Shockwave Therapy

Shockwave Therapy at Wandsworth Physiotherapy & Osteopathy

At Wandsworth Physiotherapy & Osteopathy we provide state-of-the-art shockwave therapy to treat stubborn tendon, muscle, and soft tissue problems. Shockwave therapy (ESWT) uses acoustic waves to stimulate healing, reduce pain, and improve mobility when exercise and manual therapy alone may not be enough.

We are proud to now offer both radial and focused shockwave therapy – allowing us to choose the most effective treatment for your condition.

Radial vs Focused Shockwave: What’s the Difference?

Radial Shockwave Therapy (rESWT)

Focused Shockwave Therapy (fESWT)

Condition / Scenario Comparison

Condition / Scenario

Mid portion Achilles tendinopathy

Insertional Achilles tendinopathy

Patella tendinopathy

Plantar fasciitis / heel pain

Tennis elbow

Calcific rotator cuff tendinopathy

Deep hamstring / gluteal tendinopathy

Shin splints / bone strain

Radial Shockwave

✅ Yes

⚠️ Less effective

✅ Yes

⚠️ Less effective

⚠️ May be limited

⚠️ Less effective

Focused Shockwave

✅ If deep or chronic

✅ Yes

✅ If deep or chronic

✅ If resistant to radial

✅ Preferred

✅ Better penetration

✅ Yes

How Many Sessions Will I Need?

Most patients require 3–6 sessions of radial or focused shockwave therapy spaced about a week apart. Focused shockwave may require fewer sessions due to its precision and energy delivery. Your physiotherapist will discuss the right number of sessions for your condition during your assessment.

What to Expect During Treatment

Radial shockwave feels like a series of tapping pulses. It can be uncomfortable but tolerable, and intensity is increased gradually.
Focused shockwave is more intense but highly targeted, allowing us to treat deeper tissues. Treatments are usually shorter and more comfortable.
You may experience mild soreness for 24–48 hours after either treatment – this is normal and part of the healing response.
For best results, shockwave therapy is always combined with a tailored exercise programme and advice.

Frequently Asked Questions

What is the difference between radial and focused shockwave?

Radial spreads energy over a wider area and is best for superficial problems. Focused concentrates energy at a specific depth, making it ideal for deep or resistant injuries.

Which type of shockwave is right for me?

Your physiotherapist will assess your injury and recommend the most appropriate option. Sometimes we use both in combination.

Does focused shockwave hurt more?

It can feel more intense because it targets a smaller, deeper area – but treatment intensity is adjusted to keep you comfortable, and is usually more tolerable than radial shockwave.

Are there risks or side effects?

Both are safe when delivered by trained professionals. You may notice temporary redness, swelling, or soreness. Shockwave is not suitable if you are pregnant, have a pacemaker near the treatment area, cancer in the region, or certain blood disorders.

How soon will I feel better?

Some patients notice improvement after the first session, but the biggest gains usually occur after 3–6 treatments as the tissue remodels.

Does focused shockwave cost more?

Focused shockwave involves more advanced technology, so session costs may differ. We will explain all pricing options up front.

By offering both radial and focused shockwave therapy, we can provide the most effective treatment plan for your condition, helping you recover faster and return to the activities you love.