What is the treatment protocol for cellulite using shockwave therapy?

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Last updated: June 18, 2025View editorial policy

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From the Research

Shockwave therapy for cellulite typically involves 6 sessions of radial shock wave therapy, with 2 weekly treatments for 3 weeks, totaling 6 treatments, at 3.5-4.0 bar, with 15,000 impulses per session applied at 15 Hz, as this protocol has been shown to be effective in reducing the severity of cellulite 1. The treatment uses acoustic wave technology delivered through a handheld device that emits radial or focused shockwaves at 1-5 bars of pressure and frequencies of 1-15 Hz.

  • During each session, the practitioner applies a coupling gel to the affected areas (commonly thighs, buttocks, or abdomen) and moves the applicator in circular motions over the treatment zones.
  • Each area receives approximately 3,000-4,000 pulses per session.
  • The shockwaves work by increasing blood circulation, stimulating collagen production, breaking down fibrous septae that cause dimpling, and promoting lymphatic drainage.
  • Patients may experience mild discomfort during treatment, but no anesthesia is required.
  • Results typically become visible after 3-4 sessions, with optimal outcomes appearing 2-3 months after completing the full protocol.
  • Maintenance sessions every 3-6 months may be recommended to sustain results.
  • This treatment works best when combined with proper hydration, regular exercise, and a balanced diet to maximize and maintain the effects, as well as an Aerobic Exercise Program, which has been shown to enhance the effectiveness of shock wave therapy in reducing cellulite severity 1.

The most recent and highest quality study, published in 2021, found that the association of Shock Wave Therapy and Aerobic Exercise was effective in reducing the severity of cellulite, with significant reductions in cellulite severity compared to the control group and the group receiving only Aerobic Exercise 1.

  • The study used a randomized controlled trial design and included 45 healthy women, aged 18-32, who were randomly assigned to one of three groups: a control group, an Aerobic Exercise group, and a group receiving both Aerobic Exercise and Shock Wave Therapy.
  • The results showed that the group receiving both Aerobic Exercise and Shock Wave Therapy had a significant reduction in cellulite severity compared to the other two groups, with a mean reduction of 0.93 cellulite grades after the last treatment and 0.82 cellulite grades at follow-up.
  • The study's findings suggest that the combination of Shock Wave Therapy and Aerobic Exercise is a effective treatment for cellulite, and that it can lead to significant improvements in cellulite severity and quality of life.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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