Shockwave therapy for Achilles pain
Shockwave therapy is used for Achilles tendinopathy, often together with loading exercises. The clinician first examines where the pain is and what triggers it, and considers whether shockwave therapy can be an addition to exercise and load management. You can book an appointment without a referral.
See available slotsWhat is Achilles pain?
Pain in the middle of the Achilles tendon, more than two centimetres above the insertion, is called midportion Achilles tendinopathy and is often described as Achilles tendonitis. The condition is common in runners but can affect others as well.
The pain typically comes with load, for example while running. Many feel stiffness in the tendon for hours to days after a session, and morning stiffness is regarded as an early sign.
What do the guidelines say?
The 2024 guideline for Achilles pain recommends load training as the first choice and gives this recommendation the highest level of evidence. Shockwave therapy has no recommendation in the guideline. Complete rest is not recommended.
In studies, shockwave therapy has had a similar effect to exercises alone, and NHI describes that it may have an effect on pain during the first year. The treatment is therefore a possible addition, not a replacement for load training.
How does the treatment work?
Shockwave therapy uses high-energy acoustic waves. The waves are sent through the skin and focused on the affected area. Treatment is usually given about one week apart, and the number of treatments varies with the condition.
The clinicians combine shockwave therapy with examination, loading exercises and guidance adapted to you.
When should you contact a doctor?
If you get a sudden snap and severe pain in the calf and cannot stand on your toes, the tendon may have ruptured. Contact a doctor immediately. If the symptoms do not improve after a period of adapted loading, or get worse, they should be reassessed.
Frequently asked questions about Achilles pain and shockwave therapy
Does shockwave therapy help for Achilles pain?
The research is mixed. In studies shockwave therapy has had a similar effect to exercises alone, and the guideline gives no recommendation on the method. Load training is the first choice.
Should I rest when my Achilles tendon hurts?
The guideline does not recommend complete rest. You should stay active within what the pain allows and train loading of the tendon.
How long does Achilles pain last?
It varies. The symptoms often improve within days to weeks with relief, but rehabilitation often takes several months.
Do I need a referral to book an appointment?
No, you can book an appointment without a referral from a GP.
Further reading
These pages go deeper into the topic:
Clinical responsibility
Daniel Vestøl is clinically and medically responsible at Dr.Dropin Fysikalske. This page gives general information and does not replace an examination by a healthcare professional.