Radial shockwave therapy uses pressure waves delivered through the skin to stimulate blood flow and tissue repair. It’s one of the treatments we may use, alongside exercise and other care, for longer-standing tendon and heel pain.
Conditions we may use shockwave for
- Plantar heel pain (plantar fasciitis)
- Achilles tendon pain, including pain where the tendon attaches to the heel
- Other lower limb tendon problems
- Myofascial trigger points and tight, sore muscles
- Pain that has lasted several weeks or months
How it works
Shockwave, also called radial pressure wave (RPW) therapy, delivers pressure waves through the skin into the sore area. These can stimulate blood flow and collagen production, which tissues need to repair and strengthen, and can calm down pain sensitivity in the area.
Your treatment course
Each treatment only takes a few minutes. Soft tissues take time to remodel and build new collagen, so the benefits usually build over several weeks, with the early focus on reducing and managing pain.
What it feels like
- During treatment: it feels like little elastic band flicks. It should feel a bit uncomfortable to have an effect. Your feedback guides the intensity, and we can stop at any time.
- Afterwards: many people notice less pain straight after treatment. The area can stay tender for a while, and pain the next day may be the same as before. Both are normal.
- For 48 hours after: avoid high-impact sport, as the area may feel numb and you may not notice if you overdo it.
- Side effects: some people get mild bruising, tingling, numbness, aching or throbbing. These are usually mild and short-lived.
Why we don’t use shockwave on its own
Shockwave can help settle pain, but on its own it doesn’t address why the problem started. Tendons need a graded loading and strengthening program, otherwise the pain is more likely to come back. That’s why we combine shockwave with a tailored exercise program, the right footwear and orthotics where needed, so you can keep moving and reduce the chance of it coming back.
Who shouldn’t have shockwave
Shockwave isn’t suitable for everyone, including during pregnancy, with some blood-thinning medications and with some medical conditions. We check your health history before starting.
Sometimes advice is all you need
Not everyone needs treatment. Sometimes the most helpful thing is a clear explanation of what’s going on, practical advice and a plan you can manage yourself. We’ll always talk you through every option, including no treatment, so you can decide what’s right for you.
Frequently asked questions
Does shockwave hurt?
It can feel uncomfortable, like little elastic band flicks. Your feedback guides the intensity and we can stop at any time.
How many sessions will I need?
It depends on you, your condition and how long it has been going on. We’ll recommend a plan at your assessment and adjust it as you go.
How long until it works?
Benefits usually build over several weeks, as soft tissues remodel and build new collagen. Many people notice less pain straight after a session.
Do I still need to do exercises?
Yes. Shockwave works best as part of a plan that includes exercise and managing load.
Do I need a referral?
No. You can book directly with one of our podiatrists.
Can I claim on private health?
We don’t offer on-the-spot claiming. If your extras cover includes podiatry, you can claim with your fund using your itemised receipt. Check with your fund about your level of cover.