Shockwave Therapy (ESWT)

Your First Consultation

When you arrive at Sport Dimensions, your clinician will begin with a thorough assessment of your injury history, current symptoms, and any previous treatments you have tried. A physical examination of the affected area will identify the precise location and severity of tendon damage. If appropriate imaging has not been conducted, your clinician may recommend an ultrasound or refer for further diagnostics before proceeding.

Once shockwave therapy is deemed suitable, your clinician will explain the treatment plan, expected outcomes, and any contraindications specific to your case.

During a Shockwave Session

A water-based coupling gel is applied to the treatment area to ensure effective transmission of acoustic energy. The shockwave handpiece is then positioned over the point of maximum tenderness. Focused or radial acoustic pulses are delivered in a controlled pattern, with intensity adjusted throughout the session to remain within a tolerable range.

Each session typically lasts 15–20 minutes. Your clinician monitors your response in real time and adjusts pulse frequency and energy levels accordingly. Most patients describe the sensation as a firm, rhythmic tapping that intensifies over the area of greatest tenderness.

Treatment Course and Recovery

A standard shockwave treatment course consists of 3–5 sessions delivered at weekly intervals. Your clinician will assess your progress at each session and may adjust the treatment parameters or frequency based on your response.

Most patients experience gradual improvement over 6–12 weeks following completion of the treatment course. Some notice relief within the first few sessions, while others require the full course before reporting significant improvement. High-impact activities such as running may need to be reduced during the treatment period, with your clinician providing a graduated return-to-activity plan.

Frequently Asked Questions

What conditions can shockwave therapy treat?

Shockwave therapy is most effective for chronic tendon conditions including plantar fasciitis, Achilles tendinopathy, tennis elbow, golfer's elbow, calcific shoulder tendinitis, and patellar tendinopathy. It is particularly suited to tendon injuries that have not responded to rest, physiotherapy, or anti-inflammatory medication over a period of at least three months.

How does shockwave therapy work at a cellular level?

Extracorporeal shockwave therapy (ESWT) delivers focused acoustic energy pulses that stimulate neovascularisation (new blood vessel formation), promote collagen synthesis, and trigger the release of growth factors at the treatment site. These combined effects accelerate tissue remodelling and natural tendon repair without the need for surgical intervention.

Is shockwave therapy painful?

You may experience moderate discomfort during the acoustic pulse delivery, particularly over the area of maximum tenderness. Your clinician adjusts the intensity to remain within a tolerable range throughout the session. Most patients find the discomfort manageable and report that it decreases as the area responds to treatment over successive sessions.

What is the success rate of shockwave therapy?

Clinical research demonstrates an 81% success rate for the treatment of chronic plantar fasciitis. Success rates vary by condition, but published studies consistently report significant improvement in pain and function across a range of musculoskeletal tendon disorders. The treatment has received FDA clearance based on this body of clinical evidence.

Are there any side effects?

Common short-term effects include mild redness, swelling, or bruising at the treatment site, which typically resolve within 24–48 hours. Temporary numbness or tingling in the treated area is occasionally reported. Serious complications are rare. Your clinician will review all potential risks and contraindications before commencing treatment.

Who should not have shockwave therapy?

Shockwave therapy is not recommended for patients with blood clotting disorders, those taking anticoagulant medication, patients with infections or tumours in the treatment area, or during pregnancy. Treatment over areas with open wounds, recent corticosteroid injections (within 6 weeks), or near growth plates in adolescents should be avoided. Your clinician will assess suitability during the initial consultation.

Between Sessions

• Follow activity guidance — Reduce high-impact activities such as running during the treatment phase. Low-impact alternatives like swimming or cycling are encouraged to maintain fitness.
• Ice after treatment — Apply ice to the treated area for 10–15 minutes if you experience any post-session discomfort or swelling.
• Avoid anti-inflammatories — Non-steroidal anti-inflammatory drugs (NSAIDs) may reduce the healing response stimulated by shockwave therapy. Consult your clinician before taking pain medication.
• Continue prescribed stretches — Maintain any stretching or rehabilitation exercises prescribed by your clinician between sessions.
• Monitor your response — Keep note of pain levels and functional improvements between sessions to help your clinician adjust the treatment plan.