Shockwave therapy for tendon pain
Tendon pain is one of the most common problems we treat with shockwave therapy. The injury is often caused by long-term overload of the tendon. The clinician uses shockwave therapy to stimulate the tendon, often together with strength training and a plan for how much the area can be loaded. You can book an appointment without a referral.
See available slotsWhat is tendon pain?
Tendon pain is called tendinopathy. The condition is related to load, and the pain typically comes when the tendon is used. The term tendonitis is common, but in long-term problems there is often little inflammation in the tendon.
The most common sites of overload are the rotator cuff in the shoulder, the attachments at the elbow, the patellar tendon, tendons in the gluteal muscles and the Achilles tendon.
What do the sources say about treatment?
Adapting load and gradual rehabilitation are central to treatment, but the research is not clear on which programmes work best. In the early stages it can help to reduce or change the load.
The research on shockwave therapy is mixed. For most conditions a British review found no statistically significant difference between shockwave therapy and placebo or no treatment. At Dr.Dropin the clinician considers whether shockwave therapy can be an addition to exercise and load management.
How does the treatment work?
Shockwave therapy uses high-energy acoustic waves that 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 it with examination and exercise guidance adapted to you.
When should you contact a doctor?
Problems that do not improve, or that get worse, should be reassessed. Tendon rupture is rare but can occur when the tendon is weakened. If you suddenly get severe pain and lose function in a tendon, contact a doctor.
Frequently asked questions about tendon pain
Is tendonitis the same as tendinopathy?
The terms are often used for the same thing. Professionals prefer tendinopathy, since long-term problems usually involve little inflammation in the tendon.
Should I rest when the tendon hurts?
In early stages it can help to reduce or change the load. NHI recommends adapting activity and avoiding movements that trigger pain, but not keeping the shoulder completely still.
Do I need a referral to book an appointment?
No, you can book an appointment without a referral from a GP.
Further reading
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.