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If you've ever lived with a tendinopathy, or watched someone you love work through one, you'll know the particular frustration of it. The exercises, the good days, the bad days, the moment you feel recovered, and then one run that's just a little too long sends you back to where you started. Shockwave Therapy, known clinically as Extracorporeal Shockwave Therapy or ESWT, is one of the tools we reach for to help break that pattern.
The treatment uses a small probe placed on the skin to send low-energy sound waves down into the muscle or tendon beneath. It works in three ways: it desensitises the nerve endings in the area, which eases pain; it creates a controlled, local micro-trauma that kick-starts the body's own healing response, increasing blood flow and metabolism in the tissue; and it helps break down the disorganised tissue and calcification that so often builds up around a tendinopathy. It's recognised by the National Institute of Clinical Excellence (NICE), with a solid body of evidence behind it. It's important to say, though, that Shockwave is never a replacement for physiotherapy. It sits alongside it as a safe, non-invasive way of supporting your recovery.
We commonly use it for:
- Foot or heel pain (plantar fasciitis)
- Lateral hip pain (greater trochanteric pain)
- Hip pain (glute med tendinopathy)
- Heel or calf pain (Achilles tendinopathy or tendinitis)
- Front-of-knee pain (patella tendinopathy or tendinitis)
- Shoulder pain, including supraspinatus or infraspinatus tendinopathy (rotator cuff-related pain)
- Calcific tendinopathy
- Pain at the back of the leg or hamstring origin (hamstring tendinopathy)
- Tennis elbow (lateral epicondylitis)
- Golfer's elbow (medial epicondylitis)
Sessions are spaced roughly three to seven days apart, giving your tissue time to respond between each one. If you're self-referring rather than already being seen by one of our physiotherapists, you'll need an initial assessment before we begin treatment.
Focused shockwave is a more targeted version of the same technology, allowing the waves to reach deeper, more specific tissue, which often means quicker results. It's directed precisely at the affected area to stimulate the body's natural healing response and support tissue regeneration, and it's safe and relatively comfortable, with no major known side effects.
Our shockwave therapists have specialist training in the delivery and monitoring of ESWT & FSWT.
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* Note: Prices may vary when booking depending on availability of Physiotherapist or Senior Physiotherapist.
You'll feel some discomfort while it's being applied, though most patients find it manageable. Your physiotherapist will talk you through what to expect before starting.
Lots of people notice an improvement by their third session, spaced around three to seven days apart. Mastitis is typically treated over three consecutive sessions. Your physiotherapist will give you a clearer picture once they've assessed you.
No, and it's not meant to. It works alongside your physiotherapy as a safe, non-invasive way of supporting your recovery, not instead of it.
Yes. Shockwave Therapy is recognised by the National Institute of Clinical Excellence (NICE), and there's a solid body of research behind its use for tendinopathies in particular.
If you're already being treated by one of our physiotherapists, they can refer you directly. If you're coming to us fresh, you'll need an initial assessment first so we can build the right plan around you.
Focused shockwave reaches deeper, more specific tissue, which can mean faster results for certain conditions. It's also the version we use for men and women's health conditions such as chronic pelvic pain syndrome, erectile dysfunction, and mastitis.
9 clinics offering Shockwave therapy (ESWT & FSWT)
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