Extracorporeal Shockwave Therapy

ESWT is supported by the National Institute of Clinical Excellence (NICE) guidelines for the treatment of Plantar Fasciitis and has been shown to be effective in reducing pain and accelerating healing time.

Extracorporeal Shockwave Therapy

After undergoing Extracorporeal Shockwave Therapy, most people report an immediate reduction in painful symptoms. Unlike surgical treatments and drug therapies, there are no side effects or time off work needed following ESWT.

Extracorporeal Shockwave Therapy (ESWT) is a state of the art, research-backed, non surgical treatment which is highly effective in resolving a wide range of conditions including:

  • Heel pain (plantar fasciitis)
  • Achilles tendon injury
  • Shin splints
  • Stress fracture
  • Delayed bone healing
  • Hip bursitis
  • Muscular injury
  • Severs disease
  • Osgood Schlatters
  • Morton’s neuroma


At Active Step our Musculoskeletal Podiatrists are using ESWT to accelerate treatment outcomes and help our patients get back to achieving their goals whether it is walking the dog, playing a round of golf or running a marathon!

More Information

  • You will experience some pain during the treatment, this is normal and you should be able to tolerate this.
  • Following ESWT, you may experience redness, bruising, swelling and numbness to the area. These side effects should resolve within a week, before your next treatment.
  • There is a small risk of tendon rupture or ligament rupture and damage to the soft tissue. The National Institute for Health and Care Excellence (NICE) have deemed this procedure to be safe, although there are some uncertainties about how well it works. For this reason, every patient will be monitored before and after the treatments to discover how successful the outcome is. Studies have shown there is up to 80% chance that it will be effective.

You should not have ESWT if you are:

  • Pregnant
  • Have had a steroid injection to the injured site within 6 weeks
  • Have a blood clotting disorder
  • Are taking any antiplatelet or anticoagulant drug therapy
  • Have been diagnosed with bone cancer
  • Have an infection in the vicinity of the area being treated

Our Musculoskeletal Podiatrists will conduct a thorough medical history with every patient prior to administering ESWT to ensure they are suitable for treatment.

The most recent body of clinical evidence has linked the length of time someone has been experiencing painful symptoms to the number of sessions required for a successful treatment outcome. Therefore, for someone who has had pain for around 6 weeks, up to 3 sessions may be recommended. Where symptoms have been present for around 6 months, up to 6 sessions may be recommended. Where a patient has experienced symptoms longer than 6 months, as many as 12 sessions may be required for a successful outcome. Our Musculoskeletal Podiatrists will continuously evaluate your response to treatment at each session.

Treatment sessions are administered a week apart as the effects of ESWT are cumulative.

How does ESWT work?

ESWT works by passing low-energy sound waves through the skin all the way to the site of injury. At Active Step we use radial shockwave therapy which penetrates as deep as 5cm, making it ideal for treating tendon and fascia injuries of the foot e.g. plantar fasciopathy and achilles tendinopathy. The sound waves produce a cavitation effect in the tissues a bit like the ripple effect when you throw a stone in a pond and this stimulates the following effects;

  • Increased blood circulation to the surrounding tissues
  • Beginning of healing process triggered by stem cells activation
  • Reduction of pain stimulated by nerve fibres

Patient Testimonials

Lorri S-B
Lorri S-B
Such a warm and friendly clinic. My treatment was explained in detail and I felt immediately at ease on my first visit.
Paula Slowen
Paula Slowen
Very friendly and professional. Had confidence in the treatment recommended and the expertise.
Jo Vincent
Jo Vincent
Amazing service. Knowledgeable and friendly. Highly recommended
Martin Fleming
Martin Fleming
Very friendly and competent. Definitely recommend !
Penny Earl
Penny Earl
We got a same day appointment. Mike had fungal nail infection, an open wound and painful Athlete’s foot. These were all greatly improved after the initial visit. It felt quite miraculous! Not cheap but well worth the money.
Emma Humphrey
Emma Humphrey
Very professional and thorough treatment. I can actually finally have confidence that I will run again.
Anxo Vilas
Anxo Vilas
I went to Active Step after trying over the counter products as well as other podiatrists for years while my condition was getting worse instead of better. The service I got at Active Step couldn't have been any better and I've just been discharged successfully after 12 months of treatment. Jim, Zoe, Sophie and the rest of the team are not only highly professional, but also very personable and I cannot recommend them enough.