Plantar Fasciitis & Chronic Heel Pain
Sharp heel pain, worst on the first steps of the morning
Aggravated by: Standing, walking and running after rest
Chronic heel pain is one of the more frequently studied indications for shockwave therapy, and it may be considered when symptoms persist despite an appropriate period of load management and exercise.
Achilles Tendinopathy
Pain and stiffness in the Achilles tendon or its heel attachment
Aggravated by: Running, jumping and hills; stiff in the morning
Shockwave is studied in both mid-portion and insertional presentations and may be considered when tendon pain persists despite a well-executed loading programme.
Tennis Elbow (Lateral Elbow Tendinopathy)
Pain on the outer elbow with gripping and lifting
Aggravated by: Typing, tools, racquet sports and carrying
Lateral elbow tendinopathy is a commonly considered indication when symptoms persist beyond an appropriate period of load management and progressive loading.
Golfer's Elbow (Medial Elbow Tendinopathy)
Pain on the inner elbow with gripping and lifting
Aggravated by: Golf, gym pulling, carrying and manual work
It may be considered when medial elbow tendon pain persists despite an appropriate loading programme and activity adjustment.
Calcific Shoulder Tendinopathy
Shoulder pain with lifting, often with night pain
Aggravated by: Overhead reaching, dressing and lying on the shoulder
Calcific tendinopathy is a recognised indication in the shockwave literature, and imaging plus accurate diagnosis are particularly important here. The type of technology available can be relevant to the clinical decision.
Rotator Cuff-Related Shoulder Pain
Pain and weakness with overhead or reaching movements
Aggravated by: Overhead work, gym pressing and lying on the shoulder
Shockwave has a smaller role here than in clearly calcific presentations, and is only considered when assessment supports it as an adjunct to loading.
Patellar Tendinopathy (Jumper's Knee)
Pain just below the kneecap with jumping and landing
Aggravated by: Jumping, squatting, stairs and running
It may be considered where tendon pain persists despite a structured heavy slow loading programme.
Greater Trochanteric Pain Syndrome
Pain on the outer hip, often worse lying on that side
Aggravated by: Side-lying, stairs, walking and crossing legs
It may be considered as an adjunct where outer hip tendon pain persists despite compression management and progressive loading.
Proximal Hamstring Tendinopathy
Deep buttock pain at the sit bone, worse when sitting
Aggravated by: Sitting, sprinting, hills and hinging movements
It may be considered as an adjunct when symptoms persist despite a well-structured loading programme.