What to expect from shockwave therapy for tendinopathy

The visit begins with questions about your symptoms and an examination of tendon movement and loading. The clinician places a small applicator over the target area and sends pulses through a layer of gel. Sensations vary with the tendon and setting: tapping, pressure, vibration or brief discomfort are possible. The intensity should be discussed during the session.

Temporary tenderness, redness or bruising may follow. Tendon symptoms commonly change gradually, and the response is considered together with strength, movement and tolerance for normal activities rather than pain alone.

Tell the provider about pregnancy, infection near the area, altered sensation, blood-thinning medicine, bleeding conditions or recent procedures. Wear clothing that permits access to the tendon. Afterward, follow the agreed loading plan and avoid unaccustomed heavy exercise while the area is reactive.

Rehabilitation may include mobility work followed by controlled strengthening. Increase activity in small steps, record useful changes such as walking, gripping or climbing tolerance, and report a flare before changing the plan yourself.

Call the clinic if pain becomes intense or persistent, or if swelling, heat, redness or bruising is increasing. Get urgent assessment for sudden loss of function, a new snap with marked weakness, severe numbness, or symptoms suggesting an allergic or serious reaction.

Ask how the tendon diagnosis was made, what activity level is suitable after each session, which exercise signals overload, and how follow-up will determine whether the plan should change.