Specialists In:
Shockwave Therapy
What is Shockwave Therapy (ESWT)?
Shockwave Therapy, also referred to as Extracorporeal Shockwave Therapy (ESWT), is a non-surgical and non-invasive technology that delivers sound waves to aid recovery for a number of common musculoskeletal conditions. Shockwaves are high-energy, audible sound waves. In medicine, shockwaves have been used for over 3 decades to treat many medical conditions, including the dissolution of kidney stones.
For orthopaedic and musculoskeletal conditions, shockwaves are transmitted to the area to accelerate healing. Shockwave Therapy (ESWT) stimulates the body’s natural repairing process by passing short, intense sound waves into affected tissues. These intense sound waves can increase blood flow, which stimulates restoration and regeneration. Following Shockwave Therapy, your cells are put into repair mode, allowing your body to restart its own accelerated healing process.

Focused vs Radial Shockwaves
Shockwaves are either focused or radial.
Focused shockwaves are soundwaves focused to go deep below the skin and are used to treat trigger points, muscles and/or tendons deeper in the body.
Radial shockwaves radiate outwards to cover more surface area of the skin, rather than deeper under the skin. Your specialist will recommend which type of shockwave therapy, or perhaps a combination of both, is most suitable for your condition.
Shockwave Therapy is clinically proven
Shockwave Therapy Machines are clinically proven and are recommended by several of the UK’s top orthopaedic hospitals. They are also used by a number of high-profile professional sports bodies such as, UK Athletics, Welsh Rugby Union and many Premier League football clubs.
What orthopaedic injuries can Shockwave Therapy treat?

Achilles tendon and heel pain
- Achilles Tendonitis
- Plantar Fasciitis (heel spur)
Knee and shin pain
- Jumper’s / Runners Knee (Patellar Tendonitis)
- Shin Splints (Tibial Edge Syndrome)
Elbow and arm pain
- Forearm injuries
- Tennis / Golfer’s Elbow (Epicondylitis)
Shoulder pain
- Chronic shoulder pain
- Rotator Cuff Tendonitis (Calcific Tendonitis)
Back and neck pain
- Low back pain
- Chronic back and neck pain
Frequently Asked Questions
Is Shockwave Therapy painful?
The name of Shockwave Therapy makes it sound scary, but it is nothing to be afraid of. Is it painful? That depends on the severity of your condition and where it is being administered. You should feel more of a sensation rather than pain. However, your specialist will talk to you throughout your session to ensure the treatment is most effective and tolerable for you. Many patients report a feeling of pain relief immediately following Shockwave Therapy.
When is Shockwave Therapy (ESWT) recommended?
- When surgery is not an option
- When pain relief and injections no longer work
- When a condition is presented that is suitable for Shockwave Therapy
- When no contraindications are present
Can Shockwave help with chronic/persistent injuries, or is it only for new problems?
Shockwave Therapy can be used to treat both long term chronic conditions and newer acute injuries. There is evidence that supports good results from Shockwave Therapy even with historical conditions.
How much does Shockwave Therapy cost?
Focused Shockwave is £140 per session, with a package of 6 sessions for £625. Typically, 3-6 sessions are required.
Radial Shockwave is £110 per session, with a package of 6 session for £500. Typically, 4-6 sessions are required.
If you are insured, Radial Shockwave is covered by many insurance companies. Prior to booking your appointment, please contact your insurer to confirm coverage. You can always choose to get just the Radial Shockwave Therapy, or pay the difference to upgrade to Focused Shockwave Therapy.
Where can I get Shockwave Therapy?
Total Orthopaedics offer Shockwave Therapy with R&D Physio London at our flagship London location at Medical Imaging Partnership.
45 Queen Anne Street
Marylebone, London
W1G 9JF
For more information, download our Shockwave Therapy leaflet below.