Radial Shockwave Therapy (r-ESWT)

Radial Shockwave Therapy (r-ESWT) is a non-invasive, outpatient procedure using acoustic pressure waves to treat chronic musculoskeletal pain, such as plantar fasciitis and Achilles tendinopathy. It increases blood flow, breaks down scar tissue, and stimulates tissue healing. Sessions usually take 10–15 minutes, with full results within 3–6 sessions.

How It Works Mechanism: A pneumatic system launches a projectile within a handheld applicator to generate pressure waves. Wave Pattern: Unlike focused shockwave therapy, radial shockwave disperses pressure waves superficially (highest energy at the skin surface), making it ideal for large-area or shallow tissue treatment. Action:Radial Shockwave Therapy (r-ESWT) is a non-invasive, outpatient procedure using acoustic pressure waves to treat chronic musculoskeletal pain, such as plantar fasciitis and Achilles tendinopathy. It increases blood flow, breaks down scar tissue, and stimulates tissue healing.

Common Conditions Treated Plantar fasciitis Achilles Tendinopathy Tennis/Golfers Elbow Gluteal/Patellar Tendinopathy Myofascial Trigger Points

Shockwave Therapy for Tendinopathy & Chronic Pain Shockwave Therapy in Amersham

Extracorporeal Shockwave Therapy (ESWT) is an evidence-based treatment commonly used for persistent tendon pain and chronic musculoskeletal conditions.

At Whitson Wellness Physiotherapy, shockwave therapy is integrated alongside physiotherapy rehabilitation rather than used in isolation.

Shockwave therapy may help stimulate tissue healing, improve local blood flow, and reduce pain sensitivity in chronic tendon conditions.

Conditions Commonly Treated with Shockwave Therapy Achilles tendinopathy Plantar fasciitis Patellar tendinopathy Gluteal tendinopathy Tennis elbow Hamstring tendinopathy Calcific shoulder pain Chronic calf tightness and trigger points Evidence-Based Rehabilitation

Current NICE guidance supports the use of shockwave therapy for several chronic tendon conditions when combined with appropriate rehabilitation.

At Whitson Wellness Physiotherapy, treatment plans may also include:

Progressive strengthening Tendon loading programmes Mobility work Running modification Gym rehabilitation Return-to-sport planning

Patients are assessed individually to determine whether shockwave therapy is appropriate for their condition and stage of recovery.

Tendinopathy Treatment & Tendon Rehabilitation Specialist Tendon Rehabilitation

Persistent tendon pain often requires more than rest alone. Modern tendinopathy management focuses on progressive loading, strength development, and restoring tissue capacity.

At Whitson Wellness Physiotherapy, we treat a wide range of tendon conditions using evidence-based rehabilitation strategies.

Common Tendon Conditions We Treat Achilles tendinopathy Patellar tendinopathy Gluteal tendinopathy Hamstring tendinopathy Rotator cuff tendinopathy Tennis elbow Golfer’s elbow Understanding Tendon Pain

Tendons often become painful when load exceeds tissue capacity over time. This may occur due to:

Rapid increases in training Repetitive strain Reduced strength capacity Biomechanical overload Poor recovery

Treatment focuses on gradually rebuilding tendon tolerance and improving overall movement quality.

Our Approach to Tendon Rehab

Rehabilitation may include:

Isometric loading Heavy slow resistance training Plyometric progression Shockwave therapy Gym-based strengthening Running load modification Return-to-sport progression



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Mr Matthew Whitson

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Whitson Wellness - Amersham

The Fit Club, 16 Woodside Road,
Amersham, Buckinghamshire, GB
HP6 6AJ

01494 935925

info@whitsonwellness.com

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