StemWaveShockwave TherapyAcoustic Wave TherapyFirst VisitBowie MD

Shockwave Therapy in Bowie, MD: What the $50 First Session Includes

By Dr. Eric Schmitt, D.C. · October 1, 2026 · 9 min read

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StemWave acoustic wave treatment room at Total Wellness Chiropractic in Bowie, MD

If you have been searching for shockwave therapy in Bowie, MD, you have probably noticed that most clinics tell you what the technology is and almost none tell you what actually happens when you walk in. That gap makes people hesitate. Nobody wants to commit to something when the first appointment is a mystery.

So here is the mystery removed. This is a walk through the $50 first session of StemWave acoustic wave therapy at Total Wellness Chiropractic: what we ask, what we examine, what the treatment feels like, what to tell us before we start, and what to expect over the next day or two.

Shockwave Therapy in Bowie, MD: The Short Version

StemWave is an acoustic wave device. A handpiece delivers rapid pressure pulses through the skin into soft tissue. The technology is designed to stimulate the body's natural healing response in the area being treated. StemWave here is a $50 first session, and the point of it is simple: find out whether StemWave is a sensible option for your specific problem, on your own body, before you decide anything about a longer course of care.

The first visit is about fit, not about signing up for a package. If StemWave is not a good fit, we will tell you that plainly.

Who Usually Asks About StemWave

Most people who come in for shockwave therapy in Bowie, MD share a pattern. They have a spot that has been sore for months. They have tried rest, stretching, maybe anti-inflammatories, maybe a round of physical therapy. The pain calmed down for a while and then returned.

Common areas we are asked about include:

Our patients come in from Bowie, Crofton, Mitchellville, Glenn Dale, Upper Marlboro, Lanham, and Largo, and from elsewhere across Prince George's County. Runners, weekend athletes, people who stand all day, and people who sit all day all show up for the same reason: a stubborn spot that will not quit.

What Happens at the $50 First Session, Step by Step

Here is the order of a typical first visit. The exact flow depends on your situation, and we will confirm details when you book.

1. The conversation

We start by talking. Where does it hurt? When did it start? What makes it worse, and what makes it better? What have you already tried? This is not small talk. The pattern of your symptoms tells us a great deal about whether the problem is likely tendon, fascia, muscle, joint, or something that belongs with another provider entirely.

2. Your history and medication list

This is the part people sometimes rush through, and it matters most. We ask about your health history, surgeries, implants, and every medication and supplement you take, including daily aspirin and over-the-counter products that seem unrelated. Some of these change how, or whether, we use acoustic waves over a given area. More on that below.

3. A hands-on examination

We examine the area. We press on it, move it, test strength and range of motion, and look at how the surrounding regions are contributing. Pain often shows up in one place and starts somewhere else. A heel can be influenced by the calf and the way you walk. A shoulder can be influenced by the neck and upper back. The goal is to treat what is relevant, not just where you point.

4. A straight answer on fit

Before any treatment, we tell you whether we think StemWave is appropriate for you. If we think you need imaging, a referral, or a different approach first, we say so. A first visit that ends with "this is not the right tool for you" is a good visit, because it saved you time.

5. The StemWave session itself, if it is appropriate

If we proceed, you will be positioned so the area is relaxed and well supported. We apply gel, and the handpiece delivers pulses while we work through and around the tender region. You tell us what you feel, and we adjust. A treatment area typically takes only a few minutes.

6. What comes next

At the end, we explain what you might notice over the next day or two, what to avoid, and what a reasonable plan could look like if you want to continue. You leave with a clear picture and no pressure.

What Does Shockwave Therapy Feel Like?

Honest answer: it is a rapid tapping or pressure sensation, and it is strongest when the handpiece passes over the most sensitive tissue. Most people describe it as uncomfortable rather than painful, and the discomfort is brief. You control the intensity. We start low and build gradually, and we can stop at any moment.

We wrote a full breakdown in Does StemWave Therapy Hurt? if you want the minute-by-minute version.

What the Research Says About Shockwave Therapy

It is worth being careful here, because shockwave is one of those areas where marketing runs ahead of evidence.

A 2024 systematic review and meta-analysis of 45 randomized controlled trials looked at extracorporeal shockwave therapy for pain in various tendinopathies. The authors reported pain reductions in several conditions, including plantar fasciitis, lateral epicondylitis, chronic Achilles tendinopathy, and rotator cuff tendinopathy. They did not find a significant pain reduction for patellar tendinopathy. They also noted that effects appeared to vary with treatment parameters, such as the number of sessions, and that more data were needed for some conditions.

A 2023 narrative review of shockwave therapy for musculoskeletal pain in the journal Healthcare takes a broadly supportive view across a number of tendon and soft tissue conditions. It is a narrative review rather than a pooled analysis, so it summarizes studies that used different devices, doses, and patient groups. A review of focused shockwave therapy in physical medicine and rehabilitation describes its use as one option within a broader rehabilitation plan.

What does that mean for you? Shockwave therapy has a real body of research behind it, and it is not a guarantee. Results differ from person to person, and the condition, its duration, and the treatment plan all matter. This is exactly why the first session is about fit. Individual results may vary.

Who Should Not Have StemWave

Some people should not have acoustic wave therapy, or not over a particular area, regardless of how well they would tolerate it. We screen for the commonly listed precautions at the first visit. Be sure to tell us if any of the following applies to you:

  • You are pregnant, particularly if the area being treated is near the abdomen or pelvis
  • You have a pacemaker or implanted defibrillator, or the area is near one
  • You have a known tumor or cancer in the area
  • You have an active infection or an open wound in the area
  • You take blood thinners or have a clotting disorder, which calls for a conversation before we proceed
  • You have had a recent corticosteroid injection in the area
  • The area is a growth plate in a child or teenager

For some of these, the answer is "not over that area." For others it is "let's check with your physician first." None of it is a reason to be nervous. It is a reason to tell us everything.

What to Bring and How to Prepare

A little preparation makes the visit more useful.

  • A list of your medications and supplements, including doses if you have them
  • Any recent imaging reports (X-ray, MRI, ultrasound) or notes from other providers
  • Comfortable clothing that lets us reach the area easily
  • Shoes you wear most often, if the problem is in your foot, knee, or hip, so we can look at wear patterns
  • Your questions. Write them down. People always remember them after they leave

What You Might Notice Afterward

Many people feel fine immediately. Some notice mild soreness, warmth, or redness in the treated area, which commonly settles within a day or two. A few feel a temporary change in how the area feels, which can include a dull ache that is different from the original pain. If anything feels unusual, call us. We would rather hear about it.

We usually suggest listening to your body, avoiding aggressive loading of the area the same day, and keeping up gentle movement as advised. We will give you specific guidance at your visit.

Cost, Payment, and What Comes After the First Session

StemWave is a $50 first session. We do not quote a price for a course of care in a blog post, because a plan depends on your condition, the area, and how your body responds. If you decide to continue, we will review the options with you, including financing, before anything is scheduled.

If you are also dealing with spine, nerve, or joint concerns, our chiropractic services and the conditions we see may be relevant too, and we can look at the whole picture together.

Frequently Asked Questions

What is the $50 StemWave first session?

It is an introductory visit where we talk through your history, examine the problem area, tell you whether StemWave appears appropriate, and, if it does, let you experience the treatment. We confirm the specific details when you book.

Where can I get shockwave therapy in Bowie, MD?

Total Wellness Chiropractic offers StemWave acoustic wave therapy at 6000 Laurel Bowie Road, Suite 202, Bowie, MD 20715. You can learn more on our StemWave page.

Is shockwave therapy the same as StemWave?

StemWave is an acoustic wave device that falls under the broader family of shockwave-type therapies. The term "shockwave" is used loosely, and devices differ in how they generate and deliver pulses. We are happy to explain how our device works at your visit.

How many sessions will I need?

It depends on your condition, how long you have had it, and how you respond. We cover this in How Many StemWave Sessions Do I Need?. We do not promise a number at the first visit.

Does StemWave replace seeing a medical doctor?

No. If you have severe pain, numbness, weakness, fever, an injury from a fall or accident, or symptoms that worry you, seek medical care. StemWave is not a substitute for emergency or primary care.

Is shockwave therapy covered by insurance?

Coverage varies by plan and by condition, and many plans do not cover it. Ask your insurer, and ask us about your options. We will be upfront about what we know.

Can I do StemWave if I have had a cortisone shot?

Tell us the date and location of any injection. Timing matters, and we will advise you at your visit. See also our post on StemWave versus cortisone injections.

Will it work for me?

No one can honestly promise that. StemWave is designed to stimulate your body's natural healing response, and many people are curious whether it fits their situation. That is exactly what the first session is for. Individual results may vary.

Book Your $50 First Session in Bowie

If you have a tendon, a heel, a shoulder, or a stubborn area that has not responded to rest and time, come in and let us take a look. We will tell you whether StemWave is a sensible option for your specific problem, and we will tell you plainly if it is not.

Book your appointment online at wherethehealingbegins.com, or call us at (301) 352-3454.

Total Wellness Chiropractic · 6000 Laurel Bowie Road, Suite 202, Bowie, MD 20715 · (301) 352-3454

StemWave: $50 first session.

This article is for educational purposes and is not medical advice. StemWave uses acoustic wave technology designed to stimulate the body's natural healing response; it is not a cure for any condition, and individual results may vary. Research findings describe groups of patients and may not apply to you. Talk with a qualified healthcare provider about your specific condition, medications and history before beginning any new treatment.

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Book your appointment at Total Wellness Chiropractic today, or call (301) 352-3454 to speak with our team.