It can help some people with each of these, mainly when the problem has lasted months and has not improved with rest and exercise alone. The research is strongest for calcific tendinopathy of the shoulder, reasonable for Achilles tendon pain, and more mixed for tennis elbow. It does not work for everyone.
At our clinic we use Focused Shockwave, and always alongside a loading exercise plan, not on its own.
Calcific tendinopathy of the shoulder
This is a calcium deposit in a rotator cuff tendon, usually confirmed on X-ray or ultrasound. It is one of the better-studied uses of shockwave. Bring any imaging reports you have.
Achilles tendon pain
For long-standing Achilles tendinopathy, shockwave is usually added to a progressive calf-strengthening program. The exercises remain the foundation, and shockwave is an add-on when progress has stalled.
Tennis elbow
Study results for tennis elbow (lateral elbow tendinopathy) are mixed: some people get clear relief and others notice little. It is usually considered after a fair trial of exercise and activity changes.
What improves your chances
- A clear diagnosis first, since not all pain near a tendon is a tendon problem
- Keeping up your loading exercises between sessions
- Adjusting the sport or work activity that caused the problem
- Completing the course: see how many sessions will I need?
When shockwave is not suitable
It is generally avoided during pregnancy, over a recent steroid injection site, with a bleeding disorder or blood thinners, with a pacemaker, or over an infection or fracture. A suspected tendon tear needs a medical assessment first.
See a doctor promptly if
You felt a sudden pop with immediate weakness, the area is hot, red and swollen, or you have pain at night with fever or feeling unwell.
For heel pain, read does shockwave work for plantar fasciitis? More on the treatment is on the Focused Shockwave therapy page.
Want to find out if shockwave is worth trying for you?