Acowave Shockwave Therapy

Acowave Shockwave Therapy

Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive surgical procedure that uses sound waves to stimulate healing in some physical disorders including plantar fasciitis, Achilles tendon, tennis elbow and other musculoskeletal. EPAT or ESWT uses sound waves (high amplitude pulses of mechanical energy) to breakup infected tissues and stimulating the rapid healing process.

EPAT/ESWT can provide:

  • Mechanical stimulation
  • Activates Dormant Stem Cells
  • Increases local blood flow
  • Increase in Cellular Activity - release of substance P, Prostaglandin E2, NO, TGF β, VEGF and almost certainly other inflammatory cytokines.
  • Transient analgesic effect on afferent nerves.
  • Breakdown calcific deposits (primarily, but not exclusively in tendon).
  • Reversing degenerative process.


  • Achilles tendonitis (tendinopathy)
  • Delayed unions
  • Lateral epicondylitis (tennis elbow)
  • Low back pain
  • Lower limb ulceration
  • Medial epicondylitis (golfers’ elbow)
  • Non-unions of fractures
  • Osteonecrosis of the femoral head
  • Patellar tendinopathy
  • Rotator cuff tendonitis (shoulder pain)
  • Spasticity following brain injury
  • Spinal cord injury
  • Stress fractures
  • Subacromial impingement syndrome
  • Calcific shoulders, shoulder pains
  • Shin pain/ Tibial Stress Syndrome
  • Heel pain
  • Muscle tension caused by painful muscular nodules (trigger points)
  • Hip joint pressure pain (greater trochanter pain)
  • Other musculoskeletal indications (e.g., calcaneal spur, Hammer toe, tenosynovitis of the foot or ankle, and tibialis tendinitis).


  • Coagulation disorders i.e. Haemophilia
  • Anticoagulant use i.e. Marcumar
  • Thrombosis
  • Tumor disease, Carcinomas
  • Pregnancy
  • Polyneuropathy
  • Acute inflammations
  • Growing children
  • Cortisone injections less than 6 weeks prior to first ESWT treatment.

Potential Side Effects

  • Swelling
  • Reddening
  • Hematomas (bruising)
  • Petechiae
  • Pain
  • Skin lesions after previous cortisone therapy
  • Side effects last for approximately 3-7 days after treatment.