Shockwave Therapy
Extracorporeal shockwave therapy (ESWT) uses focused acoustic waves to stimulate healing, break down calcification, and regenerate damaged tissue at the cellular level.
Mechanism of Action
Shockwave therapy delivers high-energy acoustic waves to targeted tissues, triggering mechanotransduction, the body’s biological response to mechanical stimulus. This promotes neovascularization, collagen synthesis, and the release of growth factors. It also disrupts calcific deposits and reduces substance P, a key pain mediator.
Conditions It Helps
Plantar fasciitis
Tennis / golfer's elbow
Achilles tendinopathy
Calcific tendinitis
Chronic myofascial trigger points
Patellar tendinopathy
Hip bursitis
Who It's Best For
- Chronic tendon conditions (>3 months)
- Patients who have plateaued with other therapies
- Athletes with overuse injuries
- Patients seeking non-invasive alternatives to cortisone
Who It's Not For
- Over open growth plates in adolescents
- Patients on blood thinners (area-specific)
- Active infections at the treatment site
- Pregnant patients (near abdomen)
What the Research Says
A meta-analysis in the British Journal of Sports Medicine found shockwave therapy significantly more effective than placebo for chronic tendinopathies. Studies show success rates of 65-91% for plantar fasciitis and calcific tendinitis, and ESWT is a safe alternative to cortisone injections with more durable results.
What a Session Feels Like
A handheld applicator delivers focused acoustic pulses to the treatment area. You will feel a rapid tapping sensation that may be mildly uncomfortable over tender areas. Sessions typically last 5-10 minutes, and most patients require 3-6 sessions spaced one week apart.
Is Shockwave Right for Your Condition?
Book a consultation to find out whether this is the right approach for you.