ESWT Shockwave Therapy


Simple, non-invasive, and performed with care.

Shockwave therapy is a non-invasive, non-surgical use of ultrasound waves. The waves reach potentially damaged muscles, tendons and joints, and promote natural recovery.

If you’re seeking treatment with Doctors of Osteo, your osteopath may provide a treatment plan that includes ESWT. But whatever your practitioner recommends, their objective is the same – to get you back to the active lifestyle you know and love.

How does shockwave therapy work?

Without going too far down the scientific rabbit hole, there are four key ways that shockwave therapy can aid your recovery:

  • Neurovascularisation ingrowth – This basically means that your local blood vessels have been dilated, allowing for increased blood flow. This helps deliver nutrient-rich blood to the wounded area, which may help speed up your recovery.
  • Stimulation of collagen and tissue regeneration – The stress caused by shockwaves stimulates your body to create more collagen in the area, which increases tendon and ligament regeneration and repair.
  • Pain reduction – The resonance of the shockwaves help your body reduce substance P and histamines (that cause the nerves to be aggravated). This can lead to a direct (and immediate) pain reduction.
  • Dissolution of calcium build-up – When your tendons are put under trauma (or slightly torn), calcium can easily build up, causing unnecessary pain and stiffness. Shockwave therapy can safely break down those build-ups, and help restore your full range of movement.

What issues can ESWT shockwave therapy resolve?

This unique type of treatment is most commonly used for chronic conditions, including:

  • Heel spurs
  • Plantar fasciitis (known as policeman’s heel)1
  • Achilles tendonitis2
  • Tennis (and golfer’s) elbow3
  • Rotator cuff tears4
  • Patella pain5
  • Hamstring tendinopathy and tears6.


    These (and plenty more chronic issues) have been clinically proven to have been resolved by ESWT. And if your osteopath feels it will positively influence your recovery, it’s likely to be recommended as a course of treatment for you.

Are there any risks to shockwave therapy?

The side effects of this treatment are minimal, but some patients might experience local bruising or discomfort post-treatment.

It’s also worth discussing with your GP or osteopath whether shockwave therapy is right for you. Some situations and circumstances can alter the procedure’s safety and effectiveness, including:

  • Pregnancy
  • Prostheses and implants
  • Diabetes
  • Tumors
  • Skin wounds.

But you can rest assured that at Doctors of Osteo, we’ll discuss everything we need to with you before proceeding with any treatment. Your recovery is our top priority, so we’ll always find a treatment plan suited to your specific circumstances.

We’re Here For You. Heart to Heart.

If physical injury or discomfort is standing in the way of what you love doing, we’re here to help. Our team at Doctors of Osteo will always aim to deliver:

  • The most modern and proven treatments – We never stop learning, and always seek out the newest and most effective practices in osteopathy and physical therapy. Whatever will give us the skills and techniques we need to treat as many conditions as possible.
  • A treatment tailored to your objectives – We don’t look for a quick fix for aches and pains. We genuinely listen, and develop our strategies based on what you want to achieve. That might mean returning to work, sport, your home life, or anything in between.
  • Genuine, personal care – We can’t help but invest ourselves in seeing you back doing what you love. It’s what drives us to work each day. So when you meet an osteopath at Doctors of Osteo, you’ll notice quickly that we get to know our patients well, and do whatever we can to deliver them an effective treatment.

If you’d like to know more about shockwave therapy, we’re always happy to chat to you directly. Alternatively, if you’d like to book in to see one of our osteopaths, you can book an appointment online.

Is there any research on shockwave therapy I can read?

All evidence listed for our EMS Swiss Dolorclast Shockwave therapy is taken from the Physiotherapy Evidence Database (PEDro), the gold standard database for randomised controlled trials, systematic reviews, and clinical practice guidelines in physical therapy. PEDro is overseen by the Centre for Evidence-Based Physiotherapy at the George Institute for Global Healthand affiliated with the University of Sydney, Australia.

1The American Journal of Sports Medicine. 2008;36(11):2100-2109. Radial Extracorporeal Shock Wave Therapy is Safe and Effective in the Treatment of Chronic Recalcitrant Plantar Fasciitis. Gerdesmeyer L, Frey C, Vester J, Maier M, Lowell W, Weil L et al.

2The Journal of Bone and Joint Surgery-American Volume. 2008;90(1):52-61. Eccentric Loading Compared with Shock Wave Treatment for Chronic Insertional Achilles Tendinopathy. Rompe J, Furia J, Maffulli N.

3Annals of Rehabilitation Medicine. 2012;36(5):681. Effectiveness of Initial Extracorporeal Shock Wave Therapy on the Newly Diagnosed Lateral or Medial Epicondylitis. Lee S, Kang S, Park N, Lee C, Song H, Sohn M et al.

4The Bone & Joint Journal. 2013;95-B(11):1521-1526. Radial Extracorporeal Shock-wave Therapy in Patients with Chronic Rotator Cuff Tendinitis: A Prospective Randomised Double-Blind Placebo-Controlled Multicentre Trial. Kolk A, Auw Yang K, Tamminga R, van der Hoeven H.

5The American Journal of Sports Medicine. 2007;35(6):972-978. Extracorporeal Shockwave for Chronic Patellar Tendinopathy. Wang C, Ko J, Chan Y, Weng L, Hsu S.

6The American Journal of Sports Medicine. 2010;39(1):146-153. Shockwave Therapy for the Treatment of Chronic Proximal Hamstring Tendinopathy in Professional Athletes. Cacchio A, Rompe J, Furia J, Susi P, Santilli V, De Paulis F.