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