Ultrasound-Guided ESWT is an advanced, non-surgical treatment that uses high-intensity pressure waves to stimulate the body’s natural healing process and repair damaged tissues — without injections, medication, or surgery.

Shock waves are powerful pressure movements—similar to those produced by an explosion, earthquake, or a plane breaking the sound barrier—applied safely in medicine to treat chronic pain and musculoskeletal injuries.

With real-time musculoskeletal ultrasound guidance, our physiotherapists can accurately locate the injured tissue and direct the shockwaves precisely, ensuring safe, focused, and effective treatment.

ESWT is highly effective for plantar fasciitis, tennis elbow, rotator cuff tendinopathy, Achilles tendinitis, jumper’s knee, chronic muscle or fascial tightness and more!

ESWT works through two key mechanisms:

• Direct shockwave impact - trigger new tissue and bone formation.
• Cavitation effect - stimulate cellular repair, enhance blood vessel growth, and accelerate pain relief and healing.

Together, these effects activate powerful biological responses:

✅ Reduce pain
✅ Decreases inflammatory response
✅ Promote tissue regeneration
✅ Increases blood circulation
✅ Breaks down calcifications
✅ Stimulates collagen production
✅ Speeds up the overall healing process

It is generally not recommended to take non-steroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen, naproxen, aspirin) before treatment.
🔹 NSAIDs reduce inflammation, which is a key part of the healing process triggered by ESWT.
🔹 Using NSAIDs before treatment may reduce ESWT’s effectiveness.

Yes, but it’s important to wait about 6 weeks after the injection before starting treatment. This gives your tissues time to heal safely.

Combining High Power Laser Therapy (HPLT) with Extracorporeal Shockwave Therapy (ESWT) enhances both comfort and effectiveness.

HPLT is applied before ESWT to reduce pain, inflammation, and improve circulation, allowing patients to tolerate higher energy levels safely — essential for optimal healing.

Studies show patients can tolerate up to 50–100% higher ESWT energy when HPLT is applied before treatment.

Clinical Benefits:

• Less pain and greater comfort
• Stronger biological healing response
• Faster recovery with fewer sessions
• Improved treatment satisfaction and results