What shockwave involves
Extracorporeal shockwave therapy sends mechanical pressure waves into a selected area through a device held against the skin. Focused systems concentrate energy at a chosen depth; radial systems spread pressure outward from the applicator. They differ in how energy reaches tissue, so a study of one system does not automatically describe the other.[1]
What the evidence shows
A 2024 review of 11 randomized trials reported reduced pain in plantar fasciopathy, a cause of heel pain, while also finding substantial variation between treatment settings and study results. The authors could not establish one best protocol. These findings should not be read as proof that shockwave works equally well for every painful muscle or tendon.[1]
NICE's guidance for persistent plantar fasciitis, originally published in 2009, describes inconsistent effectiveness and calls for clear consent and outcome monitoring. Taken together, the evidence supports a condition-specific conversation, rather than a promise of recovery or a fixed number of sessions.[2]
What to ask about a session
A typical procedure uses gel and an applicator over the selected area; tapping sounds and some discomfort can occur. Before arranging shockwave at A Healing Touch, ask which device is available, who performs it, and why it fits your situation. The practice's equipment and schedule should not be assumed to match a published study.[3]
Agree on a practical goal, such as walking more comfortably, and ask how progress will be reviewed. NICE emphasizes explaining uncertainty and recording outcomes. Ask what the next step would be if symptoms stay the same, rather than committing to further sessions without reassessment.[2]
Precautions to discuss
Tell the provider about pregnancy, blood-thinning medicines, reduced sensation, recent injections or surgery, and any wound or infection near the area. These details can affect suitability. Temporary soreness, redness or bruising can occur; rare tissue injury has also been reported. Ask for device-specific aftercare and have medication questions answered by your prescribing clinician.[3]