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Sports physio Maryke explains how to use shockwave treatment for plantar fasciitis and tendinopathy or tendonitis (e.g. gluteal, high hamstring, and Achilles tendinopathy). She discusses the benefits of shockwave therapy and how many sessions you might need. She also looks at the most common side effects, why shockwave therapy might increase your pain, and also whether shockwave can cause permanent damage. 🌟Need help with an injury? You’re welcome to consult one of the team at SIP via video call for an assessment of your injury and a tailored treatment plan: https://www.sports-injury-physio.com/ 🧾 Here is our library with articles and videos on the various types of tendon injuries, as well as plantar fasciitis: ➡️ Gluteal tendinopathy: https://www.sports-injury-physio.com/tendinopathy/gluteal ➡️ High hamstring tendinopathy: https://www.sports-injury-physio.com/tendinopathy/proximal-hamstring ➡️ Distal hamstring tendinopathy: https://www.sports-injury-physio.com/tendinopathy/distal-hamstring ➡️ Adductor tendinopathy: https://www.sports-injury-physio.com/tendinopathy/adductor ➡️ Patellar tendinopathy: https://www.sports-injury-physio.com/tendinopathy/patellar ➡️ Tibialis posterior tendinopathy: https://www.sports-injury-physio.com/tendinopathy/tibialis-posterior ➡️ Peroneal tendinopathy: https://www.sports-injury-physio.com/tendinopathy/peroneal ➡️ Abdominal tendinopathy: https://www.sports-injury-physio.com/tendinopathy/abdominal ➡️ Achilles tendonitis/tendinopathy (our other website): https://www.treatmyachilles.com/achilles-articles/achilles-tendonitis-tendinopathy ➡️ Plantar fasciitis (YouTube Playlist): https://www.youtube.com/playlist?list=PLkRW4ITRa6bD1cDrp0MK5hlWaam8nd0d1 📚 Chapters in this video: 00:00:00 Introduction 00:01:30 Types of shockwave 00:02:30 How does shockwave work? 00:07:29 Why wait 3 months? 00:09:44 What type works best? 00:10:48 Shockwave protocols 00:12:55 Side effects 00:15:56 What else matters? 00:17:43 How we can help 📰 Subscribe to the Sports Injury Physio e-newsletter: https://geni.us/sipnews ------------------- 🖥️Some of the software we use to run our online physiotherapy practice: ➡️ Website hosting and management - Wix: https://geni.us/AFJ8LK ➡️ Appointment scheduling - Acuity: https://geni.us/zf6t ➡️ Video consultations - Zoom One (Pro): https://geni.us/MXVy6 ➡️ Rehab exercise library - Wibbi: https://geni.us/5QVD1 (Free trial plus discount via this link) ➡️ Patient satisfaction survey - Typeform: https://geni.us/nddjZ ➡️ In-house task planner - Notion: https://geni.us/W2JanX ➡️ Patient notes - Cliniko: https://geni.us/3LLu7Km (Get £30 off your subscription via this link) ➡️ Bookkeeping - FreeAgent: https://geni.us/Vk0UHec (Get 10% off your subscription via this link) ➡️ Taking online payments - Square: https://geni.us/YhkAHO (Get a choice of rewards via this link) 👉 Some links here are to places where you can buy something relevant. If you do, we might get a small commission at no extra cost to you. References: Burton, I. (2021). Extracorporeal Shockwave Therapy for the Treatment of Tendinopathies: Current Evidence on Effectiveness, Mechanisms, Limitations and Future Directions. Current Physical Medicine and Rehabilitation Reports, 9(4), 163-176. Rau, O. R., Cheng, J., Jivanelli, B., Tenforde, A. S., & Wyss, J. F. (2025). Extracorporeal Shockwave Therapy for Tendinopathies Around the Hip and Pelvis: A Systematic Review. HSS Journal, 15563316251332189. Majidi, L., Khateri, S., Nikbakht, N., Moradi, Y., & Nikoo, M. R. (2024). The effect of extracorporeal shock-wave therapy on pain in patients with various tendinopathies: a systematic review and meta-analysis of randomized control trials. BMC Sports Science, Medicine and Rehabilitation, 16(1), 93. Rhim, Hye Chang, Jaehyung Shin, Jane Kang, Paige Dyrek, Zack Crockett, Pearl Galido, Carrie Wade et al. "Use of extracorporeal shockwave therapies for athletes and physically active individuals: a systematic review." British Journal of Sports Medicine 58, no. 3 (2024): 154-163. Catapano, M., Robinson, D. M., Schowalter, S., & McInnis, K. C. (2022). Clinical evaluation and management of calcific tendinopathy: an evidence-based review. Journal of Osteopathic Medicine, 122(3), 141-151. Fansa, A., Talsania, A. J., Kennedy, J. G., & O'Malley, M. J. (2021). Efficacy of unfocused medium-intensity extracorporeal shock wave therapy (MI-ESWT) for plantar fasciitis. The Journal of Foot and Ankle Surgery, 60(3), 471-476. Argyropoulou, E., Sakellariou, E., Karampinas, P., Rozis, M., Galanis, A., Kolovos, I., ... & Pneumaticos, S. (2025). A case report of Achilles tendon distractive rupture after shock wave therapy. Journal of Surgical Case Reports, 2025(4). Shim, J. S., Chung, S. G., Bang, H., Lee, H. J., & Kim, K. (2015). Ulnar neuropathy after extracorporeal shockwave therapy: a case report. PM&R, 7(6), 667-670.