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Technique

Shockwave Therapy (ESWT)

Shockwaves are high-frequency mechanical pulses sent into the tissues to stimulate the body’s natural healing process.

Shockwaves are high-frequency mechanical pulses sent into the tissues to stimulate the body’s natural healing process.

The technique

What is shockwave therapy (ESWT)?

Radial or focused shockwaves are high-frequency mechanical pulses sent into the tissues to stimulate the body’s natural healing process. In particular, they help to break up calcium deposits, improve blood supply and reduce chronic inflammation.

This therapy is particularly effective for chronic tendinopathies, persistent joint pain and muscle conditions that have not responded to conventional treatment.

Your doctor may prescribe shockwave therapy to relieve pain, promote tissue healing and speed up muscle and tendon recovery. This non-invasive technology uses high-energy acoustic pulses to stimulate cell regeneration and improve blood circulation.

Who is it for?

Indications and contraindications

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Indications

When is shockwave therapy recommended?

Shockwave therapy is used to treat a range of conditions, including:

  • Chronic tendinopathies (shoulder tendinitis, Achilles tendinitis, tennis elbow).
  • Plantar fasciitis and heel spurs (pain under the foot).
  • Deep muscle pain and muscle knots.
  • Calcific tendinitis (rotator cuff, hip).
  • Myofascial pain syndrome (trigger points and muscle tension).
  • Recovery after a sports injury or surgery.

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Contraindications

When is shockwave therapy not recommended?

Although safe and effective, this technique is contraindicated in certain cases:

  • A pacemaker or an electronic implant.
  • Deep vein thrombosis or blood clotting disorders.
  • Pregnancy (avoid application to the abdomen or pelvis).
  • Tumours or active infections in the treated area.
  • Immature bone areas (growth plates) in children.

A prior physiotherapy assessment is essential to make sure this therapy is right for your condition.

This technique can be combined with manual therapy, TECAR therapy or lymphatic drainage to maximise its effects.

The benefits

Shockwave Therapy in Physiotherapy

Fast, lasting pain relief thanks to an anti-inflammatory action.

Improved circulation and stimulated tissue regeneration.

A non-invasive alternative to injections or surgery.

Reduced calcifications and muscle adhesions.

Shockwave therapy (ESWT) in physiotherapy at start.physio

At start.physio, we use radial and focused shockwaves tailored to each condition, to optimise recovery and improve our patients’ quality of life. For physiotherapy sessions to be covered by your health or accident insurance, a medical prescription is required.

Our practices

Where can I get shockwave therapy?

Shockwave therapy is available at the following start.physio practices:

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You can also bring it to your first session.

Your questions

Answers to the questions you ask us most often.

Do I need a prescription?

Yes. For your sessions to be covered by your health or accident insurance, you need a medical prescription.

Does my insurance cover the sessions?

Illness: basic health insurance (LAMal). Accident: accident insurance (LAA). In some cases: disability insurance (LAI) or military insurance (LAM).

Do you offer home visits?

Yes, for people whose health prevents them from coming to a practice, and in nursing homes (EMS). A specific prescription for home physiotherapy is required: the doctor must write “at home” on it.

Can I cancel or reschedule an appointment?

Yes, but please let us know at least 24 hours in advance. Appointments missed without notice may be charged.

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