Shockwave therapy is a non-invasive modality that delivers mechanical energy into tissue. In musculoskeletal rehabilitation it is commonly discussed for selected tendon and plantar-heel problems, but suitability depends on diagnosis, chronicity, contraindications and the broader rehabilitation plan.

Key points

  • Shockwave is not appropriate for every painful muscle or tendon.
  • Treatment can feel uncomfortable but intensity can be adjusted.
  • The target tissue and treatment goal should be clear.
  • Progressive loading or exercise is often needed alongside the modality.

What a physiotherapy assessment can add

A physiotherapist should assess the painful area, screen contraindications and decide whether shockwave is indicated at the current stage of recovery.

Practical next steps

Judge progress by meaningful activities such as walking, gripping, running or work tolerance rather than by immediate post-treatment sensation alone.

When to seek medical care

Bleeding risk, pregnancy, infection, suspected fracture, certain treatment locations and other medical factors require screening before shockwave.