Physiotherapy service

Shockwave therapy

Radial shockwave therapy (RSWT) with deep vibration for chronic musculoskeletal pain and tendinopathies.

01 /Service description

Radial Shockwave Therapy (RSWT) is a non-invasive method in which the MASTERPULS® R-SW100 device transmits acoustic pressure waves into tissue. It is used mainly for selected chronic tendinopathies and other musculoskeletal concerns. The exact clinical mechanism is not fully understood, and results vary by condition and protocol.

When appropriate, treatment may be complemented by the V-ACTOR® vibration handpiece to support perceived relaxation and reduce muscle tightness. Vibration is an adjunct and does not replace active rehabilitation.

Watercolor sketch of shockwave therapy being applied near a patient’s hip.
02 /Indications & benefits

Who it is for.

Who it is for

This therapy is used mainly for chronic musculoskeletal pain and tendinopathies. For symptoms related to calcific tendinopathy, the evidence base is more limited, so indication is assessed individually. The most common conditions treated include:

  • Plantar fasciitis: heel/arch pain; a heel spur may be present, but it is not the same condition.
  • Calcific tendinopathy: selected cases after prior indication assessment.
  • Tendinopathies: Tennis/Golfer's elbow (epicondylitis), Achilles tendinopathy.
  • Myofascial Pain Syndromes: Trigger points within the muscles.

Key benefits

Possible clinical goals depend on the diagnosis and individual response:

  • Pain and function: for some tendinopathies, treatment may contribute to improved symptoms and load tolerance.
  • Calcific tendinopathy: in selected patients, the aim is mainly pain and function management, not guaranteed breakdown of calcium deposits.
  • Muscle tension: vibration may briefly reduce perceived tightness for some patients.
  • Uncertainty: evidence is limited or inconsistent for some indications, so improvement cannot be guaranteed.
03 /Treatment process

How the treatment works.

The procedure is tailored to the individual and consists of two phases:

  • Preparation: The therapist locates the painful area and applies a coupling gel to ensure the transmission of sound waves.
  • Shockwave Phase: Using the MASTERPULS® probe, therapeutic shockwaves are applied. The patient may feel manageable discomfort; intensity is adjusted in real time to the patient's tolerance.
  • Vibration Phase (V-ACTOR®): when appropriate, the vibration handpiece is used as support for perceived muscle relaxation.
  • Duration: application often lasts approximately 10–15 minutes. The number and spacing of visits are determined by the indication, tolerance, and response.

Availability

Available as self-pay.

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