Shockwave Therapy for Achilles Tendinopathy in Hitchin

Understanding Achilles Tendinopathy

The Achilles tendon is the largest and strongest tendon in the human body, connecting the calf muscles (gastrocnemius and soleus) to the heel bone. It plays a vital role in walking, running, and jumping. Despite its strength, this tendon is prone to overload and repetitive strain, which can lead to a condition known as Achilles Tendinopathy.

Achilles Tendinopathy is characterised by pain, stiffness, and thickening of the tendon, typically felt two to six centimetres above the heel (mid-portion) or directly at its insertion point on the heel bone. Early symptoms often appear as discomfort during the first few steps in the morning or at the beginning of activity, which then eases with movement but worsens again later.

Although it is common among runners and athletes, this condition can affect anyone, including those who spend long hours on their feet or walk regularly. Both younger active individuals and older adults can experience this type of chronic tendon pain.

When symptoms persist for longer than three months and do not improve with rest, stretching, or strengthening alone, Shockwave Therapy is a logical next treatment option.

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What Is Shockwave Therapy?

Shockwave Therapy, or Extracorporeal Shockwave Therapy (ECSWT), is a non-surgical treatment that uses focused or radial mechanical waves to stimulate healing in damaged tendon tissue. The treatment is designed to activate biological repair mechanisms where normal healing has stalled.

How It Works

The acoustic energy generated by the device has several physiological effects:

• Increases local blood flow and tissue metabolism
   

• Stimulates collagen synthesis for tendon repair
   

• Reduces pain-mediating chemicals
   

• Breaks down disorganised scar tissue within the tendon
   

• Promotes tendon remodelling and regeneration
   

At Physio Three Sixty in Hitchin, patients typically receive between three and six sessions, each spaced five to ten days apart. This spacing allows time for biological responses to occur between treatments.

The Evidence Supporting Shockwave Therapy for Achilles Tendinopathy

Over the past decade, multiple systematic reviews and randomised controlled trials have demonstrated that Shockwave Therapy provides measurable improvements in pain and function for chronic Achilles Tendinopathy.

Clinical Research Findings

Rompe J.D. et al. (2009), American Journal of Sports Medicine, 37(3):463–470. This randomised controlled trial found that patients receiving Shockwave Therapy in addition to eccentric loading exercises experienced greater improvements in pain and function than those performing exercises alone.

​​Al-Abbad H., Simon J.V. (2013), Foot & Ankle International, 34(1):33–41. Their systematic review concluded that Shockwave Therapy is a safe and effective treatment for chronic Achilles Tendinopathy, particularly when conservative management has failed.

Van der Worp H. et al. (2013), British Journal of Sports Medicine, 47(10):644–652. This meta-analysis showed statistically significant improvements in pain scores and patient satisfaction following radial Shockwave Therapy compared to placebo.
 

National Institute for Health and Care Excellence (NICE), IPG571 (2016). NICE recognises Extracorporeal Shockwave Therapy as an appropriate treatment for refractory Achilles Tendinopathy when applied by trained professionals.
 

Notarnicola A. et al. (2014), Muscles, Ligaments and Tendons Journal, 4(4):410–416. This prospective study demonstrated that patients experienced a 68 per cent reduction in pain after a course of radial Shockwave Therapy, sustained at six-month follow-up.
 

The accumulated evidence supports the use of Shockwave Therapy as a reliable, evidence-based treatment for chronic Achilles Tendinopathy, especially when symptoms persist beyond three months despite standard rehabilitation.

What to Expect During Treatment

Initial Assessment

At Physio Three Sixty, your physiotherapist will conduct a detailed musculoskeletal assessment to confirm the diagnosis and identify contributing factors such as calf tightness, foot biomechanics, or training load errors. The clinic’s Chartered Physiotherapists are CSP and HCPC registered, ensuring that all treatments meet professional clinical standards.

During the Session

Each treatment session lasts approximately 25 to 30 minutes. A small handheld device delivers controlled pulses to the affected tendon and surrounding tissue. Patients typically experience mild to moderate discomfort, which is short-lived. No anaesthetic is required, and you can continue some normal activities between sessions.

Course & Recovery

• Sessions: 3 to 6 treatments spaced 5 to 10 days apart

• ​Long-term benefits: Improved strength, mobility, and function 6-8 weeks following the course of treatment

Your physiotherapist will usually combine Shockwave Therapy with a progressive exercise programme focusing on eccentric loading, calf strength, and movement control to enhance long-term results.

Who Is Suitable for Shockwave Therapy?

Shockwave Therapy is appropriate for individuals who:

• Have experienced Achilles pain for longer than three months
• Have not improved despite rest, stretching, or strengthening
• Prefer a non-invasive alternative to injections or surgery
• Are able to commit to a short course of treatments

It is suitable for a wide range of people, from recreational walkers and office workers to competitive runners and athletes. Your Physiotherapist will go through some screening questions prior to starting shockwave, to ensure that it is a safe and suitable treatment for you. 

Why Choose Physio Three Sixty for Achilles Shockwave Therapy in Hitchin

Physio Three Sixty has built a strong reputation in Hitchin for clinical excellence and patient-centred care. Established in 2015 and led by physiotherapist Anthony Cahill, the clinic brings over 15 years of experience in sports injury and tendon rehabilitation.

Key credentials include:

• Chartered Society of Physiotherapy (CSP) membership
• Health and Care Professions Council (HCPC) registration
• Acupuncture Association of Chartered Physiotherapists (AACP) affiliation
• Evidence-based rehabilitation integrated with strength training principles

The clinic is located at 17A Hermitage Road, Hitchin, SG5 1BT, easily accessible from Hitchin Market and the Queen Mother Theatre, with convenient nearby parking.
 

Local Context & Clinical Insight

Achilles Tendinopathy is not limited to athletes. Many people in Hitchin experience tendon pain simply from walking on hard surfaces, climbing stairs, or standing for long periods. Age-related changes in tendon elasticity and reduced recovery capacity make this condition increasingly common in older adults as well.

Shockwave Therapy provides an opportunity to restore function and relieve pain without the need for invasive procedures. When combined with guided exercise therapy, it helps to strengthen the tendon and reduce recurrence risk, supporting long-term movement and quality of life.

Book a Consultation

If you have been living with persistent Achilles pain for more than three months and conventional management has not brought relief, Shockwave Therapy could be an effective next step.

Find out more on our Shockwave Therapy in Hitchin and Hertfordshire page, or contact our team directly to book your assessment:
📞 01462 431 033
📧 info@physiothreesixty.co.uk 

You can also submit an enquiry via our Contact page.

At Physio Three Sixty, we combine advanced technology with clinical expertise to help Hitchin residents recover from Achilles Tendinopathy and return to pain-free movement.

References

• Rompe J.D., Furia J., Maffulli N. (2009). Eccentric loading compared with shock wave treatment for chronic insertional Achilles tendinopathy. American Journal of Sports Medicine, 37(3), 463–470.
• Al-Abbad H., Simon J.V. (2013). The effectiveness of extracorporeal shock wave therapy on chronic Achilles tendinopathy: A systematic review. Foot & Ankle International, 34(1), 33–41.
• Van der Worp H., Zwerver J., Hamstra M. (2013). The effectiveness of shockwave treatment in tendinopathies. British Journal of Sports Medicine, 47(10), 644–652.
• Notarnicola A., Maccagnano G., et al. (2014). Extracorporeal shockwave therapy on chronic Achilles tendinopathy: A prospective clinical study. Muscles, Ligaments and Tendons Journal, 4(4), 410–416.
• NICE. (2016). Extracorporeal Shockwave Therapy for Refractory Achilles Tendinopathy. Interventional Procedures Guidance IPG571.

 

Shockwave Therapy for Plantar Fasciitis in Hitchin

Understanding Plantar Fasciitis

Plantar Fasciitis, also known as Plantar Fasciopathy, is one of the most common causes of persistent heel pain. It occurs when the thick band of tissue that connects the heel bone to the toes becomes inflamed or degenerative through repetitive strain. The condition is especially prevalent in runners, walkers, and those who spend long periods standing.

For most people, symptoms include sharp heel pain first thing in the morning or after long periods of rest, tenderness near the inside of the heel, and discomfort that increases with prolonged standing or walking. When the pain persists beyond three months and has not improved with rest, stretching, or orthotic support, it is considered to be persistent or chronic. At this stage, Shockwave Therapy has been shown to be very helpful in helping the injured tissue to heal and therefore reduce symptoms of pain.

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What Is Shockwave Therapy?

Shockwave Therapy, also known as Extracorporeal Shockwave Therapy (ECSWT), is a non-invasive treatment that delivers controlled mechanical pressure waves to the affected tissue. These mechanical pressure waves stimulate biological processes that promote healing and tissue regeneration.

How Shockwave Works

The key physiological effects include:

• Increasing local blood flow and tissue oxygenation
• Stimulating collagen production and tendon remodelling
• Reducing the concentration of pain-related neurotransmitters
• Breaking down small calcifications that can form within the plantar fascia

Clinical treatment typically involves 3 to 6 sessions spaced five to ten days apart. The success rate for meaningful improvement in chronic Plantar Fasciitis symptoms is reported to be around 70 per cent, depending on the duration and severity of the condition.

The Evidence Behind Shockwave Therapy for Plantar Fasciitis

Over the past decade, multiple randomised controlled trials and meta-analyses have demonstrated that Shockwave Therapy is an effective option for chronic heel pain that has not responded to standard care.

Clinical Research and Guidelines

• Speed C. (2014), BMJ, 348:g1628. This systematic review concluded that Shockwave Therapy significantly improves pain and function in chronic soft tissue conditions, particularly Plantar Fasciitis, compared with placebo.
• Gerdesmeyer L. et al. (2008), American Journal of Sports Medicine, 36(11):2100–2109. This multicentre randomised trial involving 245 patients found that radial Shockwave Therapy led to a 72 per cent success rate at 12 weeks and sustained results at one year
• National Institute for Health and Care Excellence (NICE), IPG311 (2010). NICE supports the use of Extracorporeal Shockwave Therapy for refractory Plantar Fasciitis in adults, provided it is administered by trained professionals and accompanied by standard rehabilitation.
• Crawford F. et al. (2019), Cochrane Database of Systematic Reviews, CD003219. The review concluded that Shockwave Therapy improves both pain and functional outcomes compared to sham treatment in cases lasting more than three months.
• Lou J. et al. (2017), Clinical Rehabilitation, 31(12):1579–1588. This meta-analysis confirmed that ESWT provides significant short- and medium-term benefits in reducing heel pain intensity and improving mobility in chronic Plantar Fasciitis.

Together, these studies demonstrate that Shockwave Therapy is a clinically validated and evidence-based treatment option for chronic heel pain.

What to Expect During Treatment at Physio Three Sixty

Initial Assessment

At Physio Three Sixty in Hitchin, every consultation starts with a detailed physiotherapy consultation to confirm the diagnosis and rule out other causes of heel pain. Our Chartered Physiotherapists are trained in musculoskeletal assessment and accredited by the Chartered Society of Physiotherapy (CSP).

Treatment Sessions

Each session of Shockwave Therapy lasts approximately 15 to 25 minutes. The device is applied to the heel and surrounding tissue to deliver focused shock waves. Discomfort during treatment is common, but the intensity of the treatment will be tailored to ensure it can be tolerated. No anaesthetic or medication is required.

Expected Timeline

Sessions: 3 to 6 treatments spaced 5 to 10 days apart
 

Short-term effects: Potentially  pain and stiffness between sessions
 

Long-term effects: Improved mobility and reduced recurrence of pain can occur between sessions or in the short term, but most often the benefits of shockwave are realised 6-8 weeks or more after the course of treatment.  This reflects the time taken for the tissue to repair and heal as the tissue repairs and regenerates.
 

Patients are encouraged to continue their rehabilitation exercises and avoid overloading the affected foot between sessions.

Why Choose Physio Three Sixty for Shockwave Therapy in Hitchin

Physio Three Sixty has been serving the Hitchin community since 2015 and brings over 15 years of clinical experience in physiotherapy and sports rehabilitation. All treatments are conducted by fully qualified clinicians who specialise in musculoskeletal and tendon disorders.  All shockwave sessions are carried out by physios who are CSP and HCPC registered.  Treatment will be combined with evidence-based strength and rehabilitation programs for optimal recovery.

The clinic is centrally located at 17A Hermitage Road, Hitchin, SG5 1BT, within easy walking distance of Hitchin Market and the Queen Mother Theatre.

Local & Scientific Perspective

For residents of Hitchin and surrounding areas, Shockwave Therapy offers an evidence-based alternative to injections or surgery for long-standing heel pain. The treatment’s success lies in its ability to stimulate the body’s natural healing mechanisms, addressing the root cause rather than masking symptoms.

Patients typically experience measurable improvement in walking comfort, stair use, and morning pain. When combined with targeted exercises prescribed by a physiotherapist, outcomes are generally superior to passive rest or orthotic use alone.

For those who have struggled with persistent heel pain despite standard physiotherapy, taping, or footwear modifications, Shockwave Therapy represents a well-researched and effective next step.

Book a Consultation

If you have been dealing with heel pain for more than three months and conservative management has not resolved it, Shockwave Therapy may provide the breakthrough you need.

To learn more or to arrange an assessment, visit the dedicated Shockwave Therapy page at Shockwave Therapy in Hitchin and Hertfordshire.

Alternatively, contact the clinic directly to speak with our team or schedule your appointment:
📞 01462 431 033
📧 info@physiothreesixty.co.uk 

You can also submit an enquiry through our Contact page.

At Physio Three Sixty, we provide science-led physiotherapy for lasting results, helping Hitchin residents move with comfort and confidence.

References

• Speed C. (2014). A systematic review of shockwave therapies in soft tissue conditions. BMJ, 348:g1628.
• Gerdesmeyer L., et al. (2008). Radial Extracorporeal Shockwave Therapy is effective and safe in the treatment of chronic plantar fasciitis. American Journal of Sports Medicine, 36(11), 2100–2109.
• NICE. (2010). Extracorporeal Shockwave Therapy for Refractory Plantar Fasciitis. Interventional Procedures Guidance IPG311.
• Crawford F., Thomson C. (2019). Shockwave Therapy for plantar heel pain. Cochrane Database of Systematic Reviews, CD003219.
• Lou J., Wang S., et al. (2017). Efficacy of Extracorporeal Shockwave Therapy in chronic plantar fasciitis: A meta-analysis. Clinical Rehabilitation, 31(12), 1579–1588.

 

Is Shockwave Therapy Effective for Chronic Tendon Pain? What the Research Says Chronic tendon pain is a frustrating and often stubborn condition, especially for active individuals. Whether it's an Achilles issue from running, shoulder rotator cuff pain from lifting, or plantar fascia pain from standing all day, these injuries don’t always respond to rest, activity modification, or stretching alone.

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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Shockwave Therapy involves delivering mechanical acoustic waves to painful or injured areas. These waves stimulate the body’s natural healing processes, including:

At Physio Three Sixty, we use shockwave alongside tailored exercise plans— ensuring it’s part of a complete rehab process.
 

Shockwave Therapy is best suited for chronic, degenerative tendon conditions. Evidence supports its use for:

It’s not usually recommended for acute injuries or injuries present for less than 12 weeks, which is why your case will always be assessed prior to treatment by a Chartered Physiotherapist.

Our clinic is based at 17A Hermitage Road, SG5 1BT, just minutes from Hitchin town centre. . With flexible appointment slots, including evenings, we make accessing high-quality tendon care simple and stress-free.

📍 Address: 17A Hermitage Road, Hitchin, SG5 1BT
📞 Phone: 01462 431 033
📧 Email: info@physiothreesixty.co.uk 
 

If your tendon pain has persisted longer than 12 weeks, you can call us to discuss booking an appointment.. 
👉 Book online now or call 01462 431 033 to arrange your consultation.

Neck pain is one of the most frequent complaints we hear from office-based clients in Hitchin. Whether you work from home or in an office, long hours at a desk can lead to tension, reduced mobility, and postural strain.

At Physio Three Sixty, we’ve helped hundreds of local desk workers find lasting relief. Based at 17A Hermitage Road, Hitchin, our clinic specialises in physiotherapy, acupuncture, and postural rehab — and our team is CSP-accredited with over 15 years of clinical experience.

This guide outlines five practical, physiotherapist-approved stretches that you can do at your desk or during breaks to reduce neck pain and improve mobility.

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What Causes Neck Pain in Office Workers?

Prolonged Static Postures

Holding your head in a forward or downward position for long periods creates muscular fatigue and joint stiffness, particularly in the:

✓ Upper trapezius

✓ Levator scapulae

✓ Cervical facet joints

Poor Desk Ergonomics

Common culprits include:

✓ Monitors set too low or off-centre

✓ Chairs without lumbar or upper back support

✓ Laptops without separate keyboards

Stress & Reduced Movement

Mental tension can lead to elevated shoulders and shallow breathing — increasing muscle tension in the neck and upper back.

 

Five Simple Stretches to Prevent Neck Pain

Note: These stretches are suitable for most desk workers, but if you have an injury or medical condition, please seek personalised advice from a physiotherapist first.

1. Upper Trapezius Stretch

Target area: Side of the neck and top of the shoulders

Instructions:

✓ Sit tall in your chair

✓ Gently tilt your head to one side (ear toward shoulder)

✓ Use your hand to apply light pressure

✓ Hold for 20–30 seconds, repeat on both sides

This helps relieve tightness from prolonged mouse or keyboard use.

2. Levator Scapulae Stretch

Target area: Back of the neck and shoulder blade

Instructions:

✓ Sit or stand tall

✓ Turn your head 45° toward one armpit

✓ Tuck your chin slightly and gently pull your head downward

✓ Hold for 20-30 seconds, repeat on both sides

Useful after long phone calls or screen-focused tasks.

3. Chin Tucks

Target area: Deep neck flexors and postural alignment

Instructions:

✓ Sit upright, shoulders relaxed

✓ Gently draw your chin straight back (like making a “double chin”)

✓ Hold for 5 seconds, repeat 10 times

This counteracts forward head posture — a major contributor to desk-related neck pain.

4. Shoulder Rolls

Target area: Upper traps, deltoids, and thoracic mobility

Instructions:

✓ Sit or stand

✓ Roll your shoulders up, back, and down in a slow circular motion

✓ Repeat 10–15 times

A great movement break during long calls or meetings.

5. Wall Angels

Target area: Mid-back, and shoulder mobility

Instructions:

✓ Stand with your back flat against a wall

✓ Raise arms like a goalpost, elbows and hands touching the wall

✓ Slowly raise and lower your arms, keeping contact

✓ Perform 10 controlled reps

Strengthens postural muscles and improves overhead mobility.

 

Building Good Habits for Lasting Neck Health

Movement Is Medicine

Even the best stretch routine won’t help if you stay seated all day. Aim to:

✓ Stand every 30–45 minutes

✓ Walk during calls where possible

✓ Alternate between sitting and standing if you use a sit-stand desk

Check Your Desk Setup

Our physiotherapists can advise on ergonomics, but start with:

✓ Monitor at eye level, directly in front

✓ Feet flat on the floor or footrest

✓ Elbows at 90°, wrists neutral

Consider Regular Physiotherapy

Persistent stiffness, recurring headaches, or tingling in the arms may require further assessment. At Physio Three Sixty, we treat postural neck pain with a combination of:

✓ Manual therapy

✓ Exercise prescription

✓ Acupuncture (where appropriate)

✓ Ergonomic education

Local Support in Hitchin for Desk-Related Neck Pain

Our Hitchin clinic is located just minutes from Hitchin Market and  the town centre, offering flexible appointment times including evenings.

If you’re working from home or spending long hours at a screen, don’t ignore early signs of discomfort — it’s much easier to prevent chronic pain than to fix it later.

📍 Address: 17A Hermitage Road, Hitchin, SG5 1BT
📞 Phone: 01462 431 033
📧 Email: info@physiothreesixty.co.uk 

 

Book Your Consultation Today

Whether you’re working from a kitchen table or a modern office setup, neck pain is not something to ignore. Our CSP-accredited physiotherapists will assess your posture, mobility, and muscle balance to create a plan that gets you moving again.

👉 Book online now or ca