How Does Radial Shockwave Therapy Work?

What is radial shockwave therapy? Acoustic pulse waves travel through soft tissues to create controlled mechanical stress, boosting circulation, modulating pain signaling, and helping remodel stubborn tendon and fascia tissue. What technology do we use? We use Chattanooga radial shockwave at our Moosapet, Hyderabad facility—a versatile, clinic-proven technology ideal for most tendon and fascia conditions in the foot, ankle, knee, hip, shoulder, and elbow. Plantar fasciitis is one of the most common foot conditions affecting runners, walkers, and anyone who spends long hours on their feet. That sharp, stabbing heel pain when you first step out of bed or after sitting—that's plantar fasciitis. At DakshinRehab Moosapet, Hyderabad, our plantar fasciitis treatment program combines Chattanooga radial shockwave therapy to break down adhesions and stimulate healing, custom foot orthotics to correct biomechanical faults, and progressive loading exercises to build tissue capacity. Our 3D gait analysis identifies the root cause—overpronation, tight calves, or improper footwear—and our pressure mapping ensures your orthotics offload the plantar fascia effectively. Most patients see 70-80% improvement within 6-8 sessions. For athletes with ACL injuries requiring specialized rehabilitation, our ACL reconstruction rehabilitation program integrates return-to-sport protocols. How is treatment customized? Typical parameters are individualized: 1.5–4.0 bar pressure, 8–15 Hz frequency, 1500–3000 pulses per session, adjusted to comfort and tissue tolerance for optimal healing response. For comprehensive movement evaluation and injury risk assessment, our 3D gait analysis assessment technology identifies biomechanical patterns that contribute to sports injuries.

  • <a href="/services/plantar-fasciitis-treatment">Plantar fasciitis</a>, Achilles tendinopathy
  • Tennis/golfer's elbow, calcific shoulder
  • Patellar tendinopathy (jumper's knee)
  • Hamstring, gluteal, adductor tendinopathy
  • Greater trochanteric pain syndrome (hip)
  • Non-invasive, 10-15 minute sessions
  • Complements loading and manual therapy
  • Targets stubborn, poorly-circulated tissues
  • Minimal downtime, return same day
  • Sport-specific return-to-play progressions

Return-to-play pathway: calm pain with shockwave, build capacity with staged loading, add energy-storage drills (hops/plyometrics), then sport-specific progressions. We personalize timelines to your league calendar and testing milestones.

- DakshinRehab Sports Medicine Team

1

Assess & Diagnose

Comprehensive clinical examination confirms diagnosis (e.g., plantar fasciitis, Achilles tendinopathy, tennis elbow) and maps tender points, function limits, and load tolerance. We review imaging if available, assess biomechanics and movement patterns, and establish baseline pain, strength, and functional testing scores to track progress.

2

Prime & Treat with Shockwave

Brief soft-tissue mobilization or mobility prep as indicated, then apply Chattanooga radial shockwave across the lesion and pain referral zones (1500–3000 pulses, 1.5–4.0 bar, 8–15 Hz—adjusted to comfort). Treatment targets stubborn tendon/fascia tissue where circulation is poor, creating controlled mechanical stress to stimulate healing.

3

Load & Rebuild Capacity

Follow shockwave with graded isometrics and slow heavy loading matched to tendon stage (isometric → isotonic → energy-storage drills). Between sessions: stage-based exercises, daily activity in the 'mild and settling' zone, footwear/ergonomic adjustments. Typical plan: 3-6 weekly sessions with progressive loading homework.

4

Return-to-Play & Performance

As pain eases and load tolerance improves (weeks 4-8), introduce energy-storage drills (small hops, plyometrics) and sport-specific progressions (cutting, acceleration, throwing mechanics). Testing milestones guide clearance. Maintenance program with periodic check-ins ensures sustained performance and prevents recurrence.

01

Phase 1: Pain Control & Early Loading (Weeks 0-2)

Goal: calm pain sensitivity and initiate tissue healing. Begin shockwave sessions (session 1-3, weekly). Start isometric loading at comfortable resistance to maintain strength without aggravating symptoms. Educate on activity modification: keep daily tasks in 'mild and settling' zone, avoid high-impact spikes. Footwear/orthotic adjustments as needed. Reduce inflammation with ice or modalities.

02

Phase 2: Build Capacity with Progressive Loading (Weeks 2-6)

Goal: restore load tolerance and tissue quality. Continue shockwave (sessions 4-6, weekly or biweekly). Progress to isotonic slow-heavy loading: eccentric heel drops for Achilles, heavy eccentrics for patellar, wrist extensions for tennis elbow. Increase volume and intensity gradually. Monitor pain response: symptoms should settle within 24 hours. Maintain activity pacing.

03

Phase 3: Energy-Storage & Sport-Specific Drills (Weeks 4-8)

Goal: introduce dynamic loads and sport tasks. Add energy-storage drills: small bilateral hops, bounding, plyometrics, as tolerated. Progress cutting, acceleration, deceleration, throwing mechanics based on your sport. Monitor hop testing, strength benchmarks. Wean shockwave frequency or complete sessions. Focus on movement quality and control under fatigue.

04

Phase 4: Return-to-Play & Maintenance (As Needed)

Goal: full sport clearance and long-term prevention. Complete functional testing milestones (hop symmetry, strength, pain-free sport simulation). Gradual return to training/competition with load monitoring. Maintenance program: strength schedule, sport-specific warm-ups, recovery protocols. Periodic check-ins during season to catch early flares. Prevent recurrence with smart training volume management.

Sports Injury Treatment Phase Progression

Why Shockwave + Loading Works for Athletes

Chronic sports injuries like plantar fasciitis, Achilles tendinopathy, patellar tendinopathy (jumper's knee), tennis elbow, and calcific shoulder often develop from overload, poor biomechanics, or inadequate recovery. Radial shockwave reduces pain sensitivity and stimulates tissue repair by creating controlled mechanical stress that boosts circulation and triggers healing cascades. However, shockwave alone is temporary—lasting improvement requires restoring load tolerance through progressive strengthening. Stage-based loading (isometric → isotonic slow-heavy → energy-storage drills → sport-specific tasks) rebuilds capacity so your tissues can handle competition demands. Research shows 70-85% pain reduction and improved function when shockwave is combined with loading programs, with most athletes returning to full sport within 6-12 weeks.

Example:
Clinical evidence: Runners with chronic Achilles tendinopathy treated with shockwave plus heavy slow resistance show 75-80% pain reduction and restored running volume after 6 weeks. Combining modalities accelerates return-to-play and reduces re-injury rates significantly compared to rest or loading alone.

Shockwave Therapy

Advanced treatment for tendinopathies and chronic pain. Non-invasive, evidence-based therapy that accelerates healing and reduces pain.

₹2,000per session
Shockwave Therapy

Serving Areas

We serve patients from the following areas within 5km radius:

  • Moosapet
  • Kukatpally
  • SR Nagar
  • Nizampet
  • KPHB Colony
  • Balanagar
  • JNTU
  • Hyder Nagar

All areas within 5km radius of our clinic at ARD Magnum, Moosapet

Radial shockwave is highly effective for plantar fasciitis, Achilles tendinopathy, patellar tendinopathy (jumper's knee), tennis/golfer's elbow, calcific shoulder tendinopathy, proximal hamstring tendinopathy, gluteal and adductor tendinopathies, and greater trochanteric pain syndrome. It works best for chronic tendon and fascia problems that haven't responded well to rest or basic physiotherapy, especially in runners, jumpers, racquet sports, and field sports athletes. At DakshinRehab Moosapet, Hyderabad, our sports injury treatment combines shockwave with progressive loading programs for lasting results. Shoulder pain limiting your reach, sleep, or daily activities? Rotator cuff injuries affect athletes, desk workers, and anyone performing repetitive overhead movements. Our rotator cuff injury treatment program combines comprehensive assessment using EMG biofeedback to identify muscle activation deficits, Redcord Neurac suspension therapy for pain-free strengthening, and progressive loading protocols tailored to your injury stage.
Most chronic sports tendinopathies respond in 3-6 weekly sessions combined with a progressive loading plan. Acute or mild cases may improve in 3 sessions, while stubborn chronic conditions might need 6 sessions. At DakshinRehab Moosapet, Hyderabad, we assess your response after each treatment and adjust the plan. Between sessions, you'll do prescribed exercises that are critical for building lasting capacity and preventing recurrence. Our sports injury rehabilitation protocol ensures optimal results.
You'll feel percussive taps—a controlled tapping sensation over the target tissue—that we adjust to your comfort level. The intensity is titrated to be tolerable but therapeutic. Some temporary soreness or mild achiness for 24-48 hours after treatment is common and expected as part of the healing response. Significant pain is rare, and we modify settings immediately if discomfort occurs.
Yes, absolutely. We prescribe specific loading exercises immediately after each session—these are essential for the treatment to work long-term. You can continue daily activities and light training. However, avoid unplanned high-impact activities (e.g., sudden long runs, heavy jumping) for 24-48 hours post-session to let tissues respond optimally. We provide clear activity guidelines at each visit tailored to your sport and training schedule.
Radial shockwave is an excellent option for many tendon and fascia problems, especially chronic or stubborn cases. If you've tried rest, ice, and basic stretching without lasting improvement, shockwave combined with loading is a proven next step. During your assessment, we confirm diagnosis, review any imaging, and tailor treatment parameters to your comfort, goals, and sport demands to ensure the best outcome.
Return-to-play timelines vary with injury severity, chronicity, and sport demands. Typical pathway: Weeks 0-2 pain settles with shockwave + isometrics; Weeks 2-6 build capacity with slow-heavy loading; Weeks 4-8 add energy-storage drills and sport-specific tasks. Most athletes return to full training in 6-8 weeks and competition in 8-12 weeks. We use functional testing and pain monitoring to guide clearance safely, personalizing timelines to your league calendar.
Follow your stage-based exercise program faithfully—these exercises are critical for rebuilding tissue capacity. Keep daily activities in the 'mild and settling' pain zone (2-4/10 discomfort that settles within 24 hours). Avoid sudden load spikes like very long runs or heavy DIY work. Adjust footwear or training surfaces as advised. Use planned rest days. We'll fine-tune your activity plan at each visit based on your response.
Radial shockwave accelerates tissue healing by boosting blood flow, modulating pain, and stimulating repair mechanisms—this reduces pain sensitivity so you can tolerate progressive loading sooner. When paired with evidence-based strengthening (isometric → isotonic → energy-storage drills), you rebuild capacity faster than with rest alone. The combination allows safe, structured return-to-play progressions that restore performance and prevent re-injury, getting you back to competition weeks or months earlier than traditional rest-and-rehab approaches.