Shockwave Therapy (ESWT) in Sydney

Extracorporeal Shockwave Therapy (ESWT) is a non-invasive treatment modality that uses acoustic pressure waves to stimulate healing in targeted tissues. At Max Bellaiche Osteopath, shockwave therapy is available as part of a comprehensive, evidence-informed osteopathic treatment approach across our three Sydney clinics.

Inquire Now 
Featured in

LOGO

logo

Logo

LOGO

What Is Extracorporeal Shockwave Therapy?

ESWT involves the application of high-energy acoustic waves to the affected area through a handheld applicator. A coupling gel is applied to the skin, and the device delivers controlled pulses of pressure to the underlying tissue. The term “extracorporeal” means the energy is generated outside the body and transmitted through the skin surface.

There are two main types of shockwave therapy:

•       Radial Shockwave Therapy (rSWT): Pressure waves are generated pneumatically (using compressed air) and radiate outward from the point of contact. This is the most commonly used form in clinical practice and is the type available at our clinics.

•       Focused Shockwave Therapy (fSWT): Pressure waves converge at a specific focal point deeper within the tissue. This form is typically used in hospital or specialist settings.


Our clinics use an EMS Swiss DolorClast radial shockwave device, which is widely recognised in clinical research and is one of the most well-studied shockwave devices available.

Conditions Commonly Assessed with Shockwave Therapy

  • Plantar fasciitis is one of the most well-studied conditions for shockwave therapy. ESWT is often considered when a patient has experienced persistent plantar heel pain that has not responded adequately to initial conservative measures such as stretching, load management, and footwear modification. The acoustic waves aim to stimulate a healing response in the chronically overloaded plantar fascia tissue.

  • Chronic Achilles tendon pain, whether at the mid-portion or insertion, may be considered for shockwave therapy as part of a broader management plan. ESWT aims to promote tissue remodelling and may help modulate pain in tendons that have become chronically sensitised. This is typically combined with progressive loading exercises.

  • When calcium deposits form within the rotator cuff tendons, they can contribute to significant shoulder pain and movement restriction. Shockwave therapy is one of the evidence-informed options considered for this condition, with research suggesting it may assist with pain management and, in some cases, facilitate the resorption of calcific deposits over time.

  • Chronic lateral elbow pain that has not responded to initial management may be assessed for suitability for shockwave therapy. The technique targets the common extensor tendon origin at the lateral epicondyle, aiming to stimulate a healing response in the affected tissue.

Evidence for Shockwave Therapy

Shockwave therapy has been the subject of considerable research over the past two decades. The current evidence base supports its consideration as a treatment option for several musculoskeletal conditions, particularly chronic tendinopathies that have not responded adequately to conservative management.

Key points from the research literature include:

•       Systematic reviews and meta-analyses have reported favourable outcomes for ESWT in the management of plantar fasciitis, with some studies suggesting clinically meaningful improvements in pain and function.

•       Research into ESWT for Achilles tendinopathy has shown promising results, particularly for chronic, insertional presentations.

•       Studies exploring ESWT for calcific tendinitis of the shoulder have demonstrated that shockwave therapy may assist with pain reduction and, in some cases, resorption of calcific deposits.

•       Research into ESWT for lateral epicondylalgia (tennis elbow) shows mixed but generally supportive findings, particularly for chronic presentations
.

It is important to note that while the evidence is encouraging, individual responses to shockwave therapy vary. Not all conditions respond equally, and treatment outcomes depend on factors including chronicity, severity, and the individual’s overall health and activity levels. Your osteopath will discuss the evidence relevant to your specific condition during your consultation.

What to Expect During Shockwave Therapy

Understanding what happens during a session can help reduce any anxiety you may have about the technique.

Before recommending shockwave therapy, your osteopath will conduct a thorough assessment to determine whether ESWT is appropriate for your presentation. Not all conditions are suitable for shockwave therapy, and certain contraindications (such as pregnancy, blood clotting disorders, or local infection) will be screened for. You will be fully informed about the procedure, expected sensations, and potential outcomes before any treatment begins.

Assessment and Suitability

A coupling gel is applied to the treatment area. The shockwave applicator is then placed against the skin and delivers controlled acoustic pulses. Treatment typically takes between 5 and 10 minutes per area. You will feel a rhythmic tapping or pulsing sensation, which can range from mildly uncomfortable to moderately intense depending on the area treated and the energy settings used. Your practitioner will adjust the intensity based on your feedback throughout the session.

During the Session

Some localised discomfort, redness, or mild swelling in the treated area is normal and typically resolves within 24 to 48 hours. You are generally encouraged to continue normal daily activities. Your osteopath will provide specific advice regarding activity modification and any complementary exercises following your session.

After the Session

Shockwave therapy is typically delivered as a course of 3 to 6 sessions, spaced approximately one week apart. The exact number of sessions will depend on your individual presentation, response to treatment, and the condition being managed. Your osteopath will discuss a recommended treatment timeline during your initial consultation and reassess your progress throughout.

Treatment Frequency

Book a Shockwave Therapy Consultation

Shockwave therapy is available at all three of our Sydney clinics. Book your initial consultation to discuss whether ESWT may be an appropriate component of your management plan.

 

•       Bondi Junction — Harley Place Health, Oxford Street. Next to Westfield, short walk from Bondi Junction station.

•       Sydney CBD — Sydney Osteopathic Medicine, Level 8, 109 Pitt Street. Near Wynyard and Martin Place stations.

•       Leichhardt — Rozelle Osteopath, Tebbutt Street. Easy street parking, serving the Inner West.

 

Consultations are available in English and French. Pour prendre rendez-vous en français, veuillez nous contacter directement.

 

BOOK NOW