circulation.

Yes, SoftWave is effective for reducing chronic inflammation, common in conditions like knee degeneration.

It treats conditions like osteoarthritis, tendinitis, ligament injuries, and post-surgical pain in areas like the knee and shoulder.

SoftWave offers deeper regenerative effects with its unfocused shockwaves, activating stem cells for longer-lasting healing.

Take the Next Step

If you’ve been told surgery or another injection is your only option, we invite you to explore a different path.
Schedule your next step today or request a quick call with a doctor to see if a new patient appointment is right for you.

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