The Shockwave Therapy Blog | CuraMedix

The Power of the Layered Approach: Shockwave and EMTT for Musculoskeletal Pain

Written by Ryann Pignataro | February 24, 2026

In the world of musculoskeletal medicine, there is a pervasive and frustrating "grey zone" inhabited by the patient who has tried it all: physical therapy, chiropractic adjustments, acupuncture, and cortisone injections, yet still finds him or herself sidelined. For Dr. Craig Patane, DC of Form & Function Chiropractic in Brooklyn, NY, this grey zone was a call to innovate.

By integrating Radial Pressure Wave (EPAT), Focused Shockwave (ESWT), and Extracorporeal Magnetotransduction Therapy (EMTT) into his practice, Dr. Patane has effectively bridged the gap between conservative management and surgical intervention. His approach not only helps patients manage their pain, but it also restores capacity by influencing tissue biology at a cellular level.

The Philosophy: Acceptance of Adaptation

Dr. Patane’s practice primarily serves active adults and athletes: the "weekend warriors," the dedicated runners, and those suffering from chronic, stubborn injury patterns. His clinical philosophy is rooted in a refreshing, grounded candor: the human body is never static.

"I’m very clear with patients that nothing in the human body is truly permanent," Dr. Patane explains. "We’re all in a constant state of adaptation and, frankly, degeneration. The goal isn’t perfection—it’s slowing that process down and restoring capacity so people can keep doing what they love."

This perspective shifts the patient’s focus from a quick fix to a long-term investment in their own biological resilience. It sets the stage for advanced technologies like Shockwave technology and EMTT, which are designed to support the body’s innate ability to repair itself rather than simply masking symptoms.

The Clinical Catalyst: Moving Beyond Manual Therapy

Before the spring of 2024, Dr. Patane’s toolkit was traditional and evidence-based: manual therapy, progressive loading, photobiomodulation (laser), and spinal decompression. While these methods are effective, they often require a commodity that many patients lack: time.

"While many patients improved, progress was frequently slow, especially in chronic or degenerative cases," says Dr. Patane. "Even those who felt better often experienced recurring flare-ups. Some patients plateaued, and others ultimately required referral for injections or surgical consultation."

The addition of Radial Pressure Wave (EPAT) in April 2024, followed by the transition to Focused Shockwave (ESWT) and EMTT in May 2025, provided the missing link. These technologies allowed the practice to remain in the conservative lane longer, offering a more durable result that manual therapy alone often couldn't sustain. Under the mentorship of world-renowned expert Paul Hobrough, Dr. Patane elevated his clinical efficiency, moving from simply treating pain to fundamentally changing tissue quality.

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One of the hallmarks of Dr. Patane’s success is his use of many different modalities, rather than a "one-size-fits-all" approach. He views Shockwave and EMTT as a synergistic pair:

  • Shockwave Technology (EPAT/ESWT): Whether using Radial Pressure Wave or Focused Shockwave, this technology delivers high-energy acoustic pulses that trigger a "pro-inflammatory" response, breaking down calcifications and stimulating the release of growth factors.
  • Extracorporeal Magnetotransduction Therapy (EMTT): While Shockwave is localized, EMTT provides high-energy electromagnetic signaling that works on a broader field. It improves cellular membrane permeability and enhances the body’s metabolic activity.

"Together, they create a layered treatment approach," Dr. Patane notes. "Clinically, this translates to faster pain reduction, improved tissue quality, and significantly better tolerance to progressive loading."

Furthermore, for those not ready to commit to a full regenerative package, EMTT serves as an effective stand-alone option. It provides a high-value entry point that still yields excellent clinical outcomes, making advanced technology accessible to a wider patient demographic without compromising results.

Marketing Through Clinical Education: The Storyboard Strategy

Dr. Patane’s marketing strategy is a masterclass in transparency and education. Located on a busy street and sharing a hallway with a Quest Diagnostics facility, his practice utilizes high-visibility tactics like sidewalk signage to pique curiosity. However, the real conversion happens inside the office through the power of visual communication.

Dr. Patane developed AI-assisted educational storyboards for his treatment rooms. These visuals do the heavy lifting of explaining the complex science behind shockwave and EMTT, while setting realistic healing timelines.

"These visuals passively reinforce what I’m actively teaching patients during visits," he says. "It has significantly improved understanding, buy-in, and compliance."

This commitment to education extends beyond his own walls. Dr. Patane shared these storyboards on the CuraMedix Insiders’ Exchange, providing fellow CuraMedix clinicians with the tools he has created and incorporated to communicate effectively and inform his patients. This collaborative spirit underscores his belief that when patients understand the why behind a treatment, the "cash-pay" conversation becomes effortless.

Economics and ROI: The Business of Results

The financial impact of integrating CuraMedix’s Shockwave and EMTT technologies was immediate and profound. Many clinicians fear that moving away from insurance-based models will alienate patients, but Dr. Patane’s experience proves the opposite. By 2025—just one year after his initial investment—Dr. Patane doubled his revenue and was able to restructure his approach to patient care. Guided by Paul Hobrough’s business insights, Dr. Patane shifted to a primarily private-pay model. Most patients opt for prepaid packages (typically six visits), which provides the patient with a clear roadmap and the clinician with predictable revenue.

"The ROI was faster than expected," Dr. Patane admits. "Once patients began experiencing real, measurable results, demand followed naturally. These technologies didn’t just pay for themselves—they elevated the perceived level of care across the entire practice."

This increased revenue allowed for a complete office remodel and reinvestment into high-level diagnostic tools, including MSK Diagnostic Ultrasound to objectively visualize pathology and track healing, and Metabolic testing to fine-tune recovery plans.

Remarkable Outcomes and Clinical Integrity

The data coming out of Dr. Patane’s clinic speaks for itself. While the industry standard for success with Shockwave is often cited at 86%, Dr. Patane’s results in specific areas—particularly foot and ankle—approach 100%.

One extraordinary case involved a patient who casually mentioned persistent leg pain after falling through a floorboard at a summer camp several years earlier. Since the injury, she’d experienced chronic neuropathic pain, a consistently cold foot, and a visible indentation and discoloration in her calf. After just two treatments using a combination of EMTT, ESWT, and EPAT, symptoms began resolving. By the sixth session, she was pain-free, with restored posterior tibial and dorsalis pedis pulses. Unexpected, but remarkable, was that the long-standing indentation and discoloration improved by nearly 90%.

Dr. Patane is a staunch advocate for partnering with CuraMedix and using STORZ Medical devices, citing clinical credibility and research as his primary drivers. "You don’t buy a Mustang when what you really want is a Lamborghini," he asserts. He warns against knock-off devices that only provide simple vibration without the precise energy profiles required for biological change.

Patient-Centered Success Drives Clinical ROI

Despite the high-tech equipment and the impressive revenue growth, Dr. Patane’s definition of success remains centered on the patient. For him, the "win" is the moment a patient regains their identity—whether that’s a runner hitting the pavement again or a grandparent playing with their grandkids without trepidation.

"Success is seeing it on a patient’s face—the moment pain fades enough to restore confidence and momentum," he says. "Those moments, when relief turns into motivation, are why I do this."

Ready to join Dr. Patane, and offer next-level care for your own patients? Contact us today to connect with one of our experts and revolutionize your practice.

Important to Note: The treatments and use of EPAT®, ESWT, and EMTT® described in this article reflect the personal clinical experience of the practitioner and are not intended as claims of efficacy.