Shockwave Therapy in Surbiton

Shockwave therapy is a non-surgical treatment that uses acoustic pressure waves directed at specific areas of the body. It is used in physiotherapy as part of the management of selected persistent tendon and musculoskeletal conditions. At Lambert Sports Clinic, it is delivered within a physiotherapy consultation following a thorough clinical assessment.

Shockwave therapy is most commonly considered for persistent tendon conditions such as plantar fasciitis, Achilles tendinopathy, tennis elbow, patellar tendinopathy and certain shoulder tendon presentations. Suitability is always determined by clinical assessment — it is not appropriate for every patient or every condition.

Some patients experience discomfort during treatment. The sensation is often described as pressing, tapping or intermittent discomfort that varies in intensity. Temporary soreness, mild redness or swelling in the treated area in the 24–48 hours after treatment is a known side effect. Your physiotherapist will discuss this with you before proceeding and can adjust the intensity based on your comfort.

Plantar fasciitis is one of the conditions most commonly considered for shockwave therapy, and there is supporting clinical evidence for its use in persistent plantar heel pain. However, outcomes vary between patients, and treatment is typically considered alongside foot strengthening exercises and load management. A clinical assessment will determine whether it is appropriate for you.

Shockwave may be considered for both mid-portion and insertional Achilles tendinopathy, typically as part of a broader treatment programme that includes progressive calf loading exercises. Response varies between individuals and between the two subtypes of the condition. We will assess your presentation before recommending shockwave therapy.

Shockwave therapy may be considered for lateral elbow tendinopathy (tennis elbow) as part of a physiotherapy programme. The evidence for shockwave in tennis elbow is mixed, and it is typically considered for persistent cases where other conservative approaches have not provided sufficient improvement. Clinical assessment will determine whether it is appropriate for you.

The number of sessions varies between patients and depends on the condition being treated, how long you have had symptoms, your response to treatment, and your rehabilitation progress. We do not guarantee a specific number of sessions or a particular outcome. Your physiotherapist will discuss a realistic plan based on your individual assessment.

Some temporary soreness or redness in the treated area is common in the first 24–48 hours. You will receive personalised aftercare guidance, including advice on activity levels, exercise and when to expect any changes. Your physiotherapist will discuss what to expect at your appointment before treatment takes place.

Yes — shockwave therapy is delivered within the physiotherapy appointment price when clinically appropriate. The initial appointment (£90) includes a full physiotherapy assessment and shockwave treatment where it is indicated. There is no additional charge for shockwave if delivered during your session.

Shockwave therapy is available to eligible Bupa patients at Lambert Sports Clinic. Please check your individual policy, authorisation requirements and any applicable excess before booking. Coverage varies between policies.

No GP referral is required to book a shockwave therapy appointment at Lambert Sports Clinic. You can book directly online. If you hold private health insurance, you may need to contact your insurer for authorisation before your appointment — please check your policy requirements.

Your physiotherapist will advise you on appropriate activity levels after treatment. In general, high-impact activity immediately after treatment is not recommended. Light activity may be appropriate, but individual guidance will depend on your condition, the area treated, and your response to the session.

Therapeutic ultrasound uses high-frequency sound waves to produce a gentle heating effect in soft tissues and has been used in physiotherapy for many years. Shockwave therapy uses higher-energy acoustic pressure pulses at a different range and is associated with a different physiological response. The two are distinct treatment modalities with different indications and evidence profiles.

Shockwave therapy is not appropriate for everyone. Known contraindications include pregnancy, blood clotting disorders, treatment over active infections or malignancies, and certain implanted electronic devices, among others. Your physiotherapist will review your medical history and any relevant precautions at your assessment before making any treatment recommendation.