What Is ESWT (Shockwave Therapy)?

ESWT (Extracorporeal Shock Wave Therapy) is a physiotherapy method that sends high-energy sound waves into the tissue through a device to trigger the healing process. It's chosen as part of an exercise programme for tendon complaints — like a heel spur, tennis elbow, or Achilles tendon issues — that haven't gone away for weeks and don't resolve with rest alone.

Which complaints is it used for?

ESWT is most commonly used for morning pain caused by a heel spur and plantar fasciitis, for tennis and golfer's elbow, for Achilles tendon complaints that haven't resolved for a long time, and for calcified tendon pain in the shoulder. Their common feature is being chronic tendon complaints that don't resolve on their own with rest.

Is it a painful application?

Some impact sensation and a degree of discomfort may be felt in the area during the application. The dose is adjusted to a level the person can tolerate; the intensity is lowered if discomfort is felt.

How many sessions are needed?

The number of sessions varies depending on how long the complaint has lasted and the area involved; usually a few sessions are planned, spaced about a week apart. The response to the previous session is reassessed before each new one.

Who shouldn't have it applied?

ESWT isn't applied in situations like pregnancy, a bleeding disorder, active infection in the area to be treated, or suspected tumour. That's why a detailed history is taken before application, and a physician's opinion is sought when needed.

Is it enough on its own?

No. For ESWT's effect to be lasting, it's used together with loading and strengthening exercises; it isn't offered as a standalone solution. Avoiding heavy loading in the first days after application is recommended; return to sport or intense activity is planned individually after assessment.

Fzt. Aydın Ali runs ESWT application in Bursa Nilüfer alongside an exercise programme for chronic tendon and heel complaints. You can book an appointment.