Shockwave therapy (ESWT) is a non-invasive treatment for stubborn Achilles tendinopathy and plantar fasciitis, using focused sound waves to stimulate the body's own healing. It is considered after a proper course of physiotherapy and load management.
When is shockwave therapy (eswt) considered?
Shockwave is considered for plantar fasciitis or Achilles tendinopathy that has not improved after a structured programme of stretching, loading, footwear advice and activity modification.
Can I avoid surgery?
What happens during the procedure
Your diagnosis and suitability are confirmed first
A handheld device delivers repeated acoustic pulses to the painful area
Treatment is usually delivered as a short outpatient session
A course commonly involves several sessions alongside a rehabilitation plan
Recovery timeline
- Same day — most people walk out and continue normal light activity
- First 48 hours — soreness can occur and heavy loading is usually avoided
- 3–6 weeks — symptoms may start to improve
- Up to 3 months — benefit can continue as the tendon or fascia responds
Risks & complications
Shockwave is low risk. Temporary soreness, bruising, tingling or flare-up can occur. It is not suitable for every patient, so suitability is checked before treatment.
Costs & insurance
Self-pay consultations are £250 (new) and £175 (follow-up). The procedure price is confirmed after your consultation. We are recognised by all the main insurers including Bupa, AXA Health, Vitality, Aviva and Cigna.
Questions & answers
For many patients with persistent heel or tendon pain, shockwave can reduce symptoms and help avoid surgery when combined with rehabilitation.
It can feel uncomfortable during treatment, but intensity is adjusted and sessions are short.
Many protocols use three to five sessions, but the exact plan depends on the condition and response.
Usually yes, with modified loading. High-impact activity may need reducing while symptoms settle.
