At Physio Three Sixty in Hitchin, we offer Radial Shockwave Therapy (RSWT) as part of our physiotherapy-led approach to tendon rehabilitation. With over 15 years of clinical experience and accredited by the CSP, our clinic has seen excellent outcomes in patients with persistent tendon problems.
But what does the evidence actually say? Here’s what you need to know.
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What Is Shockwave Therapy and How Does It Work?
A Quick Overview
- Increased blood flow and collagen production
- Reduction in pain-mediating chemicals
- Disruption of calcified tissue (where present)
- Promotion of cell regeneration and tendon remodelling
What Conditions Can Shockwave Therapy Help?
- Achilles tendinopathy
- Plantar fasciitis (heel pain, or plantar fasciopathy)
- Patellar tendinopathy (jumper’s knee)
- Lateral epicondylitis (tennis elbow)
- Medial epicondylitis (golfers elbow)
- Rotator cuff tendinopathy (shoulder)
- Gluteal tendinopathy and Greater Trochanteric Pain Syndrome (hip)
What the Research Says
Clinical Trials
- A 2015 systematic review published in the British Journal of Sports Medicine found that extracorporeal shockwave therapy significantly improved pain and function in patients with chronic plantar fasciitis and Achilles tendinopathy compared to placebo (Mani-Babu et al., 2015).
- NICE Guidelines recommend Shockwave Therapy as a non-invasive option for recalcitrant Achilles and plantar fascia conditions before considering surgery (NICE, NG59, 2016.)
- A meta-analysis published in the American Journal of Sports Medicine (2020) found that Shockwave Therapy significantly improved outcomes in patellar tendinopathy, particularly when combined with eccentric loading exercises (AJSM, 2020.)
- The Cochrane Database supports its use in tendinopathies that have not responded to conservative care after 3–6 months (Cochrane, 2019.)
What to Expect During Treatment
Your Appointment Includes:
- Initial physiotherapy consultation and diagnosis
- Explanation of whether Shockwave is suitable for your condition
- Typically 3–6 weekly sessions lasting 25–30 minutes
- Guidance on exercise progression between visits
- Mild discomfort during treatment is common, but it’s usually well tolerated. Some clients report soreness that fades within 24–48 hours.
Book Your Shockwave Assessment in Hitchin
📍 Address: 17A Hermitage Road, Hitchin, SG5 1BT
📞 Phone: 01462 431 033
📧 Email: info@physiothreesixty.co.uk
Book Your Consultation Today
👉 Book online now or call 01462 431 033 to arrange your consultation.
References
- National Institute for Health and Care Excellence (NICE). Low back pain and sciatica in over 16s: assessment and management.
- Speed C. A systematic review of shockwave therapies in soft tissue conditions: BMJ. 2014;348:g1939.
- Mani-Babu S, Morrissey D, Waugh C, Screen H, Barton C. The effectiveness of extracorporeal shockwave therapy in lower limb tendinopathy: AJSM. 2015;43(3):752–761.
- Cochrane Database of Systematic Reviews. Shockwave therapy for chronic plantar fasciitis in adults. 2019.




