Extracorporeal shockwave therapy (ESWT) sends pressure waves into the tendon to stimulate healing. Evidence supports it for plantar fasciitis, calcific shoulder tendinopathy and some Achilles cases, usually alongside exercise.
What to expect
- 3 to 5 weekly sessions
- Uncomfortable but short
- Results build over weeks to months
Tendon pain for more than 3 months? Get the free guide and a doctor review of your scan.
How it works
Shockwave sends acoustic pressure waves into the tendon, which is thought to stimulate blood flow and tissue remodelling and reduce pain signalling.
Best evidence
| Condition | Evidence |
|---|---|
| Plantar fasciitis | Good |
| Calcific shoulder tendinopathy | Good |
| Achilles tendinopathy | Moderate, with loading |
| Tennis elbow | Mixed |
Shockwave vs stem cells
Shockwave stimulates the tendon from outside over several sessions; stem cell treatment delivers repair cells directly into the damaged area. For long-standing tendinopathy, a doctor may recommend either, or both.
Tendon pain for more than 3 months? Get the free guide and a doctor review of your scan.
Side effects
Temporary redness, soreness and bruising. Not used over open growth plates, during pregnancy, or over certain implants.
