Chronic tendinopathy often frustrates patients because rest alone rarely restores tendon capacity. Structured loading exercises remain the foundation, but extracorporeal shockwave therapy (ESWT) can be a useful adjunct for selected cases—particularly insertional issues like proximal hamstring tendinopathy or plantar heel pain that plateaued with conservative care.

Shockwave delivers acoustic pulses that stimulate metabolic activity and neovascularisation proposals in the literature; clinically, many patients report reduced pain during reload weeks. Sessions are typically spaced several days apart, with mild post-treatment soreness expected. It is not a one-session miracle; realistic plans span multiple visits combined with home exercises.

Contraindications include pregnancy over the treatment zone, malignancy, infection, coagulation disorders, or pacemaker proximity depending on device guidelines—your physiotherapist screens these thoroughly. Young athletes with acute tears need different pathways than degenerative tendons in middle age.

At Healing & Rehabilitation Advanced Physiotherapy Clinic, shockwave is offered within a wider assessment: we look at biomechanics, training errors, footwear, and workload. If another approach is safer or faster, we say so. Transparency matters more than upselling modalities.

Curious whether shockwave suits your case? Bring prior imaging (if any) and footwear to your appointment. We will map irritability, set load progressions, and discuss adjunct options with clear timelines.