Used primarily in degenerative tendon disorders.

  • Plantar fasciitis & plantar fibromatosis (Ledderhose’s)
  • Achilles tendinopathy
  • Patellar tendinopathy
  • Lateral trochanteric syndrome (lateral hip pain)
  • Elbow epicondylitis (tennis elbow & golfer’s elbow)
  • Shoulder - calcific tendinitis & adhesive capsulitis (frozen shoulder)

Main effects are:

  • Pain relief
  • Tissue regeneration
  • Destruction of calcification

Mechanism of effect on tendons:

  • Mechanical loading leads to cellular response & protein synthesis
  • Tenocyte cell growth
  • Collagen synthesis
  • Vascularization at the bone-tendon junction

Treatment course:

  • Treatments once every 7-14 days
  • Usually 4-5 treatments in total
  • Treatment painfree
  • Able to continue all other treatment / rehabilitation