If you’ve been dealing with erectile dysfunction and you’re tired of relying on medication that only works in the moment, there’s a better option.
Forum Health Las Colinas in Irving, TX, now offers low-intensity shockwave therapy (LiSWT) — a non-invasive, drug-free treatment that works at the root cause of most ED: reduced blood flow.
Rather than masking symptoms, shockwave therapy uses targeted acoustic energy to stimulate the growth of new blood vessels in penile tissue, restoring the natural erectile mechanism so that erections happen the way they should, without planning around a pill.
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Low-intensity extracorporeal shockwave therapy (LiSWT) is a non-invasive medical treatment that uses low-energy acoustic sound waves directed at specific areas of penile tissue to stimulate healing, improve blood flow, and restore erectile function.
The technology itself has been used in medicine for decades, originally to break up kidney stones and treat orthopedic injuries. Its application for erectile dysfunction is newer, and the mechanism is different: rather than using high-energy waves destructively, low-intensity shockwave therapy uses gentle acoustic energy to stimulate the body’s own regenerative processes.
The clinical term you may see referenced in research is Li-ESWT (low-intensity extracorporeal shock wave therapy).
At Forum Health Las Colinas, we use this technology as part of a comprehensive, functional medicine approach to ED. It’s not a standalone quick fix, but a meaningful tool for restoring vascular health and erectile function at the tissue level.
Most erectile dysfunction has a vascular root cause. The ability to achieve and maintain an erection depends on healthy blood flow to the penile tissue. And when blood vessels are compromised by inflammation, arterial stiffness, or the buildup of micro-plaque, that flow is restricted.
Shockwave therapy addresses this directly. When low-intensity acoustic waves are directed at penile tissue, they trigger a process called angiogenesis, the growth of new blood vessels. They also break up existing micro-plaques within blood vessels, improving circulation in the treated area. For many men, the result is improved erectile function that doesn’t require a pill to initiate.
The Mechanism in Plain Terms
Shockwave therapy at Forum Health Las Colinas is performed exclusively by Dr. Brad Silver, who has received specialized training in low-intensity shockwave therapy for erectile dysfunction. Your care begins with a one-on-one consultation with Dr. Silver — not a general intake, but a focused conversation about your health history, symptoms, and goals.
Before any treatment begins, Dr. Silver evaluates the underlying contributors to your ED, which may include testosterone levels, cardiovascular markers, metabolic health, lifestyle factors, and medication history. This ensures shockwave therapy is the right fit for your situation and that any other contributing factors are identified and addressed alongside it.
There is no single universal protocol; treatment frequency and duration are determined based on your individual assessment. A typical course involves multiple sessions over several weeks, with results becoming more noticeable over the following one to three months as new blood vessels develop and mature.
Shockwave therapy can be used as a standalone treatment or as one component of a broader ED management plan that may include testosterone optimization, peptide therapy, nutritional support, and lifestyle changes. Our providers will recommend the approach that best fits your clinical picture.
Shockwave therapy is best suited for men with vasculogenic erectile dysfunction (ED) that originates from compromised blood flow, which is the most common underlying cause of ED in men over 40. Based on current clinical evidence, men who tend to see the most benefit include those who:
Shockwave therapy may not be appropriate for every patient. During your consultation, our providers will determine whether it’s a good match for your specific situation. Men with severe ED, uncontrolled diabetes, or certain cardiovascular conditions may require a different treatment approach, or may need to address those conditions first before pursuing shockwave therapy.
| Oral Medication (e.g. Viagra, Cialis) | Shockwave Therapy |
|---|---|
| Works only when taken before sex | No timing required — natural response |
| Does not treat underlying cause | Targets root cause — vascular health |
| Effect ends when drug wears off | Results build over weeks and months |
| May cause side effects (headache, flushing) | Virtually side-effect-free |
| Requires ongoing use indefinitely | Course of treatment, not lifetime dependency |
| May stop working over time | Aims to restore function, not mask it |
Erectile dysfunction is one of the most common conditions affecting men over 40, but it is rarely just a bedroom problem. In functional medicine, we understand ED as a vascular signal as much as a sexual health concern.
The same endothelial dysfunction that restricts blood flow to penile tissue is an early driver of cardiovascular disease. Research consistently shows that men who develop ED are at a significantly elevated risk of a major cardiac event in the years that follow if the underlying vascular health issue is not identified and addressed.
This is why our approach at Forum Health Las Colinas doesn’t begin and end with shockwave therapy. We use a comprehensive evaluation to understand your full cardiovascular and metabolic picture, and we build a treatment plan that addresses the whole man, not just the symptom that brought you in.
Shockwave therapy has grown in popularity, but not every provider offering it brings the same depth of clinical context. At Forum Health Las Colinas, shockwave therapy is one tool within a full functional medicine practice. That means:
Shockwave therapy for erectile dysfunction at Forum Health Las Colinas is performed exclusively by Dr. Brad Silver, MD.
Dr. Silver has completed specialized training in low-intensity shockwave therapy and brings a functional medicine perspective to men’s sexual health, meaning your ED is evaluated and treated in the context of your full hormonal, cardiovascular, and metabolic picture, not in isolation.
Dr. Silver’s approach combines advanced diagnostics with targeted treatment protocols, ensuring that shockwave therapy is always part of a broader strategy tailored to your specific health profile.
Shockwave therapy for erectile dysfunction at Forum Health Las Colinas is performed exclusively by Dr. Brad Silver, MD.
Dr. Silver has completed specialized training in low-intensity shockwave therapy and brings a functional medicine perspective to men’s sexual health, meaning your ED is evaluated and treated in the context of your full hormonal, cardiovascular, and metabolic picture, not in isolation.
Dr. Silver’s approach combines advanced diagnostics with targeted treatment protocols, ensuring that shockwave therapy is always part of a broader strategy tailored to your specific health profile.
This varies based on your individual evaluation and the severity of your ED. Dr. Silver will discuss a recommended protocol during your consultation. A typical course involves several sessions spread over a few weeks.
Most men begin noticing improvement within four to twelve weeks of completing their treatment protocol, as new blood vessels mature and vascular health improves. Results may continue to develop for up to six months post-treatment.
Shockwave therapy is currently used off-label for ED treatment — it is not yet FDA-approved specifically for this indication, though the device technology itself is cleared. Many clinics across the country, including major academic medical centers, offer it as part of their ED treatment programs. Clinical research supporting its efficacy is growing, with multiple meta-analyses showing meaningful improvement in erectile function scores for men with vasculogenic ED.
Yes — in fact, combining shockwave therapy with testosterone optimization can enhance outcomes for men whose ED involves both a vascular component and low testosterone. Dr. Silver will assess both during your initial evaluation and recommend the most effective combination for your situation.
Insurance typically doesn’t cover shockwave therapy for ED as it is an elective, off-label treatment. Our team can discuss payment options and what to expect during your consultation.
These are two different treatment modalities that can be used separately or together. Shockwave therapy uses acoustic waves to stimulate blood vessel growth. The P-Shot (Priapus Shot) uses platelet-rich plasma (PRP) derived from your own blood to support tissue regeneration and nerve function. Some men benefit from a combination approach — ask Dr. Silver whether a combined protocol makes sense for your case.
Shockwave therapy for erectile dysfunction at Forum Health Las Colinas is performed exclusively by Dr. Brad Silver, MD.
Dr. Silver has completed specialized training in low-intensity shockwave therapy and brings a functional medicine perspective to men’s sexual health, meaning your ED is evaluated and treated in the context of your full hormonal, cardiovascular, and metabolic picture, not in isolation.
Dr. Silver’s approach combines advanced diagnostics with targeted treatment protocols, ensuring that shockwave therapy is always part of a broader strategy tailored to your specific health profile.
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