Shockwave Therapy for Chronic Pain and Tendon Problems

Long lasting tendon pain can affect daily life in many ways. Simple tasks like walking, climbing stairs, or standing at work can become uncomfortable. When rest, stretching, and exercise have not been enough, shockwave therapy may be considered as part of your physiotherapy care. This page explains how shockwave therapy works, when it is used, and what you can expect from treatment at Physiosrus. What Is Shockwave Therapy? Shockwave therapy is a treatment that uses short bursts of sound waves delivered through the skin to a painful area. It is also known as extra corporeal shockwave therapy. The term means that the treatment is applied from outside the body. The sound waves are aimed at damaged or irritated tissue. The goal is to stimulate the body’s natural healing response. Over time, this can help reduce pain and improve how the tissue copes with load. Shockwave therapy is most often used for long term tendon conditions rather than sudden injuries. How Does It Work? Tendon pain often develops slowly. Repeated strain, overuse, or changes in activity levels can cause small changes in the tendon structure. In some cases, healing becomes slow and the pain continues for months. Shockwave therapy is thought to: Stimulate blood flow to the affected area Encourage tissue repair Help break down damaged tissue Reduce pain signals over time It does not replace exercise. Instead, it supports a wider rehabilitation plan that includes strengthening and gradual return to activity.

One of the most common uses is shockwave therapy for plantar fasciitis. Plantar fasciitis causes pain in the heel or the sole of the foot. Many people notice sharp pain with the first steps in the morning. The condition can last for several months and may not settle with rest alone. Shockwave therapy for plantar fasciitis targets the painful part of the heel. It is often used when symptoms have been present for a long time and other treatment options have not fully helped. When combined with stretching and strengthening exercises, it may support better long term outcomes. Shockwave Therapy for Achilles Tendonitis Another frequent reason for treatment is shockwave therapy for achilles tendonitis. The Achilles tendon runs down the back of the lower leg and connects the calf muscles to the heel. When irritated, it can cause pain during walking, running, or even standing for long periods. Shockwave therapy for achilles tendonitis is usually considered when the pain has lasted for several months. The aim is to stimulate healing within the tendon and improve its ability to tolerate load. Strength based exercises remain a key part of recovery. Shockwave Therapy for Chronic Pain in Other Areas Shockwave therapy for chronic pain is not limited to the foot and ankle. It may also be used for: Tennis elbow Shoulder tendon pain Patellar tendon pain around the knee Chronic pain means pain lasting more than three months. In these cases, treatment focuses on improving tissue health and function rather than just easing symptoms. Get Physios R us - Physiotherapy services in the Kent’s stories in your inbox Join Medium for free to get updates from this writer. Enter your email Subscribe Shockwave therapy is often part of a structured plan that includes exercise, movement advice, and a gradual return to normal activity. What Happens During a Session? A session usually begins with a full assessment. This helps confirm whether shockwave therapy is suitable for your condition. During treatment: Gel is applied to the skin over the painful area. A handheld device is placed on the skin. A set number of pulses are delivered to the tissue. You may feel discomfort during the session, especially over very tender areas. This feeling usually settles quickly once the treatment stops. Sessions are often spaced about a week apart. A typical course may include three to six sessions, depending on the condition and how you respond. Is It Safe? Extra corporeal shockwave therapy is generally safe when delivered by a trained clinician. However, it may not be suitable for everyone. It is usually avoided if you: Are pregnant Have certain circulation problems Have an infection in the area being treated A proper assessment is always carried out before starting. Recovery and Expectations Shockwave therapy is not a quick fix. Some people notice improvement within a few weeks, while others may need more time. Mild soreness after treatment is common and normally settles within a day or two. You will be given advice on activity levels and exercises to follow between sessions. The main goal is not only to reduce pain but also to improve how well the tendon or tissue can cope with daily demands. A Supportive Part of Your Physiotherapy Plan Shockwave therapy works best when combined with active rehabilitation. Strengthening exercises, load management, and clear guidance on daily activities are essential for long-term improvement. If you are living with ongoing tendon pain or chronic pain that has not settled with usual care, shockwave therapy may be discussed as part of your treatment plan. A detailed assessment will help decide whether it is the right option for you. The aim is simple: to support natural healing and help you return to normal movement with less pain.