Radial pressure waves and focused shockwaves are different
Radial shockwave has its greatest pressure near the applicator and disperses through superficial tissues. Focused shockwave concentrates energy at a selected depth. Device choice, dose and target depend on the diagnosis and tissue involved.
The department uses BTL shockwave technology. A treatment label alone does not guarantee that ESWT is appropriate or that all devices produce equivalent effects.
Selected persistent tendon and soft-tissue problems
Shockwave may be considered for selected plantar heel pain, Achilles or patellar tendinopathy, lateral elbow tendinopathy, calcific shoulder tendinopathy and other carefully assessed presentations. Evidence and recommended protocols differ by condition.
For calcific shoulder tendinopathy, NICE reports no major short-term safety concerns but considers efficacy evidence inadequate and recommends use in research. This uncertainty should be discussed with patients.
Load management and rehabilitation still matter
ESWT is normally linked to education, progressive loading, strength and return-to-activity planning. Treatment response is reviewed using pain and function, not simply completion of a fixed number of sessions.
Frequently asked questions
What is ESWT?
ESWT means extracorporeal shockwave therapy. Acoustic pressure waves are delivered from outside the body to a selected tissue target.
Is radial shockwave the same as focused shockwave?
No. Their pressure fields, depth and delivery differ. The appropriate system depends on the clinical target.
How many sessions are needed?
Protocols vary by diagnosis, device, dose and response. A fixed package should not replace reassessment.
Related guidance
Clinical references
Authoritative sources used for the educational review: