Shockwave Therapy

shockwave and ultrasound

Shockwave Therapy – is it for me?

Extracorporeal Shockwave Therapy (ESWT) is an effective, evidence-based, non-surgical treatment for chronic musculoskeletal conditions (longer than 3 months).
shockwave therapy

If conservative treatment (i.e. steroid injections, anti-inflammatory medications, splints, braces, orthotics, or physiotherapy) has not proven effective, then ESWT may be a good option for you.

We provide shockwave therapy at our Eastleigh clinic, serving patients from Southampton, Chandler’s Ford, Romsey, Winchester and across Hampshire. Sessions cost £70, including your initial assessment, with no GP referral needed. The clinic is open until 8 pm on weekdays and on Saturday mornings, so sessions fit around work. Call 023 8218 2416 or book online.

How much does shockwave therapy cost?

As far as we know, we offer the best price for shockwave therapy in Southampton and Eastleigh, and if you find better, tell us. Each session costs £70, and that includes your initial assessment and treatment, not just the treatment itself. We also offer almost 10% off if you book a block of sessions.

Most tendon conditions need 3–5 sessions, so a typical full course costs between £210 and £350, with no hidden extras and no obligation to book a block.

How long is the treatment?

The initial consultation and therapy takes around 30 minutes. We will talk to you about your injury, take a medical history, discuss appropriate exercises and provide shockwave therapy. You will also have an opportunity to ask questions.

Follow-up sessions take 15–20 minutes, and you need at least 3–5 sessions at 7–10-day intervals. With evening appointments available Monday to Friday and Saturday morning slots, most patients fit a full course around work without difficulty.

Is it painful?

It may depend on your threshold of pain and how acute (painful) your condition is. Most patients describe it as uncomfortable rather than painful, and we adjust the intensity throughout the session so it stays within what you can tolerate. Any soreness afterwards usually settles within a day or two.

Is the shockwave noisy?

Yes, it is a knocking sound. In the video below, patient is receiving shockwave therapy for plantar fasciitis.

Shall I have a diagnostic scan before therapy?

Not necessarily, but we often recommend having one. It really all depends. A diagnostic ultrasound scan in our clinic helps us confirm the diagnosis and rule out other potential causes of pain. It is a discussion worth having during your initial appointment.

ultrasound scan

For instance, there are clear signs and clinical features of plantar fasciitis, and we may offer you shockwave therapy without scanning the sole of the foot. Diagnosing shoulder pain is not that straightforward, however, so we would recommend a shoulder ultrasound scan. Call us if in doubt.

This is one thing that makes us different from most shockwave providers in the Southampton area: we can scan, diagnose and treat in the same clinic so your shockwave therapy is aimed at the right problem from session one.

How does Shockwave Therapy work?

You do not have to take time off work while receiving or after therapy. As a general rule, it’s sensible to avoid strenuous exercise on the treated area for 24–48 hours after each session — everyday activity is absolutely fine.

Can I work afterwards?

You do not have to take time off work while receiving or after therapy

What injuries can be treated with Shockwave Therapy?

  • Plantar fasciitis (heel pain) — see our dedicated heel pain and plantar fasciitis service, which combines scanning, shockwave and injection options
  • Achilles tendinopathy — read more about Achilles tendon treatment at our clinic
  • Patellar and hamstring tendinopathy
  • Hip bursitis and gluteal tendinopathy (GTPS)
  • Calcific tendinopathy of the shoulder — for larger calcific deposits we also offer ultrasound-guided barbotage; see our shoulder injection clinic
  • Tennis and golfer’s elbow

What are benefits?

  • Non-invasive
  • Reduces pain
  • Increases joint mobility
  • Stimulates the natural body healing process
  • Can be an alternative to surgery

Shockwave therapy precipitates healing by increasing blood flow, activating metabolism, stimulating removal of calcified fibroblasts (cells of the connective tissue) and promoting collagen production. It also reduces muscle tension. Treatment courses are short — in most cases just three to five sessions yield results — and blood vessels around the targeted area are stimulated to grow.

How many treatments do I need?

While significant benefits can be achieved in some patients after the first visit, other patients may require additional treatments, especially if the damage is extensive or very deep. In those cases, multiple treatments can be administered about a week apart to promote and continue the healing process over time.

Studies recommend between 3 and 5 sessions. Most patients experience maximum healing benefits within about two months of treatment. Shockwave therapy doesn’t require any downtime, so patients are able to enjoy their normal activities throughout their course of treatment.

Is shockwave therapy a good choice for all patients?

Because it’s non-invasive, has a success rate of 70–80% for most musculoskeletal conditions and promotes natural healing, shockwave therapy can be ideal for most patients. Prior to therapy, a thorough assessment will be performed to determine if a different course of care might be a better option.

When shockwave isn’t suitable

Shockwave therapy is generally not used over healing fractures, areas with infection or tumours, over major nerves and blood vessels, during pregnancy, or for patients with certain blood-clotting disorders or on some blood-thinning medications.

That’s why every course starts with a proper assessment, and if shockwave isn’t right for you, we’ll say so and suggest what is, whether that’s physiotherapy at our Eastleigh clinic or an ultrasound-guided injection.

Radial and focused shockwave — what’s the difference?

There are two types of shockwave used in clinics: radial shockwave, which spreads energy over a broader, shallower area and suits most tendon and muscle problems, and focused shockwave, which concentrates energy at a precise depth for smaller or deeper targets.

The conditions listed above plantar fasciitis, Achilles and elbow tendinopathy, and calcific shoulder are well supported by the evidence for shockwave treatment. If you’re unsure whether shockwave is the right modality for your condition, ask when you book, and we’ll give you a straight answer.

Is there clinical evidence supporting use of shockwave?

There is a significant body of evidence supporting the use of shockwave therapy in many common conditions.

The use of shockwave therapy for tendon issues is well supported by the National Institute for Health and Care Excellence (NICE). NICE provides national guidance and advice to improve health and social care in both NHS and private practice, with evidence-based recommendations to guide best practice within healthcare. NICE has produced guidance on the use of shockwave in the treatment of Achilles tendinopathy, plantar fasciitis and calcific tendinopathy.

Find more information on ultrasound therapy here.

Shockwave therapy – research

A short history of shockwave therapy

Shockwave medicine began with an odd observation: underwater explosions in World War II could damage the lung tissue of people some distance away from where the pressure waves travel.

By the 1950s, the first medical applications appeared; by the 1980s, the same principle was being used to break up kidney stones, and in 1993 the first orthopaedic shockwave device (the Ossatron) was introduced. Research since then has confirmed its value in tennis elbow, heel spurs and a growing list of tendon problems, especially in sports medicine.

Who provides shockwave therapy at Physio Soton?

Your treatment is provided by Marek Czeladzki, Senior Chartered Physiotherapist and musculoskeletal sonographer, HCPC and CSP registered, an independent prescriber, and a member of the British Medical Ultrasound Society and the American Institute of Ultrasound in Medicine. “In my practice, I use shockwave often to treat heel spurs and tendon issues, usually alongside a rehab plan, because shockwave works best when the tendon is also loaded properly.”

Because Marek is also a qualified sonographer, your diagnosis can be confirmed by ultrasound before a single shockwave session is booked, something few shockwave providers in Hampshire can offer under one roof.

Book shockwave therapy in Southampton & Eastleigh

£70 a session, including assessment; no GP referral; and appointments available Monday to Friday 10 am–8 pm and Saturday 10 am–3 pm at our Eastleigh clinic, a short drive from Southampton, Chandler’s Ford, Romsey and Winchester.

If you’re not sure shockwave is right for your problem, call us, and we’ll give you an honest answer.

Call 023 8218 2416 | Book online

Read about physiotherapy at our Eastleigh clinic