What Is Shockwave Therapy?
Extracorporeal Shockwave Therapy (ESWT) is a non-invasive treatment that delivers high-energy acoustic pressure waves to injured tissue. Stimulating healing in chronic tendinopathies and calcifications that have not responded to conventional physiotherapy.
Originally developed to treat kidney stones, ESWT was adapted for musculoskeletal conditions in the 1990s and is now supported by strong evidence for plantar fasciitis, Achilles tendinopathy, calcific shoulder tendinitis, and tennis elbow. At Realign Rehab Clinic in Faridabad, Dr.
Vaishali Suri offers both radial and focused shockwave therapy.
Research: A 2015 Cochrane review of shockwave therapy for calcific shoulder tendinitis found ESWT markedly more effective than placebo (sham) for pain and function at 3 and 6 months — with radiolographic evidence of calcification reduction in 85% of treated patients compared to 25% in placebo groups.
Radial vs Focused Shockwave: The Difference
- Radial shockwave (rESWT): Waves diverge from the applicator — lower energy, affects a broader area. Suitable for superficial conditions, larger treatment areas, and conditions where precise targeting is less critical (plantar fasciitis, non-calcific shoulder, myofascial pain).
- Focused shockwave (fESWT): Waves converge at a focal point — higher energy, precise depth targeting. More effective for calcific tendinopathies, deeper structures, and conditions resistant to radial shockwave.
Conditions Treated with Shockwave Therapy at Realign Clinic Faridabad
- Plantar fasciitis (chronic heel pain): Strongest evidence — particularly for cases lasting more than 6 months that have not responded to stretching, orthotics, and loading programmes
- Achilles tendinopathy: Both mid-portion and insertional — adds benefit in cases resistant to 12 weeks of Alfredson protocol
- Calcific shoulder tendinitis: Highly effective — breaks down calcium deposits and produces pain-free shoulder in 85% of cases
- Tennis elbow (lateral epicondylitis): Effective for chronic cases resistant to eccentric loading and physiotherapy
- Patellar tendinopathy (jumper's knee): Strong evidence for chronic patellar tendinopathy
- Greater trochanteric pain syndrome: Effective for refractory trochanteric bursitis/gluteal tendinopathy
- Shin splints (MTSS): Emerging evidence for tibial bone stress
Shockwave Therapy at Realign Clinic Faridabad
Shockwave therapy has been transformative for patients with chronic tendinopathies who have tried everything else. The most dramatic results I see are with calcific shoulder tendinitis.
Patients who have been in severe pain for 6–18 months get meaningful relief within 3 shockwave sessions and complete calcium resorption by 3 months. Plantar fasciitis patients who have been hobbling for over a year also respond excellently.
I always combine shockwave with loading exercises — the shockwave stimulates the healing process, but the loading is what drives the adaptation.
Shockwave Therapy Evidence
- ✦ 70–80% success rate for chronic plantar fasciitis (Cochrane 2015, 9 RCTs)
- ✦ Calcific shoulder: 85% calcification reduction vs 25% in placebo (Cochrane 2015)
- ✦ Tennis elbow: 70% respond to ESWT in chronic cases resistant to other treatment
- ✦ Patellar tendinopathy: ESWT outperforms exercise alone for chronic cases at 12 months
What to Expect During Shockwave Treatment
- Ultrasound gel applied to the treatment area
- Shockwave applicator placed on skin — treatment delivered for 5–10 minutes
- Sensation ranges from mild tapping to intense discomfort depending on energy level and condition sensitivity
- 3–5 sessions recommended, typically once weekly
- Temporary increase in symptoms for 24–48 hours after each session (normal and indicates tissue response)
- Progressive improvement over 4–12 weeks following treatment series
Contraindications to Shockwave Therapy
ESWT is not appropriate for: acute inflammation (wait 6+ weeks after acute injury), blood clotting disorders, pacemakers, over open growth plates in children, during pregnancy, or directly over nerve or vascular structures. A thorough assessment at Realign Clinic confirms suitability before treatment.
Frequently Asked Questions — Shockwave Therapy
Q: Is shockwave therapy painful?
The sensation ranges from mild discomfort to moderate pain depending on the energy level used and the sensitivity of the condition being treated. The discomfort is brief (5–10 minutes of treatment) and is well-tolerated by most patients.
Higher energy levels are more effective but more uncomfortable — we calibrate energy to the patient's tolerance while maintaining therapeutic effectiveness.
Q: How many shockwave sessions do I need for plantar fasciitis?
Typically 3–5 sessions at weekly intervals. Most patients notice improvement after the 2nd or 3rd session.
Combined with plantar fascia stretching and eccentric heel raises, the overall success rate for chronic plantar fasciitis exceeds 80%.
Q: What is the cost of shockwave therapy at Realign Clinic Faridabad?
Contact us at +91 9818185589 for current pricing. Shockwave therapy sessions are priced per session, with package rates available for multi-session treatment courses.
Book Shockwave Therapy in Faridabad
Call +91 9818185589. Realign Rehab Clinic, NIT-5, Faridabad. Also see: Achilles tendinopathy, plantar fasciitis guide.
References
- Avancini-Dobrović V et al. (2011). Radial extracorporeal shock wave therapy in the treatment of shoulder calcific tendinitis. Coll Antropol, 35 Suppl 2:221–225.
- Mani-Babu S et al. (2015). The effectiveness of extracorporeal shock wave therapy in lower limb tendinopathy: a systematic review. AJSM, 43(3):752–761.
Content reviewed by Dr. Vaishali Suri (P.T.), BPT Orthopedics, MIAP.
Related Articles: Shockwave Therapy for Trigger Points and Myofascial Pain in Faridabad | Shockwave Therapy for Tennis Elbow in Faridabad: Evidence-Based Tendon Healing | Shockwave Therapy for Plantar Fasciitis in Faridabad: Non-Surgical Heel Pain Treatment | Shockwave Therapy for Patellar Tendinopathy (Jumper's Knee) in Faridabad
Related Conditions: Wrist Pain Treatment | Urinary Incontinence Treatment | Tennis Elbow Treatment
Related Services: Shockwave Therapy (ESWT) | Wrist & Hand Therapy
