Shockwave Therapy

Shockwave Therapy is an effective treatment for many conditions. Multiple studies have found symptoms improved in up to 80% of people with a chronic condition that had not responded to conservative management. Evidence shows that Shockwave Therapy combined with an exercise loading programme is the most effective treatment with the Shockwave Therapy used as an initial adjunct to settle chronic conditions or stubborn pain.

It has been shown to be particularly effective in the treatment of chronic tendon issues such as:
Plantar Fasciitis/Fasciopathy
Achilles Tendinopathy
Patellar Tendinitis (Jumpers Knee)
Greater Trochanteric Pain Syndrome
Proximal Hamstring Tendinopathy
Lateral Epicondylitis (Tennis Elbow)
Calcific Tendonitis of the Glenohumeral Joint/Shoulder

Current research suggests that 3 sessions of shockwave is required to achieve the desired effect but some patient with severe or long-term chronic (> 1 year) conditions may require additional sessions.

How does it work?

Shockwave Therapy works by delivering a high energy non-electrical sound wave through the skin to the affected area via a hand held probe. These sound waves initiate a pro-inflammatory response in the treated tissue with an increase in blood flow, a breakdown of scar tissue and a triggering of stem cell activation all resulting in a stimulation of the body’s healing response.

Are there any risks or side effects?

Extracorporeal means ‘outside the body’ making ESWT an non-invasive treatment. It has been deemed safe and effective by the National Institute for Health and Care Excellence (NICE).
Some patient find Shockwave to be uncomfortable but the majority of people are able to tolerate it well. It will always be tailored to your individual need and can be adjusted accordingly. Some people may experience some redness, discomfort, swelling or bruising after treatment but this usually subsides after a few days.

Are there any reason why I can’t have ESWT?

There are relatively few contraindications to shockwave that however ESWT is contraindicated if;

You are pregnant or trying to conceive
You are undergoing cancer treatment
You have had a steroid injection in the last 6 weeks
You have an infect or wound at the treatment site
You are under 18 years old
If you are taking anti-coagulants
You have a blood clotting disorder
You have a viral infection
The tendon question has previously ruptured