Evidence
Research and evidence
A balanced summary written for patients. We describe the state of the evidence rather than selecting only the findings that favour treatment.
Quick answer
Shockwave therapy has been studied across several musculoskeletal conditions, most extensively plantar fasciitis, Achilles tendinopathy, lateral elbow tendinopathy and calcific shoulder tendinopathy. Findings are mixed and vary by condition, device, treatment parameters, study quality and the rehabilitation delivered alongside it.
Why results differ between studies
- Different devices and wave types (radial vs focused)
- Different energy levels, impulse counts and session intervals
- Differences in patient selection and symptom duration
- Variation in the rehabilitation programme provided alongside treatment
- Small sample sizes in some trials
- Differences in outcome measures and follow-up length
- Publication and reporting bias
What this means for you
- Shockwave is an option to consider, not a guaranteed solution
- It is most often studied as an adjunct to exercise, not a replacement
- Chronic, persistent presentations are the usual research context
- Response should be reviewed rather than assumed
- If it is not helping, the plan should change
How we talk about evidence
We avoid phrases such as “miracle cure”, “guaranteed results”, “permanent pain relief” or “proven for everyone”. Where the evidence is uncertain, we say so, and we will tell you when a different treatment pathway is likely to serve you better.
Reading the literature yourself
If you want to review the research, look for systematic reviews and randomised controlled trials for your specific condition, published in peer-reviewed journals and indexed on databases such as PubMed or the Cochrane Library. Ask your clinician to help interpret findings in the context of your own presentation.
Medical disclaimer. Information on this website is provided for general education and does not replace an individual clinical diagnosis or medical advice. Shockwave therapy is not suitable for every person or every condition. A qualified clinician must assess suitability.
Written by the Back2Health physiotherapy and rehabilitation team · Clinically reviewed by the Back2Health clinical team · Last reviewed 3 August 2026
Find out whether shockwave is right for your condition
Start with a clinical assessment. The Back2Health team will evaluate the source of your symptoms, explain whether shockwave is appropriate and build a rehabilitation plan around your goals.