Understanding Shockwave Therapy (ESWT): A Second-Line Solution for Chronic Tendon Pain
Chronic tendon pain can be severely disabling and impact quality of life. The majority of traditional therapies, which involve a prescription of painkillers and physiotherapy, don’t always work for persistent tendon concerns, such as tennis elbow that flares up every time you try to lift something, or plantar fasciitis that hurts with every step.
Fortunately, a non-invasive, evidence-based option is available with ESWT for chronic tendinosis/disorders of the tendon.
In this blog, we take a look at how shockwave therapy works and how it could help you.
What is Shockwave Therapy?
Extracorporeal Shockwave Therapy (ESWT) is a non-invasive technique using mechanical waves that improves the condition of tendons and other soft tissues. Sent through the skin using a hand-held device, these high-energy waves pass through the body to the point of injury, boosting blood flow and jumpstarting the body’s own repair processes.
Unlike invasive options, there is no need for incisions or long recovery times with ESWT. It is especially powerful for those with chronic health conditions where conventional treatments have failed, providing a safer, more effective option.
Medical Applications of Shockwave Therapy
The most prevalent conditions for which ESWT is utilised are chronic tendon issues:
- Plantar fasciitis (heel pain)
- Lateral epicondylitis (tennis elbow)
- Achilles tendinopathy
- Shoulder pain brought on by calcium deposits, known as calcific tendinitis.
It’s often suggested as a second-line treatment after conservative non-surgical treatments—like physiotherapy, orthotics, or steroid injections—have failed. For patients wanting to avoid surgery, ESWT acts as a good middle ground.
The Treatment Process
A typical ESWT treatment consists of:
- Three weekly sessions (once a week for three weeks).
- Each session takes about five minutes, making it a quick and easy choice.
Patients might experience minimal discomfort during the procedure as the shockwaves are directed to the area of injury. Nonetheless, the process is generally well-tolerated, and anaesthesia is not required. Some people notice mild tenderness after the treatment, but it usually disappears within a few days.
Patient Eligibility
Shockwave therapy is ideal for patients who:
- Have experienced symptoms for almost half a year.
- Have not responded to physiotherapy, orthotics, or injections.
Prior to treatment, an evaluation will be necessary, and an ultrasound or MRI may also be required to confirm the diagnosis. A consultant at Chase Lodge Hospital will review whether ESWT is suitable for you.
Benefits and Effectiveness
Studies confirm the success of ESWT in chronic tendinopathies, characterised by:
- Speedy recovery – Facilitates tissue repair and reduces inflammation.
- Pain relief – After just a few treatments, many patients report feeling less pain.
- Little to no downtime – Unlike surgical options, ESWT does not require extended recovery, and patients can resume normal activities immediately.
Research has shown that shockwave therapy is effective for 60–80% of patients with chronic tendon disorders, making it a viable option to avoid invasive treatments.
Risks and Considerations
For most individuals, ESWT is harmless; however, it can result in:
- Slight bruising, swelling, or mild transient discomfort.
It’s not suitable for people with:
- Blood clotting disorders.
- Infections or open sores near the treatment area.
- Certain heart conditions (e.g., pacemaker wearers).
To make sure you are a good fit for ESWT, the specialist you consult will go over your medical history.
Conclusion
Shockwave Therapy (ESWT) is a game-changer for chronic tendon pain, offering a non-invasive, science-backed option when other treatments have failed. At Chase Lodge Hospital, our experienced team takes pride in providing personalised care to help you move and feel better.
If you’ve been struggling with chronic tendon problems, book an appointment with our experts to find out if ESWT is right for you. Schedule a consultation now with Chase Lodge Hospital to begin the healing process.
