What Is Shockwave Therapy?
Shockwave therapy (ESWT) delivers pulses of acoustic energy through the skin into damaged tissue, triggering the body's biological repair mechanisms. The energy stimulates fibroblast proliferation, growth factor release, and angiogenesis — all essential for tendon healing. It requires no anaesthesia, produces no scar tissue, and allows patients to remain mobile throughout the treatment course.
How Shockwave Therapy Treats Achilles Tendinopathy
Achilles tendinopathy involves disorganised, degenerated collagen within the tendon body or at its insertion on the heel bone. The lack of normal tendon structure means pain persists and the risk of rupture increases. Shockwave energy penetrates the tendon to stimulate the production of type I collagen, the primary structural protein of healthy tendon, while also disrupting pain receptor sensitivity (substance P pathways), giving both mechanical and analgesic benefits.
What to Expect During Treatment at Realign Rehab Clinic
Dr. Vaishali Suri at Realign Rehab Clinic, NIT-5 Faridabad, will differentiate between mid-portion and insertional Achilles tendinopathy, as each type requires a slightly different handpiece position and protocol. Sessions last 15–20 minutes and are typically scheduled weekly for four to six weeks. A graduated eccentric heel-drop exercise programme is prescribed alongside shockwave to maximise tendon remodelling. Patients can walk immediately after each session.
Benefits of Shockwave Therapy for Achilles Tendinopathy
- Stimulates collagen remodelling in degenerated tendon tissue
- Reduces tendon pain and morning stiffness
- Combines well with eccentric loading protocols for superior outcomes
- Avoids the tendon-weakening risk associated with corticosteroid injections
Is Shockwave Therapy Safe?
Shockwave therapy is safe when correctly applied and is preferred over steroid injections for Achilles conditions due to lower rupture risk. Temporary soreness and mild swelling in the Achilles area are expected for 24–48 hours. It is not recommended directly over an active tendon tear, active infection, or in patients on anticoagulants without medical clearance. Dr. Vaishali Suri screens every patient before starting treatment.
Frequently Asked Questions
Does shockwave therapy hurt?
The Achilles tendon can be sensitive, and most patients feel a deep pressure or stinging during treatment, especially at the insertion point. The energy level is adjusted in real time based on your feedback. Soreness after treatment is common and usually peaks at 24 hours before subsiding.
How many sessions of shockwave therapy will I need?
A typical Achilles protocol involves four to six weekly sessions. Insertional tendinopathy sometimes requires additional sessions. The combination of shockwave plus a supervised exercise programme consistently outperforms either treatment alone.
Is shockwave therapy available in Faridabad?
Yes. Shockwave Therapy is available at Realign Rehab Clinic, NIT-5 Faridabad. Dr. Vaishali Suri uses this technique as part of a comprehensive physiotherapy programme. Call +91 9818185589 to book.