London Osteopathic Care

REVIVAL Clinic 2a Acton Lane (corner of Chiswick Road), Chiswick, W4 5NE

Tel: 0208 226 2130   Mobile: 07944 797 002

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Natural Health 

Shockwave Therapy

Non-surgical solutions to persistent problems




Extracorpeal Shockwave Therapy is an advanced, evidence-based method of treating the tissue symptoms of broken bone, sports injury, tendons and ligaments. High energy radial waves are applied to the injured area promoting increase in blood and nervous supply. Shockwave therapy has now become the elite method of care to traditional surgical methods. London Osteopathic Care has now got the most recent in technology covering the international shockwave machines. London Osteopathic Care now has the latest technology in Shockwave therapy: Shorks Extracorpeal Shockwave machines have been awarded a Scientific Shock Wave Award. Shockwave is no longer just for the sports elite! It has been widely recognised in clinical practices for the treatment of soft tissue injuries, chronic tendinopathies and chronic muscular injuries.


What is the history of Shockwave Therapy?

Shockwave therapy was first created to be used for kidney stones in the 1980s. Using this method meant more people were able to avoid invasive surgery. Shockwave was then used on musculo-skeletal conditions which now has become one of the most elite methods of the musculoskeletal (MSK) treatments today!


Is Shockwave Therapy clinically proven?

Yes! Shockwave Therapy is clinically proven, there is large number of evidence based clinical trials on the use of shockwave for MSK conditions. Shockwave therapy is  recognised by the top orthopaedic hospitals and used by high profile professional sports bodies such as the English Institute of Sport, UK Athletics, Welsh Rugby Union and many Premiere League football clubs.


What are Shockwaves?

Shock waves are high-energy, audible sound waves. In medicine, shock waves have been used since 1980 among other things for the dissolution of kidney stones. In rehabilitation therapy,  shockwaves are transmitted to the area to accelerate healing. SHOCKWAVE THERAPY (ESWT) involves passing short, intense sound waves into affected tissues, which increases blood flow, has an analgesic effect and stimulates repair and regeneration. The treatment puts the cells into repair mode and allows your body to restart its own accelerated healing process.


Is Shockwave Therapy ESWT safe?

Shockwave therapy is safe and has NICE guidance and FDA approval for a number of indications. There are minimal side effects for the treatment of MSK conditions acute or chronic.


What conditions can Shockwave Therapy ESWT treat? 

Common treatments are as follows but are not limited to:

Achilles tendon and heel pain

•Achilles Tendonitis

•Plantar Fasciitis (heel spur)

Knee and shin pain

•Patellar Tendonitis (Jumper's / runners Knee)

•Tibial edge syndrome (shin splints)

Elbow and arm pain

•Forearm muscles

•Epicondylitis (tennis or golfer elbow)

Shoulder and neck pain

•Periarticular shoulder pain

•Chronic neck and shoulder pain

•Tendinosis Calcarea (calcific tendinitis)

Back pain

•Lumbalgia (lumbago)

•Dorsalgia (chronic back pain)


•Non healing bones


How many sessions of Shockwave Therapy are needed and how long does it take?

The treatment lasts between 10 and 15 minutes, depending on the condition. On average, three to six sessions are required. You will require a full assessment to determine the number of treatments you will need.


How successful is Shockwave Therapy treatment?

It depends on the conditions treated. Statistics show over 90 percent of patients experience a reduction in their pain. In patients that suffer from plantar fasciitis and heel pain related problems, pain reduction is remarkable, 39 studies showed a success rate of 94% in Plantar Fasciitis. The overall success rates for all indications ranges between 60% to 80% depending on the conditions treated.


Can Shockwave Therapy treat old/persistent injuries, or is it only for new problems?

It can treat both long term chronic conditions and newer acute injuries, there is a great deal of evidence to show that Shockwave can achieve great results even with historical conditions.


Is Shockwave Therapy ESWT painful?

Shockwave sounds scary, but it's definitely not! Will it cause pain? With Radial Shockwave (RSW) you may feel a small amount of discomfort to begin with, however, the treatment is delivered with a low amount of energy at first, which is increased as your body gets used to it. Your clinician should ask for constant feedback during your treatment and will adjust it accordingly. Shockwave Therapy creates an analgesic effect, many patients report an immediate relief following shockwave therapy from the pain caused by their chronic conditions.


Will there be pain after the Shockwave Therapy treatment?

Normally patients experience a reduced level of pain in their condition or no pain at all immediately after the treatment, but a mild and diffused pain may occur a few hours later. This dull pain will subside after a day or so.



What if there is pain after the Shockwave Therapy treatment?

Shockwave therapy treatment initiates a pro-flammatory response in the tissue that is being treated. If necessary patients may use ordinary prescription-free pain killers. Do not use anti-inflammatory medication or apply  ice on the treated area as both may interfere with the body’s self-healing process.


What are the Advantages of Shockwave Therapy ESWT?

“ESWT offers two main advantages over traditional surgical methods: fewer potential complications and a faster return to normal activity” FDA

•       No anaesthesia

•       Non invasive

•       No medication

•       Fast treatments – (20 mins per session), 3+ sessions required

•       Fewer complications

•       Significant clinical benefit often seen 6-8 weeks after treatment

• Shockwave has a natural analgesic effect

When can it be used:

•       When surgery is not an option

•       When pain relief and injections no longer work

•       When a conditions is presented that is suitable for shockwave therapy

•       When no contraindications are present

Contraindications – when Shockwave Therapy can’t be used, examples:

Shockwave therapy is very safe and actually has less contraindications than some more well known therapies such as acupuncture and massage.

•       Pregnancy or trying to conceive

•       Application over open growth plates – not suitable for under 18 years

•       Over metal pins or plates

•       Malignant tumours

•       Nerve or circulation disorders

•       Infection

•       If you are taking anticoagulants or have a blood disorder


Precautions after shockwave therapy treatment:

Even if there is no pain we recommend that patients refrain from intensive activities that stress the treated area for the next 48 hours after each treatment. We advise not to use ice or anti-inflammatory medicines after shockwave therapy as these will be counterproductive to the treatment, which encourages the bodies own natural healing process.