What Is ESWT?

ESWT (Extracorporeal Shock Wave Therapy) is a treatment method frequently researched by individuals experiencing heel pain and tendon-related problems. It is based on the principle of focusing high-energy sound waves on the targeted tissue.

During the procedure, the integrity of the skin is not disrupted; the treatment is performed entirely externally. For this reason, ESWT may be considered a non-surgical approach in many musculoskeletal conditions.

How Does ESWT Work?

Shock waves may create micro-level biomechanical effects in the treated area. These effects are associated with:

• Supporting blood circulation
• Stimulating the tissue healing response
• Modulating pain perception

However, the response may vary for each patient. Therefore, ESWT treatment should be planned individually.

For Which Conditions Is ESWT Applied?

Shock wave therapy is generally evaluated in the following conditions:

• Heel Spur and Plantar Fasciitis

It may be considered a supportive option in chronic heel pain.

• Tennis Elbow (Lateral Epicondylitis)

It may be applied in long-standing tendon problems around the elbow.

• Achilles Tendinopathy

It may be evaluated in chronic strain and pain of the Achilles tendon.

• Calcific Tendinitis of the Shoulder

It may be used as a supportive approach in shoulder pain related to calcium deposits.

• Patellar Tendinitis

In some cases, it may be applied for tendon pain below the kneecap.

Suitability must always be determined after clinical examination.

Pre-Treatment Evaluation Process

The pre-treatment evaluation is important for safe and appropriate planning of ESWT.

• Clinical Examination: The duration and severity of pain and previously applied treatments are evaluated.
• Imaging Requirements: Ultrasound, MRI, or X-ray may be used when necessary.
• Eligibility and Indication: ESWT may not be suitable for every pain condition. The decision is made based on the individual’s overall health status.

Who Should Not Receive ESWT?

In some cases, ESWT may not be recommended. Physician evaluation is required in the following situations:

• Pregnancy
• Bleeding disorders
• Active infection in the treatment area
• Areas with suspected tumors

The final decision should always be made after physician assessment.

What Is the ESWT Session Process Like?

An ESWT session is generally performed as follows:

• The treatment area is identified.
• A gel is applied and the device head is placed on the skin.
• Shock waves are delivered for a specific duration.

Session Duration: Usually between 10–20 minutes.

How Many Sessions Are Required? The number of sessions may vary depending on the type and duration of the condition. In most cases, several sessions may be planned.

Is the Procedure Painful? Patients may feel mild discomfort. Severe pain is not expected. Sensitivity may vary from person to person.

Post-ESWT Considerations

• Avoiding excessive strenuous activities may be recommended.
• Following the physician’s advice is important.
• In most cases, a quick return to daily life is possible.

Possible Side Effects and Risks of ESWT

• Redness at the application site
• Mild bruising
• Temporary tenderness

These effects are generally short-term and usually resolve on their own.

Frequently Asked Questions About ESWT