How does shockwave therapy work?

Shockwave therapy delivers controlled pressure waves to targeted tissue to stimulate a local healing response and reduce pain sensitivity. A clinician applies gel and moves a handpiece over the treatment area. The device sends pulses through the skin; the settings and depth depend on the body region, diagnosis and tolerance.

The pulses create a mechanical stimulus around a tendon, attachment point or other selected area. This may influence local blood flow, tissue signalling and the way the nervous system processes pain. Focused devices concentrate energy deeper, while radial pressure waves spread energy more broadly from the applicator. Shockwave therapy is commonly used alongside load management and exercises for problems such as Achilles Tendinitis, heel pain, elbow pain or shoulder pain. It is not a substitute for finding the cause of symptoms.

Tell the clinician about pregnancy, bleeding problems, medicines that affect clotting, nerve changes, infection or a recent injection near the area. During treatment, report sharp or intolerable pain so the settings can be adjusted. Temporary tenderness, redness or bruising can occur. Follow the activity plan; a tendon may need a gradual return to loading rather than immediate intense exercise. Keep appointments so progress and the diagnosis can be reassessed.

Seek advice if pain, swelling or bruising is worsening instead of settling, or if new numbness or weakness appears. Obtain urgent care for severe swelling, inability to use the limb, fever with redness, or sudden loss of function after treatment. Persistent symptoms may mean the diagnosis or rehabilitation plan needs review.

Ask what tissue is being targeted, why pressure waves fit your diagnosis, and whether focused or radial treatment is planned. Clarify exercise restrictions, expected short-term reactions, alternatives such as PRP Injection, and how improvement will be assessed.