Shockwave Therapy (ESWT)
Shockwave Therapy is an evidence-based treatment that is particularly effective for stubborn tendon problems, plantar fasciitis, tennis elbow, shoulder tendinopathy, and other chronic soft tissue conditions that haven't responded to conventional treatment.

Introduction
Extracorporeal Shockwave Therapy (ESWT) is a non-invasive, evidence-based treatment that uses high-energy acoustic waves to stimulate the body's natural healing processes in chronically painful soft tissue conditions.
When tendons and soft tissues become 'stuck' in a chronic state of pain and failed healing, shockwave therapy can kick-start the repair process — promoting blood flow, new blood vessel formation, and cellular repair in tissues that have stopped responding to rest, exercises, or conventional treatment.
At Complete Recovery Physio in Marple, we use shockwave therapy as part of a comprehensive treatment approach — not in isolation. Your physiotherapist will assess whether shockwave is appropriate for your condition and combine it with hands-on treatment, rehabilitation exercises, and expert advice for the best possible outcome.

Common Symptoms
- Persistent heel pain, especially first thing in the morning
- Pain at the back of the heel that won't settle with rest
- Tenderness on the outside or inside of the elbow
- Shoulder pain with restricted movement and lifting
- Pain at the front of the knee, especially with jumping or stairs
- Pain on the outside of the hip when lying on that side
- Tendon pain that has lasted more than 3 months despite rest and exercises
- Discomfort that returns as soon as you resume activity
Common Causes
- Chronic tendon overuse from repetitive sport or work activities
- Sudden increases in training load, distance or intensity
- Age-related tendon changes that reduce healing capacity
- Failed healing from a previous acute injury that became chronic
- Biomechanical factors — flat feet, tight calves, poor technique
- Inadequate rehabilitation following an initial injury
- Underlying inflammatory or metabolic conditions affecting tendon health
- Prolonged rest followed by sudden return to full activity
Who Physiotherapy Can Help
Shockwave therapy is specifically designed for people with chronic soft tissue conditions — typically tendon problems that have persisted for more than three months and haven't responded to rest, conventional physiotherapy, or other treatments.
If you've been told to 'just rest it' and it hasn't got better, or you're considering injections or surgery, shockwave therapy offers a highly effective, non-invasive alternative. It's suitable for active adults, athletes, and anyone whose daily life or sport is being limited by a stubborn tendon problem. Our physiotherapist will assess your condition and advise whether shockwave is the right option for you.
Ready to Start Your Shockwave Therapy (ESWT) Treatment?
Book your assessment today and get a clear diagnosis, hands-on treatment, and a personalised recovery plan.
Your Assessment
Before starting shockwave therapy, your physiotherapist will carry out a thorough assessment to confirm your diagnosis and ensure shockwave is the right treatment for your condition.
This includes a detailed history, hands-on examination, and specific tests to identify the exact tissue involved and the severity of your problem. We'll also review any previous treatments you've tried and their outcomes. In some cases, we may recommend imaging (such as an ultrasound scan) to confirm the diagnosis before beginning treatment. This careful assessment ensures you get the right treatment at the right time.
Your Treatment Plan
Shockwave therapy is delivered as a short, focused treatment session, typically combined with a structured rehabilitation programme for the best results.
Assessment
A thorough assessment confirms your diagnosis and ensures shockwave is appropriate for your condition.
Treatment
The shockwave probe is applied to the painful area for 5–10 minutes, delivering targeted acoustic waves to stimulate healing.
Rehab Plan
Specific loading exercises support the healing process and rebuild tendon strength and capacity.
Review & Progress
We monitor your response and adjust your plan, typically over 3–5 sessions spaced one week apart.
Treatment Techniques
Expected Recovery
Most patients require 3–5 shockwave sessions, spaced one week apart. Many people notice improvement after just one or two sessions, with continued improvement over the course of treatment.
Full healing continues for weeks after treatment ends, as the stimulated tissue repair process takes time to complete. You can usually return to normal activities after each session, though we may advise avoiding strenuous activity for 24–48 hours. Shockwave therapy is most effective when combined with a structured rehabilitation programme — we'll provide exercises and advice to support the healing process and prevent the problem from returning.
Everything You Need to Know Before Booking
No GP referral needed. Direct access appointments available — often same-day or within a few days.
What Happens at Your First Appointment
Your first session is a 45-minute comprehensive assessment. We start by listening — understanding your symptoms, your history, and what you want to get back to. We then carry out a thorough hands-on physical examination to identify the root cause of your problem. You'll receive a clear explanation of what's going on, a personalised treatment plan, and hands-on treatment begins in that very first session. You leave knowing exactly what's wrong, what we'll do about it, and how long recovery will take.
What Should I Wear?
Wear comfortable, loose-fitting clothing that allows easy access to the area we're treating. For knee, hip, or leg problems, shorts are ideal. For shoulder, neck, or back issues, a loose top or vest works well. You'll never be asked to undress beyond what's necessary for examination and treatment, and you'll always be treated with dignity and respect in our private treatment room.
How Many Sessions Will I Need?
This depends on your condition, how long you've had it, and your goals. Many patients feel significant improvement within 3–6 sessions. Acute injuries often resolve faster, while long-standing or complex conditions may need more. We'll give you a clear treatment timeline at your first appointment — and we only ever recommend sessions you genuinely need. Our goal is to get you independent and pain-free as quickly as possible, not to keep you coming back.
Can I Claim Through Insurance?
Yes. We are recognised by most major health insurance providers including AXA, Vitality, Bupa, WPA, and Healix. We can bill your insurer directly so you don't need to pay upfront — simply bring your insurance authorisation number to your appointment. If you're not sure whether you're covered, call us and we'll help you check before you book.
Treated by a Qualified, Experienced Professional

Rob Wood
Head Physio & Clinic Owner
Meet Rob, founder of Complete Recovery Physiotherapy in Marple.
Shockwave Therapy (ESWT) Frequently Asked Questions
Why Choose Complete Recovery Physiotherapy?
Evidence-Based Approach
We use shockwave only when it's clinically indicated, based on the latest research and your individual assessment.
Not Just Shockwave
We combine ESWT with hands-on treatment and rehab exercises — addressing the whole picture, not just the painful spot.
Certified Practitioners
Our physiotherapists are specifically trained and certified in shockwave therapy delivery.
Thorough Assessment First
We confirm your diagnosis before starting treatment, so you know shockwave is the right choice for your condition.
Clear Recovery Plan
You'll leave every session with specific exercises and advice to support healing between treatments.
Free Parking at Bowden Hall
Convenient Marple location with free parking right at the clinic door — easy weekly visits.
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Expert, hands-on physiotherapy in Marple. Free parking. Same-day and short-notice appointments often available.
Ready to Start Your Recovery?
Book your assessment today and take the first step towards a pain-free, active life. Free parking at our Marple clinic.



