Extracorporeal shockwave therapy (ESWT)
Shockwave therapy is a non-surgical treatment, and works by delivering impulses of energy, targeted to specific damaged tissues within the abnormal tendon.
Who is Extracorporeal Shockwave Therapy suitable for?
Extracorporeal Shockwave Therapy treatment is a highly effective treatment available for patients with:
Trochanteric bursitis (Lateral hip pain)
In general, below conditions (& areas) will benefit from shockwave therapy:
Acute and chronic muscle aches and pain | Acute and chronic soft tissue wounds | Plantar fasciopathy | Proliferative connective tissue disorders | Stress fractures | Superficial nonunions | Trigger points
Acute and chronic muscle aches and pain | Acute and chronic soft tissue wounds | Cellulite | Chronic proximal hamstring tendinopathy | Primary and secondary lymphedema | Spasticity | Superficial nonunions | Trigger points
Shockwave therapy can be a very successful second line treatment for patients who fail to respond to appropriate physiotherapy or other conservative treatments.
Shockwave therapy is a non-surgical treatment, and works by delivering impulses of energy, targeted to specific damaged tissues within the abnormal tendon. This increases the blood flow within the affected area, stimulating cell regeneration and healing, and decreasing local factors which can cause pain.
Before shockwave therapy is considered you will have a full clinical assessment. This may include an MRI or ultrasound scan.
The effectiveness of shockwave therapy is addressed by the National Institute for Health & Clinical Excellence (NICE).
What happens during shockwave therapy?
Your consultant will work with you to identify the exact area of pain and apply a gel-like substance to the area to promote the process.
A probe is pressed on to the affected area and the shockwaves are delivered through the skin. The impulses are delivered through the skin as a shockwave that spreads inside the injured tissue as an aspherical ‘radial' wave. These radial shockwaves initiate an inflammation-like response in the injured tissue that is being treated, and prompts the body to respond naturally by increasing blood circulation, the number of blood vessels and therefore metabolism in the injured tissue.
The shockwaves are felt as pulses which are a little uncomfortable but not painful. Typically your first treatment will start with a low level of intensity and increase this to a point where you feel comfortable. Patients are typically treated in an outpatient environment (not in theatre), and the procedure does not require any type of sedation or anaesthetic.
Shock-wave therapy treatments are usually performed at weekly intervals. Each treatment session takes about 20 minutes and you may need between 3 treatment sessions (possibly 5 for resistant problems).
After shockwave therapy
Many patients experience an improvement in symptoms almost immediately while others take several weeks to respond. You may notice a reddening or swelling of the area with some patients experiencing a brief increase in pain. It may take several weeks to see an overall benefit. It is suggested that your referring GP or surgeon reviews you at 6-8 weeks to assess your overall progress.
Who is it carried out by?
Shockwave sessions are carried out by our clinical specialists, senior physiotherapists & Extended Scope
Prices & session durations
Depending on the assessment of your clinical specialist, Shockwave therapy can be recommended as a stand-alone treatment OR in combination with manual therapy (i.e. standard physiotherapy techniques). Single sessions, session packs of 3 OR 6 can be suggested depending on assessment of individuals' presentations.
Each session is approximately 15 minutes with assessment.
Our prices are:
A single session of shockwave therapy (including assessment): £130
Pack of 3 sessions: £330
Pack of 6 sessions: £660