Carl. Agree with Cliff - the effect(s) of shockwave are certainly proinflammatory (as opposed to anti inflammatory). Whilst the use of NSAIDS or herbal/natural meds is not contraindicated per se, it would seem that the effect of one treatment approach would lessen the benefit of the other - effectively wasting both. Either go for anti inflammatory or shockwave. Can't see the benefit of using them in combination and most of the research which has looked at it also says not to bother with the combination.