How we Help
Why Choose Mayfair Health for Shockwave Therapy?
- The Piezowave2 — direct focused shockwave — a direct focused shockwave machine that delivers more precise, more effective treatment than the radial shockwave devices used in most clinics — see below for how this differs
- Greater accuracy — focused shockwave targets the damaged tissue directly, without impacting healthy surrounding structures
- Physiotherapist-delivered — all shockwave treatment is carried out by qualified physiotherapists with specialist training in ESWT
- Integrated into your rehabilitation — shockwave is used alongside manual therapy, exercise rehabilitation and other clinical interventions for the best possible outcome
Focused vs Radial Shockwave — What Is the Difference?
Most clinics offering shockwave therapy use radial shockwave devices, in which the energy disperses outward from the probe in a broad, unfocused pattern. While effective for some superficial conditions, radial shockwave lacks the precision to reach deeper tissue structures accurately.
The Piezowave2 uses piezoelectric crystals to generate sound waves that converge at a precise focal point — penetrating to an exact depth within the tissue. This direct focused approach means the therapeutic energy is delivered where it is needed, producing a stronger stimulus for tissue repair and making it effective for conditions where depth and precision are critical. It is the only truly direct focused shockwave technology available.
Conditions We Treat
- Achilles tendinopathy
- Patellar tendinopathy
- Quadriceps and hamstring tendinopathy
- Gluteal tendinopathy
- Calcific tendinitis — including calcific shoulder
- Tennis elbow and golfer’s elbow
- Plantar fasciitis
- Medial tibial stress syndrome (shin splints)
What to Expect
Before any shockwave treatment begins, your physiotherapist will carry out a thorough clinical assessment to confirm the diagnosis, establish whether shockwave is appropriate and explain exactly what to expect. Diagnostic ultrasound may be used to further assess the affected tissue.
Each session lasts 15 to 20 minutes. A typical course involves three to six sessions spaced three to seven days apart, with most patients noticing improvement after the second or third session. The full benefit continues to develop over several weeks following the final session as tissue repair progresses.
FAQs
Frequently Asked Questions
What is shockwave therapy and how does it work?
ESWT uses high-energy sound waves to stimulate tissue repair at a cellular level — triggering increased blood flow, promoting new blood vessel formation, breaking down calcific deposits and stimulating collagen production. This accelerates the natural healing process in tendons and soft tissue that have become chronically painful or degenerated.
Is shockwave therapy painful?
Most patients experience a toothache-like or pinching sensation, always set at your individual tolerance level. Some experience mild soreness for 24 to 48 hours post-treatment — a normal part of the healing response.
How many sessions will I need?
Three to six sessions spaced three to seven days apart is typical. Your physiotherapist will advise based on your specific condition and review progress throughout.
Is shockwave suitable for all tendon conditions?
Shockwave is most effective for chronic tendinopathy — conditions where the tendon has become degeneratively thickened or calcified over time. It is generally not recommended for acute tendon injuries or in the presence of a complete tendon rupture. Your physiotherapist will confirm suitability at your assessment.
Do I need a GP referral?
No. You can self-refer directly. Shockwave is typically incorporated into a physiotherapy appointment — contact our team to discuss the most appropriate appointment type for your needs.
Is shockwave therapy covered by private health insurance?
Shockwave delivered as part of a physiotherapy appointment may be covered under your physiotherapy benefit. We recommend contacting your insurer in advance to confirm your level of cover.
