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General enquiries:
+44 (0)207 935 4444
Book an appointment:
+44 (0)207 616 7693
Self-pay enquiry:
+44 (0)203 219 3315

What is Extracorporeal Shockwave Therapy?

Extracorporeal Shockwave Therapy (ESWT) is a non invasive, non surgical, drug free procedure for the treatment of chronic (long term) tendon pain. A shockwave is an acoustic energy wave. It is created outside of the body (extracorporeal) by compressed air, which the physiotherapist then directs onto the effected tissue via a hand held device.

Shockwave therapy being applied to the knee

How does ESWT work?

ESWT has two main modes of action that help with chronic tendon pain.

First the shockwaves work to desensitise the nerve endings, which will often reduce some pain immediately. 
Secondly, the treatment initiates a pro-inflammatory reaction within the body, increasing blood circulation and metabolism, which "re-boots" the tendons failed healing response.

Is ESWT safe?

The safety of ESWT has been proven following extensive clinical use and the National Institute of Clinical Excellence (NICE) has written full guidance on its use.

What conditions can ESWT treat?

ESWT is effective at treating chronic tendon problems and the associated pain, even when other conventional treatments have failed. Specific conditions are as follows:

  • Calcific tendonitis of the shoulder
  • Tennis elbow
  • Greater Trochanteric Pain Syndrome
  • Hamstring  tendinopathy
  • Patella  tendinopathy
  • Plantar Fasciitis
  • Achilles  tendinopathy


Shockwave is more effective with a specific rehabilitation protocol relevant to your current injury. The physiotherapy team at the Clinic will assess and treat any biomechanical issues such as posture, alignment, gait, running style, and muscle length and strength issues, which may have contributed to your tendon problem. This will improve your likelihood of a full recovery.

If you have been suffering with a chronic tendon injury and previous treatment has failed to resolve it, then contact the physiotherapy department for more information on ESWT and how we can help you.


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Facilitating acute admissions into The London Clinic whilst maintaining the highest levels of safety and care, supported by a consultant on-call rota.

Concierge service

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We can support our patients with travel, hotel accommodation, London tours, plus theatre and restaurant reservations.

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Main numbers

General enquiries: 020 7935 4444Appointments: 020 7616 7693Self-pay: 020 3219 3315

Other numbers

Concierge service: 020 3219 3323International office: 020 3 219 3266Invoice and payment enquiries: 020 7616 7708

Your call may be recorded for training and monitoring purposes.

Medical service numbers

Breast services appointments: 020 7616 7653 Diagnostics appointments: 020 7616 7653 Endoscopy appointments: 020 7616 7760 Eye centre appointments: 020 7616 7768 Haematology appointments: 020 7535 5503 Kidney services appointments: 020 7224 5234 Liver services appointments: 020 7616 7719 Physiotherapy appointments: 020 7616 7651 Radiology appointments: 020 7616 7653

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