Spinal Joint Pain Relief: How Shockwave Therapy Complements Non-Surgical Treatment for Degenerative Discs at South Texas Spine and Joint Institute
Chronic back pain is often a combination of disc degeneration and joint inflammation. If you are struggling with daily low back pain, discover how our advanced, non-surgical treatments can stabilize your spine and restore function.
Chronic low back pain is a debilitating condition that stops thousands of South Texas residents from enjoying their lives. For many, this pain is rooted in age-related wear and tear: Degenerative Disc Disease (DDD) and the associated inflammation of the surrounding facet joints.
You may have been told that surgery is the only long-term solution, or that you simply have to manage the pain with injections or powerful narcotics. But the pain is a signal—a signal that the supportive structures of your spine are failing and need targeted, non-invasive intervention.
DDD and facet joint pain create a vicious cycle: the weakened discs put pressure on the sensitive joints, causing chronic inflammation, muscle spasms, and instability. Traditional methods often fail because they treat only one part of this cycle.
At South Texas Spine and Joint Institute, we specialize in integrated spine care that targets both the structural alignment and the tissue regeneration necessary for lasting stability. We utilize Extracorporeal Shockwave Therapy (ESWT) as a powerful adjunct to our chiropractic and rehabilitation protocols, focusing on healing the ligaments, tendons, and muscles that support your spine.
Understanding Spinal Pain: Discs, Joints, and Soft Tissue
To effectively treat your chronic back pain, it is crucial to understand that the spine is a complex, integrated system. While the discs are often the focus of diagnosis, the pain you feel is often rooted in the structures that surround them.
- Degenerative Discs (DDD): Over time, the discs—the cushions between your vertebrae—lose water content, become thinner, and weaken. This narrowing creates instability and reduces the space for nerve roots (stenosis), leading to pain, numbness, and tingling (radiculopathy).
- Facet Joint Syndrome: When discs collapse, the weight shifts to the small joints at the back of the spine (the facet joints). These joints become inflamed and arthritic, causing sharp, localized pain that worsens with extension or twisting.
- Supporting Ligaments and Tendons: Chronic instability forces the thick spinal ligaments and tendons to overwork, leading to chronic strain, tendinosis, and recurring muscle spasms that characterize low back pain.
While ESWT does not directly treat the intervertebral discs themselves, its ability to regenerate and strengthen the crucial supporting ligaments and tendons is a game changer for stabilizing the entire spinal column.

The Regenerative Role of Shockwave Therapy in Spinal Support
Chronic low back pain caused by instability is often resistant to healing because the tendons and ligaments that should be holding the spine firm are in a state of chronic, disorganized degeneration. ESWT is uniquely suited to interrupt this state and restart the healing process in these support structures.
1. Ligament and Tendon Regeneration
The deep tissues surrounding the facet joints and connecting the vertebrae (such as the supraspinous and interspinous ligaments) suffer chronic micro-tearing and degeneration from instability. ESWT delivers controlled acoustic energy directly to these structures, which achieves two primary goals:
- Neovascularization: The shockwaves force the creation of new micro-vessels, flooding the chronically painful tissues with essential oxygen and nutrients necessary for repair.
- Collagen Synthesis: ESWT stimulates fibroblasts, encouraging them to produce new, robust collagen fibers. This strengthens the weakened ligaments, improving the mechanical stability of the joint and reducing the reliance on muscle bracing, which eliminates muscle spasms.
2. Pain and Spasm Reduction
The persistent muscle guarding and spasms around the spine are often a reaction to chronic instability. By strengthening the foundational ligaments and tendons, ESWT reduces the underlying instability. Furthermore, the shockwaves interfere with the transmission of pain signals and promote the release of endorphins, resulting in both immediate pain relief and long-term reduction in muscle guarding and chronic spasm.
3. Targeting Chronic Myofascial Pain
Many patients with DDD or facet arthritis also suffer from chronic myofascial pain syndrome—pain and tightness in the low back muscles that refer pain to other areas. ESWT is highly effective at releasing persistent trigger points and increasing local circulation in the paraspinal musculature, complementing alignment corrections.
The South Texas Spine and Joint Institute Integrated Approach
Treating chronic spinal pain requires more than just pain management. It demands a strategy that corrects structural alignment, heals soft tissue, and rebuilds functional strength. Our institute’s protocol for spinal pain is designed for long-term success.
1. Structural Correction with Advanced Chiropractic Care
Before any regenerative therapy, we must ensure your spine is properly aligned. Our chiropractic specialists meticulously assess your spinal biomechanics, posture, and nerve function. Through precise adjustments, we aim to:
- Decompress Joints: Create space around the inflamed facet joints, reducing bone-on-bone friction.
- Improve Disc Hydration: Restore proper motion to the vertebrae, encouraging the discs to rehydrate.
- Correct Pelvic Tilt: Address pelvic misalignments that cause uneven loading on the lower lumbar spine.
This step reduces acute pain and ensures the spine is in an optimal position for the ESWT to be effective.
2. Precision Shockwave Application
Once aligned, we apply ESWT to the surrounding supportive tissues—the ligaments and tendons connected to the vertebrae. This application drives regenerative healing specifically into the structures responsible for holding the spine in its corrected position. This synergy between correction and regeneration is key to achieving lasting stability.
3. Functional Strength and Stability Rehabilitation
ESWT and chiropractic care create the structural foundation. Rehabilitation builds the durable strength. We prescribe targeted therapeutic exercises focused on:
- Core Stabilization: Strengthening the transverse abdominis and oblique muscles to act as a natural brace for the lower spine.
- Gluteal Recruitment: Ensuring the powerful glute muscles activate correctly, taking unnecessary load off the small muscles of the low back.
- Ergonomics and Movement Pattern Correction: Teaching proper lifting, sitting, and movement mechanics to prevent future strain and instability.
Reclaim Your Life from Chronic Back Pain
If you are suffering from chronic low back pain associated with facet joints or degenerative discs, you owe it to yourself to explore all non-surgical options. The combination of structural alignment and targeted regenerative healing offers a powerful alternative to the risks and uncertainties of surgery.
At South Texas Spine and Joint Institute, we are committed to providing the people of South Texas with the most advanced, integrated spine care available. We specialize in non-invasive solutions that empower your body to heal itself.
Don’t accept that chronic back pain is your only option. Contact us today for a comprehensive spinal assessment and discover how Shockwave Therapy can be the catalyst for your long-term relief and stability.




