Plantar Fasciitis · Radial pressure wave
Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study
Gerdesmeyer L, Frey C, Vester J, et al. · The American Journal of Sports Medicine, 2008
In plain English
In a placebo-controlled multicenter randomized trial of adults with long-standing plantar heel pain, the treated group reported greater reduction in heel pain and improved function at 12 weeks than the sham group, with no serious device-related adverse events reported.
Limitations
Follow-up was relatively short, the device studied was a radial pressure-wave unit rather than SoftWave, and results reported for a study population do not predict any individual patient's response.
View the citation on PubMedPlantar Fasciitis · Focused ESWT
Shock wave application for chronic plantar fasciitis in running athletes: a prospective, randomized, placebo-controlled trial
Rompe JD, Decking J, Schoellner C, Nafe B · The American Journal of Sports Medicine, 2003
In plain English
Running athletes with chronic plantar fasciitis who received low-energy focused shockwave reported greater improvement in pain scores than those who received sham treatment, with differences maintained at follow-up.
Limitations
Small sample restricted to running athletes; the protocol and device differ from current systems, and athletes may respond differently than the general population.
View the citation on PubMedAchilles / Tendinopathy · Focused ESWT
Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a randomized controlled trial
Rompe JD, Furia J, Maffulli N · The American Journal of Sports Medicine, 2009
In plain English
Patients with midportion Achilles tendinopathy who combined an eccentric loading program with shockwave treatment reported better outcomes at four months than those who performed eccentric loading alone — a finding often read as shockwave being an addition to rehabilitation rather than a replacement for it.
Limitations
Single-center trial with short follow-up; findings apply to midportion tendinopathy and not to insertional Achilles problems or to every activity level.
View the citation on PubMedAchilles / Tendinopathy · Radial pressure wave
Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy
Rasmussen S, Christensen M, Mathiesen I, Simonson O · Acta Orthopaedica, 2008
In plain English
Adding shockwave therapy to conventional care for chronic Achilles tendinopathy produced greater functional improvement than conventional care alone over a 12-week period.
Limitations
Small sample, short duration, and conventional care was not fully standardized between groups.
View the citation on PubMedElbow Tendinopathy · Focused ESWT
Extracorporeal shock wave therapy for lateral epicondylitis
Rompe JD, Hopf C, Küllmer K, Heine J, Bürger R · The Journal of Bone and Joint Surgery (British), 1996
In plain English
One of the earliest controlled reports on shockwave for lateral epicondylitis (tennis elbow) described improvement in pain and grip-related function in treated patients compared with a lower-dose control group.
Limitations
Early-generation device and protocol, modest sample, and later trials on tennis elbow have produced mixed results — the overall evidence base here is less consistent than for plantar fasciitis.
View the citation on PubMedShoulder Conditions · Focused ESWT
High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review
Bannuru RR, Flavin NE, Vaysbrot E, Harvey W, McAlindon T · Annals of Internal Medicine, 2014
In plain English
This systematic review found that higher-energy focused shockwave was associated with improved pain and function, and with resorption of calcium deposits, in chronic calcific tendinitis of the shoulder more often than lower-energy or sham treatment.
Limitations
Applies specifically to calcific tendinitis rather than shoulder pain generally; included trials varied in quality, energy level and outcome measures.
View the citation on PubMedSports Medicine · Review of multiple types
The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction
Korakakis V, Whiteley R, Tzavara A, Malliaropoulos N · British Journal of Sports Medicine, 2018
In plain English
A systematic review across common lower-limb conditions reported meaningful patient-rated pain reduction for several diagnoses, with the strongest signal for plantar heel pain and greater trochanteric pain, and weaker or less certain evidence elsewhere.
Limitations
Study quality and protocols varied widely; the review pools different devices and energy settings, so conclusions cannot be transferred to one specific device.
View the citation on PubMedShockwave Technology · Review of multiple types
Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database
Schmitz C, Császár NBM, Milz S, et al. · British Medical Bulletin, 2015
In plain English
A broad review of orthopedic shockwave trials concluded that shockwave is generally well tolerated with a low rate of serious adverse events, while noting that reported effectiveness depends heavily on diagnosis, device type and treatment protocol.
Limitations
A review of heterogeneous studies rather than a trial; it does not establish effectiveness for any individual condition or device.
View the citation on PubMedShockwave Technology · Review of multiple types
A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence
Speed C · British Journal of Sports Medicine, 2014
In plain English
This review distinguished focused shockwave from radial pressure waves and emphasized that the two are physically different treatments whose evidence should not be pooled uncritically, with the clearest support in specific tendon and plantar conditions.
Limitations
Narrative synthesis; the author notes inconsistent reporting of energy parameters across trials, which limits direct comparison.
View the citation on PubMedKnee / Musculoskeletal · Focused ESWT
Shockwave therapy for the treatment of chronic proximal hamstring tendinopathy in professional athletes
Cacchio A, Rompe JD, Furia JP, Susi P, Santilli V, De Paulis F · The American Journal of Sports Medicine, 2011
In plain English
Professional athletes with chronic proximal hamstring tendinopathy reported greater pain reduction and earlier return to sport after shockwave treatment than a comparison group receiving conventional conservative care.
Limitations
Highly selected athletic population, unblinded comparison group, and results in professional athletes may not generalize to recreational activity.
View the citation on PubMed