Reduce Pain. Accelerate Recovery. Return to What You Love.
Persistent heel pain, tendon injuries, shoulder pain, or sports-related injuries can be frustrating, especially when rest and traditional treatments haven’t provided lasting relief.
At Therapia Sports & Spine, we offer Shockwave Therapy (Extracorporeal Shockwave Therapy or ESWT) as part of an evidence-informed physiotherapy program to help reduce pain, improve function, and support recovery from chronic tendon and soft tissue conditions.
- Non-invasive treatment
- No injections or surgery
- Evidence-informed physiotherapy care
- Effective for many chronic tendon conditions
- Delivered by experienced physiotherapists
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What Is Shockwave Therapy?
Shockwave Therapy (ESWT) is an advanced treatment that delivers controlled acoustic waves to injured tissue using a handheld device.
Research suggests ESWT may help:
- Stimulate the body’s natural healing response
- Improve blood flow to injured tissue
- Promote collagen production
- Support tendon and soft tissue repair
- Reduce pain by influencing nerve signalling
- Improve tissue function and load tolerance
Shockwave Therapy is commonly used to manage chronic tendon conditions and persistent musculoskeletal pain that has not improved with conservative treatment alone.
How Does Shockwave Therapy Help?
Persistent tendon pain is often caused by changes within the tendon rather than ongoing inflammation. Over time, repetitive loading, overuse, or insufficient recovery can reduce the tendon’s ability to heal effectively.
Shockwave therapy is a non-invasive treatment that uses high-energy acoustic (sound) waves to accelerate the healing of chronic, painful injuries.
In physiotherapy, it helps your body heal by:
- Increasing Blood Flow: The sound waves stimulate the growth of new, microscopic blood vessels, bringing vital oxygen and nutrients to damaged tissues.
- Rebuilding Tissue: It accelerates the production of collagen, the main building block needed to repair damaged tendons and ligaments.
- Breaking Down Calcification: It helps dissolve painful calcium deposits that often build up in chronic injuries (like calcific shoulder tendinitis).
- Reducing Pain: It blocks pain signals to the brain and lowers the concentration of chemical pain triggers in the body.
Physiotherapists commonly use it to treat stubborn conditions like plantar fasciitis, Achilles tendinopathy, tennis elbow, and jumper’s knee when standard exercises aren’t enough. A typical session takes just 5 to 10 minutes, and most patients see significant results in 3 to 5 weekly treatments.
Benefits of Shockwave Therapy
Shockwave Therapy may help:
- Reduce persistent pain
- Support tendon healing
- Improve blood flow
- Stimulate collagen production
- Improve movement and function
- Reduce muscle tightness in selected conditions
- Support long-term recovery without surgery or injections
Frequently Asked Questions About Shockwave Therapy
Why Choose Shockwave Therapy?
- Non-invasive treatment
- No surgery or injections
- Minimal downtime
- Short treatment sessions
- Supported by research for selected chronic tendon conditions
- Integrated with physiotherapy for optimal recovery
Why Combine Shockwave Therapy with Physiotherapy?
At Therapia Sports & Spine, Shockwave Therapy is never used as a standalone treatment.
Depending on your condition, your rehabilitation program may include:
- Progressive strengthening exercises
- Tendon loading programs
- Mobility and flexibility training
- Hands-on physiotherapy
- Movement retraining
- Return-to-work planning
- Return-to-sport rehabilitation
Treating both the symptoms and the underlying cause of your condition helps achieve better long-term outcomes.
Who Is Shockwave Therapy Suitable For?
You may benefit from Shockwave Therapy if:
✔ You’ve had pain for longer than 6 to 12 weeks
✔ Previous treatment hasn’t provided lasting improvement
✔ You have a diagnosed chronic tendinopathy
✔ Pain is limiting work, exercise, or daily activities
✔ You’re looking for a non-surgical treatment option
A thorough assessment will determine whether Shockwave Therapy is appropriate for your condition.
Who Should Not Have Shockwave Therapy?
Shockwave Therapy may not be recommended if you have:
- Pregnancy
- Active infection near the treatment area
- Certain tumours or malignancies
- A recent corticosteroid injection into the treatment area
- Significant bleeding disorders
- Acute fractures
- Open wounds over the treatment area
Your physiotherapist will discuss any precautions before treatment.
What to Expect During Your Appointment?
Your first appointment begins with a comprehensive physiotherapy assessment to understand your symptoms, identify the underlying cause, and determine whether Shockwave Therapy is appropriate.
The treatment itself usually takes 5 to 10 minutes, with the overall appointment including assessment, treatment, and rehabilitation advice.
Most patients describe the sensation as a rapid tapping over the affected area. While treatment can feel mildly uncomfortable, it is generally well tolerated and can be adjusted to suit your comfort.
Depending on your condition, most treatment plans involve 3 to 6 sessions, alongside a structured exercise program.
Following treatment, you may experience mild soreness, redness, or tenderness for a day or two. These effects are temporary and usually settle without intervention.
Shockwave Therapy for Most Common Conditions
- Plantar Fasciitis
Plantar Fasciitis is one of the most common causes of persistent heel pain. When symptoms become ongoing, Shockwave Therapy may help reduce pain and support healing. Combined with stretching, strengthening, and load management, it can improve function and help you return to daily activities.
- Achilles Tendinopathy
Achilles Tendinopathy often causes pain and stiffness during walking, running, and sport. Shockwave Therapy may help reduce symptoms and support tendon recovery when combined with progressive calf strengthening and tendon loading exercises.
- Tennis Elbow
Tennis Elbow affects the tendons on the outside of the elbow and is often caused by repetitive gripping or lifting activities. Shockwave Therapy may help reduce pain and improve tendon healing, particularly in long-standing cases.
Conditions We Commonly Treat
Shockwave Therapy is commonly used for chronic tendon and soft tissue conditions, including:
Foot & Ankle
- Plantar Fasciitis (Plantar Fasciopathy)
- Chronic Heel Pain
- Achilles Tendinopathy
Knee
- Patellar Tendinopathy (Jumper’s Knee)
Hip
- Gluteal Tendinopathy
- Greater Trochanteric Pain Syndrome (GTPS)
- Proximal Hamstring Tendinopathy
Shoulder
- Rotator Cuff Tendinopathy
- Calcific Tendinopathy of the Shoulder
Elbow
- Tennis Elbow (Lateral Epicondylalgia)
- Golfer’s Elbow (Medial Epicondylalgia)
If you’re unsure whether Shockwave Therapy is suitable for your condition, our physiotherapists will complete a thorough assessment and recommend the most appropriate treatment plan.
Clinical Evidences
Evidence Base
The use of Shockwave Therapy (ESWT) for selected chronic tendinopathies is supported by recent clinical practice guidelines and systematic reviews, including:
- Martin RL, et al. Heel Pain – Plantar Fasciitis: Revision 2023 Clinical Practice Guideline. Journal of Orthopaedic & Sports Physical Therapy (JOSPT). 2023. This guideline supports ESWT as a treatment option for individuals with persistent plantar fasciopathy who have not responded to core conservative management.
- Charles R, Fang L, Zhu R, et al. The Effectiveness of Shockwave Therapy on Patellar Tendinopathy, Achilles Tendinopathy, and Plantar Fasciitis: A Systematic Review and Meta-analysis. Frontiers in Immunology. 2023. This review found strong evidence supporting ESWT for plantar fasciitis and supports its use as an adjunct treatment for selected chronic tendinopathies.
- Extracorporeal Shock Wave Therapy Shows Comparative Results with Other Modalities for the Management of Plantar Fasciitis: A Systematic Review and Meta-analysis. Foot and Ankle Surgery. 2025. This review concluded that ESWT remains an effective conservative treatment option for chronic plantar fasciitis.
- Rotator Cuff Tendinopathy Clinical Practice Guideline. Journal of Orthopaedic & Sports Physical Therapy (JOSPT). 2025. This guideline supports evidence-informed rehabilitation for rotator cuff tendinopathy and discusses adjunctive interventions, including ESWT, where clinically appropriate.
Why Choose Therapia Sports & Spine?
At Therapia Sports & Spine, we combine advanced technology with personalised physiotherapy to help you recover confidently and return to the activities you enjoy.
Your treatment plan may include:
- Comprehensive physiotherapy assessment
- Individualised exercise prescription
- Hands-on physiotherapy
- Shockwave Therapy where appropriate
- Clinical Pilates
- Strength and conditioning advice
- Return-to-sport planning
- Injury prevention strategies
Whether you’re managing persistent tendon pain, recovering from a sports injury, or looking to improve your mobility, our experienced physiotherapists are here to help.
Book Your Appointment Here
Ready to Get Back to Your Best?
Don’t let ongoing pain hold you back.
Book an assessment with one of our experienced physiotherapists to find out whether Shockwave Therapy could be the right treatment for you.
Book Your Appointment Today
📍 Adelaide CBD
📞 (08) 8221 5011
✉️ info@therapia.com.au
Move Better. Recover Faster. Perform Stronger.