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Shockwave therapy

A clinician applying shockwave therapy to a patient's foot.

Still dealing with heel or tendon pain after trying other care? We’ll discuss whether shockwave is suitable, what it involves and the alternatives and costs.

Shockwave delivers energy pulses to selected areas of persistent musculoskeletal pain, usually after other approaches have been tried.

What determines the plan?

Whether shockwave is appropriate—and the number and spacing of visits—depends on the condition, assessment, response and what else is included in your plan.

Why would you recommend it?

Shockwave may be considered for persistent plantar heel pain or some tendon problems after other approaches. Research findings vary by condition and treatment protocol; improvement is not assured. NICE guidance on plantar heel pain and Achilles tendinopathy explain the evidence limitations.

What does it feel like?

Pulses can feel like strong tapping and may be uncomfortable. Tell us how it feels so we can adjust or stop.

When would you not recommend it?

When assessment does not support its use, another approach is more appropriate, or your health or the treatment location makes it unsuitable. Pregnancy, treatment location and certain medical conditions may make it unsuitable. We check your health and medicines before discussing a course and its total cost.

How does it fit with the rest of your plan?

When appropriate, shockwave may accompany a loading or strength program. We agree what response to review before continuing rather than assuming a fixed course suits everyone.

You don’t need to decide on a course straight away. We’ll explain the purpose, alternatives, discomfort and total cost, then review your response before continuing.