Focused Shockwave Therapy (FSWT) is a non-invasive physiotherapy treatment designed to address chronic and complex musculoskeletal conditions. It uses targeted soundwaves to stimulate healing, reduce pain and improve function in conditions such as tendinopathy, plantar fasciitis and calcifications.
Focused Shockwave Therapy uses targeted soundwaves delivered deep into tissues to:
FSWT can reach deeper tissue layers, enabling treatment for conditions like tendinopathies, plantar fasciitis and calcifications.
While both FSWT and ultrasound therapy use energy to stimulate tissues, they work in different ways.
Treatment approach
Often used as an adjunct to physiotherapy to ease discomfort and improve flexibility
Often applied when conditions are long-standing or less responsive to conventional treatments
Target depth
Primarily affects superficial soft tissues
Reaches deeper structures, including tendons, ligaments and areas of calcification
Common applications
Method
Uses concentrated acoustic waves delivered at higher energy levels to reach deeper tissues
Usually associated with a gentle warming sensation
May involve some mild discomfort at the treatment site, adjusted by the physiotherapist
Your physiotherapist will review your condition, medical history and treatment goals.
The shockwave device is positioned over the affected area, delivering focused acoustic energy in short bursts.
Treatment sessions are carried out during a standard physiotherapy appointment.
Is FSWT non-surgical?
How is focused shockwave therapy different from ultrasound therapy?
Focused shockwave therapy (FSWT) delivers concentrated sound waves into targeted areas, reaching deeper tissues than traditional ultrasound therapy, which tends to act more superficially.
What conditions can FSWT be considered for?
Research and clinical use suggest FSWT may be suitable for a range of musculoskeletal concerns, including:
Can FSWT be combined with other therapies?
Yes. FSWT is often used alongside high intensity laser therapy (HILT), exercise-based rehabilitation and other physiotherapy treatments.
What will I feel during treatment?
During FSWT, you may notice mild discomfort in the treated area. Your physiotherapist will adjust the treatment settings to match your condition and tolerance. It is generally recommended to rest the treated area for around 48 hours following the session.
How many sessions will I need?
A typical course involves approximately 5 sessions, usually delivered weekly. Your physiotherapist will review your progress and advise if additional sessions may be useful.
Am I suitable for FSWT?
Your physiotherapist will assess your medical history, current condition and treatment goals before recommending FSWT. While FSWT is appropriate for many people with tendon or musculoskeletal conditions, some situations require caution. An informed consent process is carried out before treatment to confirm suitability.
