Shockwave Therapy

Head to Toe Healthcare is proud to introduce the Swiss DolorClast Smart to our clinic in Hampton.  If you have sore feetheel paintennis elbow, golfers elbow, knee pain or shoulder pain, we can now offer you a cost effective way of alleviating pain and accelerating your healing to get you back to what you love most.  Whether it be running, golf, tennis, going to the gym or just getting on with life, Shockwave Therapy is the simplest and fastest way back!  Most patients experience pain relief from the very first treatment with up to 80% having significant pain relief by only the second.

Radial Shockwave Therapy Web

Radial Shockwave Therapy (RSWT), also known as Extracorporeal Shockwave Therapy (ESWT), is the latest treatment technology for all tendon injuries.  It has demonstrated therapeutic benefit for the following conditions:

  • Plantar fasciitis
  • Tennis elbow (also known as Extensor tendinopathy or Lateral epicondylitis)
  • Golfers elbow (also known as Flexor tendinopathy or Lateral epicondylitis)
  • Achilles tendinitis
  • Calcific tendinitis of the Rotator Cuff
  • Patellar tendinitis (also known as Jumper’s Knee)
  • Gluteal tendinitis (Buttock and hip pain)
  • Osgood-Schlatters & Severs disease
  • Hamstring tendinitis
  • Medial tibial stress syndrome (also described as Shin Splints)

RSWT is the application of high-energy acoustic pulses transmitted into the tissues of the affected area of the body.  The handle of the machine creates a mechanical impulse that is directed into the injury site.  There are NO ELECTRICAL SHOCKS associated with this treatment.  Each RSWT treatment works to stimulates the body’s natural healing process.

RSWT is usually applied in four treatment sessions, each, one week apart, however if you fall into the 20% of patients that have not experienced symptom improvement after the second session, no further treatments with RSWT are indicated.

RSWT does not completely replace the need for hands-on treatment or exercise rehabilitation.  Research shows that RSWT, when used along side these interventions, produces superior outcomes, especially in the long term.  What Radial Shockwave therapy can replace though, is the need for Cortisone or Blood Injections.  This makes RSWT ideal for people who don’t like needles or simply don’t want or can’t have cortisone due to it’s potential side-effects.

Although we don’t understand in complete detail the reason why Radial Shockwave therapy is so effective, these are the mechanisms that are thought to be occurring:


Substance P is a pain mediator.  The release and depletion of substance P by shockwaves from the injury site creates an analgesic effect.

In short, when applied where pain occurs, we know why shockwaves produce an analgesic effect, increase blood circulation and facilitate the repair process.


By inhibiting inflammatory mediators such as COX II, shockwaves produce an anti-inflammatory effect.  This weakens any inflammatory process and consequently accelerates healing.


It is thought that the shockwave stimulates the tenocytes (cells within the tendon that produce new tissue for healing) to enhance production of Type I collagen (strong, healthy tendon tissue) as opposed to Type III collagen (weak, easily damaged tendon tissue).  Damaged tendons demonstrate much higher levels of Type III collagen than a healthy uninjured tendon.

RSWT is thought to minimise this abnormal healing response, consequently producing a stronger tendon more resistant to re-injury.


Scientific studies also show that shockwaves act in another way. Overstimulating the nerve fibres blocks an increase in pain stimuli and therefore intensifies the analgesic effect (Gate Control Theory).

Call 1300 10 10 20 to see if you too can benefit from RSWT and get back to enjoying life pain free.