Shockwave first visit
$75
- Consultation
- Exam
- First shockwave therapy treatment
Updated October 11, 2026
Achilles tendinopathy is pain and stiffness in the tendon at the back of the ankle, usually from repeated overload.

Quick answer
Achilles tendonitis treatment in Oceanside and Carlsbad combines shockwave therapy with tendon loading exercises for stubborn heel cord pain. Achilles tendinopathy is pain and stiffness in the tendon at the back of the ankle, usually from repeated overload. New patients start with the $75 special: consultation, exam and first treatment in Oceanside or Carlsbad.
New patient offer
$75
First visit
About 45 to 60 minutes
Offices
Oceanside + Carlsbad (Bressi Ranch)
Insurance
PI and MedPay accepted. Most health plans not accepted.
Tendon
Achilles pain is common in runners, walkers and people who are on their feet all day. It often feels worst with the first steps in the morning or at the start of activity.
When tendon pain has not settled with rest, stretching and ice, shockwave therapy paired with a progressive loading plan is a common next step.
Is this you?
New patient special
Pick your first visit at our Oceanside or Carlsbad office. Same-day appointments most weekdays.
Shockwave first visit
$75
Chiropractic first visit
$49
New patients only. Same-day first treatment when appropriate. Personal injury and auto accident claims are billed on lien instead. Available at both offices. See details
Causes
The tendon becomes irritated when load rises faster than it can adapt, such as a jump in running mileage, hill work or a change in shoes.
Sudden increase in training
Hill or speed work
Tight or weak calf muscles
Footwear changes
Risk factors
Diagnosis
Your exam checks the tendon, calf strength, ankle motion and how you move. We refer for imaging when a tear is suspected.
Your first visit

We review your history and goals before any hands-on work.

Posture, range of motion, joint mechanics and orthopedic or neurological tests.

When the exam clears you, your first treatment happens the same visit.
Before you arrive
When to get seen
Some Achilles injuries need urgent medical care.
Seek urgent evaluation if you have any of these:
Treatment
Care pairs shockwave therapy with a tendon loading plan.
Focused acoustic waves for tendon pain that has stalled with rest and stretching.
Learn morePrevention
Tips
Your doctors
Oceanside
Carlsbad (Bressi Ranch)
FAQ
Shockwave therapy is commonly used for chronic Achilles tendon pain that has not improved with rest and stretching. Your exam tells us whether it fits your case.
New patients can start with the $75 shockwave special: consultation, exam and first shockwave therapy treatment.
Often, at a reduced load. Your provider will tell you what to modify on the first visit.
Common symptoms include: pain at the back of the ankle or heel; morning stiffness in the heel cord; pain at the start of a run or walk; tenderness when squeezing the tendon, and thickening or a tender lump in the tendon.
Seek urgent evaluation if you have: a sudden pop or snap at the back of the ankle; inability to push off or rise onto your toes; severe swelling or bruising after an injury, and calf pain with swelling, warmth or redness.
These habits help: increase training load gradually; keep calf strength work in your routine; rotate running shoes, and warm up before speed or hill work.
Yes. Bring recent imaging on a disc, a portal link, or your phone. A photo of the report is also useful.
Allow about 45 to 60 minutes for the first visit. Completing intake forms beforehand leaves more time for your history and exam.
Ask the office to check your specific MedPay or personal injury claim. Pacific Spine & Rehab does not participate with most health plans.
Tendon
New-patient visit includes exam, diagnosis, and a written treatment plan — same-day appointments most weekdays at our Oceanside and Carlsbad offices.