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Focused Shockwave Therapy in Twyford

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What Is Focused Shockwave Therapy?

Focused Shockwave Therapy is a non-invasive treatment that uses high-energy acoustic waves to deliver mechanical energy to a targeted area.

Unlike radial pressure wave therapy, focused shockwave can deliver energy more precisely at a selected depth. This makes it particularly useful when a clinician needs to target a specific structure or deeper tissue.

At Physiocare Twyford, treatment is delivered following a clinical assessment, allowing us to determine whether focused shockwave is appropriate for your condition.

We don’t use shockwave as a stand-alone treatment when other factors need addressing. Depending on your presentation, your treatment programme may combine focused shockwave with:

– Specialist physiotherapy
– Exercise rehabilitation
– Load management
– MSK ultrasound assessment
– Tendon rehabilitation
– Strength and conditioning
– Lifestyle advice
– Ultrasound-guided interventions where appropriate

STORZ MEDICAL Focused Shockwave Therapy in Berkshire

Physiocare has invested in STORZ MEDICAL focused shockwave technology as part of our commitment to providing advanced, evidence-informed MSK treatment.

STORZ MEDICAL is an established medical technology company with extensive experience in shockwave and extracorporeal therapy systems.

Our focused shockwave service is particularly relevant for patients looking for:

More detailed information about Shockwave Therapy and the science behind it can be found on our Shockwave Therapy Evidence page here.

Frequently Asked Questions

Please don’t hesitate to get in touch if you have any further or more specific queries – our receptionists will be only to pleased to help!


  • How many focused shockwave treatments will I need?

    This depends on your diagnosis, symptoms and treatment goals. Your clinician will discuss the expected treatment programme after assessment.

  • Is focused shockwave painful?

    Some patients experience discomfort during treatment. The intensity can generally be adjusted according to the individual and the condition being treated.

  • Is focused shockwave the same as radial shockwave?

    No. Focused shockwave and radial pressure wave therapy use different technologies and deliver energy differently. Focused shockwave can concentrate energy at a selected depth, whereas radial pressure waves have their greatest energy closer to the applicator.

  • What is focused shockwave therapy?

    Focused shockwave therapy uses targeted acoustic energy to deliver mechanical energy to a specific area of the body. It is used in selected musculoskeletal conditions and is also being investigated for certain men’s pelvic health applications.

 

Focused Shockwave Therapy for MSK Conditions

Focused shockwave therapy may be considered for selected patients with persistent or chronic musculoskeletal conditions, particularly where conventional rehabilitation has not provided sufficient improvement.

Tendinopathy

Focused shockwave therapy may be considered alongside rehabilitation for selected tendon conditions, including:

– Achilles tendinopathy
– Patellar tendinopathy
– Gluteal tendinopathy
– Greater trochanteric pain syndrome
– Tennis elbow
– Golfer’s elbow
– Rotator cuff-related shoulder pain
– Plantar fasciopathy
– Chronic tendon pain

Sports Injuries

Focused shockwave may form part of a rehabilitation programme for selected sports-related tendon and soft-tissue problems.

At Physiocare, we combine treatment with progressive rehabilitation and load management to address the underlying factors contributing to persistent symptoms.

Musculoskeletal Pain

Depending on the diagnosis, focused shockwave may be considered for selected:

– Chronic tendon disorders
– Soft-tissue conditions
– Joint-related pain
– Muscular problems
– Persistent MSK pain

Bone Healing and Selected Non-Union Fractures

Extracorporeal shockwave therapy has also been investigated and used in selected cases involving delayed union and non-union fractures.

These cases require appropriate medical assessment and are not suitable for every patient.

Focused Shockwave Therapy for Men’s Pelvic Health

Specialist Men’s Pelvic Health at Physiocare Twyford

Physiocare is developing a dedicated Men’s Pelvic Health Clinic in Twyford, combining specialist physiotherapy with advanced assessment and treatment technologies.

Our service is led by Yasir Arbab, specialist physiotherapist in men’s health.

Yasir provides confidential assessment and rehabilitation for men experiencing conditions including:

– Erectile dysfunction
– Pelvic floor weakness
– Pelvic floor dysfunction
– Urinary incontinence
– Post-prostate surgery rehabilitation
– Post-prostatectomy rehabilitation
– Men’s pelvic health problems
– Selected Peyronie’s disease presentations

Focused Shockwave Therapy and Erectile Dysfunction

Focused shockwave therapy has become an area of interest in the management of erectile dysfunction (ED), particularly in relation to vascular and tissue factors.

At Physiocare, focused shockwave therapy is considered only after an appropriate clinical assessment.

It is not suitable for every cause of erectile dysfunction, and we do not promise a cure.

Our approach is to understand the possible contributing factors and develop an individualised plan that may include:

– Men’s pelvic health assessment
– Pelvic floor assessment
– Pelvic floor ultrasound
– Real-time ultrasound biofeedback
– Pelvic floor rehabilitation
– Lifestyle and behavioural advice
– Exercise and physical activity advice
– Focused shockwave therapy where clinically appropriate
– Referral to a GP or appropriate medical specialist when required

15-Minute Free & Confidential Men’s Health Phone Consultation

Not sure whether focused shockwave therapy is right for you?

We understand that discussing erectile dysfunction, pelvic floor problems or men’s sexual health can feel difficult.

That’s why Physiocare offers a:

15-minute FREE & CONFIDENTIAL telephone consultation

This gives you an opportunity to speak with our team before booking a full appointment.

We can discuss:

  • What symptoms you are experiencing
  • How long you have had the problem
  • Whether focused shockwave therapy may be appropriate
  • Whether a pelvic health assessment would be beneficial
  • What happens during the first appointment
  • Your treatment options

No obligation. No embarrassment. No pressure.

📞 Call Physiocare Twyford on 0118 934 4055

Ask about our 15-minute free confidential Men’s Pelvic Health telephone consultation.

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Why Choose Physiocare Twyford?

Specialist MSK Experience

Our clinicians have extensive experience in musculoskeletal physiotherapy, sports injuries and rehabilitation.

Advanced Ultrasound

We provide MSK diagnostic ultrasound and ultrasound-guided procedures, where clinically appropriate.

Advanced Focused Shockwave Technology

Our clinic now offers STORZ MEDICAL focused shockwave therapy.

Men’s Pelvic Health

Our dedicated Men’s Health service provides confidential assessment and rehabilitation for male pelvic health conditions.

Individualised Treatment

We don’t simply treat symptoms. We assess the individual, identify contributing factors and develop a treatment plan around your goals.

Radial Shockwave Therapy at Physiocare

At our Twyford-based Physiotherapy practice, we offer Radial Shockwave Therapy as a treatment solution for the rehabilitation of resistant musculo-skeletal problems.
Our clients in and around Reading, Berkshire can now benefit from this recognised and effective technology for the treatment of a range of conditions. Radial Shockwave Therapy can provide relief and advanced recovery in situations where the healing process has stalled or failed to respond to standard therapeutic intervention.

Anyone who has suffered an injury knows that chronic pain can affect your quality of life, performance at work, enjoyment of regular exercise and ability to take part in sports. Shockwave is able to provide relief and healing even in chronic cases where the body has previously demonstrated an unwillingness or inability to do so by itself.

The use of Shockwave Therapy has been found to safely and successfully treat a range of musculoskeletal conditions, supported by a wealth of clinical experience and scientific evidence.

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The benefits of Shockwave Therapy

– It is non-invasive
– No anaesthetic is required
– Treatment is fast
– There are fewer complications
– It is virtually painless after treatment
– Patients usually experience improved recover rates
– Restored mobility and quality of life
– Affordable therapy

But what exactly is Shockwave Therapy?

Shockwave Therapy treatment is a very successful second line treatment for patients who fail to respond to appropriate physiotherapy. It is a non-surgical treatment, and works by delivering impulses of energy, targeted to specific damaged tissues. This increases the blood flow within the affected area, stimulates cell regeneration and healing, and decreases local factors which can cause pain.  More detailed information about Shockwave Therapy and the science behind it can be found on our Evidence page.

The effectiveness of the treatment for specific conditions has been reviewed accepted by both NICE (UK National Institute for Health and Clinical Excellence) and FDA (US Food and Drug Administration).

More detailed information about Shockwave Therapy and the science behind it can be found on our Shockwave Therapy Evidence page here.

Frequently Asked Questions

Please don’t hesitate to get in touch if you have any further or more specific queries – our receptionists will be only to pleased to help!


  • How do I know if Shockwave might help me?

    All new clients will require an initial clinical assessment with one of our physiotherapists. This will ensure that we have an accurate diagnosis, assess other contributory problems and develop a personal rehabilitation protocol. They will confirm your suitability for Shockwave therapy and authorise a treatment course which is conducted over three sessions.

  • How many Shockwave treatments will be needed?

    Shockwave (RPW) therapy typically requires a course of three treatment sessions. A small minority of resistant cases may require up to 6 treatments.  Each treatment session takes about 20 minutes. The session is then repeated at intervals of 5-10 days apart for optimal results. The procedure does not require any type of sedation or anaesthetic.

  • What happens during the shockwave therapy appointment?

    The treatment areas are located and marked. Contact gel is applied to the skin, the transmitter is pressed on to the affected area and the shockwaves are delivered through the skin.
    The shockwaves are felt as pulses which are a little uncomfortable but not painful. The physician applying your treatment will start with a low level of intensity and increase this to a point where you feel comfortable.

  • How quickly will I see results?

    Many patients experience an improvement in symptoms almost immediately following treatment. This effect is usually (but not always) temporary, and is associated with the analgesic effect resulting from hyper-stimulation of the tissue by Shockwave therapy.
    It takes several days for injuries to begin to heal, and many patients see an improvement before the end of the second week. Depending on the diagnosis, the healing process may take several weeks or even months to be completed, but pain relief often precedes complete healing. While we expect a positive clinical outcome it is possible that this treatment may not improve your symptoms.
    The use of Shockwave therapy will be undertaken within a personalised treatment plan organised at your initial assessment. You will benefit from undertaking the activity recommendations and rehabilitation advice & exercises during and after completion of your course of Shockwave therapy.

  • Are there any side effects from treatment?

    Shockwave therapy has no long term side-effects. While some short-term discomfort is felt during the treatment and tingling or numbness over the treatment area of treatment, most people can return to their regular activities almost immediately, although some may need to avoid heavy strenuous activities for a day or two.
    Minor side effects may occur following treatment sessions. There may be a transient reddening, bruising or swelling of the area and some patients experience a brief increase in pain. These generally subsided after 5-10 days.
    Anti-inflammatory medication should not be used immediately before or for the duration of the treatment course.

  • When do we NOT recommend Shockwave Therapy?

    There are a number of scenarios where Physiocare will not recommend Shockwave Therapy.
    Typically Shockwave therapy is not used in the presence of bone tumours, certain metabolic bone conditions, and certain nerve or circulation disorders. Shockwave therapy is also not used in pregnant patients and at locations where there is an open growth plate.
    It is currently not used in areas where an infection is present. It also should not be used in conditions or at locations where gas or air is present in the body.
    On the basis of the patient’s general condition, the experienced, trained Physiocare medical user in charge must decide whether the planned use is possible or not. You should notify your therapist if you have concerns regarding any of the following conditions;

    • Coagulation disorders
    • Use of anticoagulants
    • Thrombosis
    • Malignancy
    • Pregnancy
    • Polyneuropathy (in the case of DM)
    • Acute local infection
    • Active growth plates (adolescents)
    • Cortisone therapy up to six weeks before first treatment in the target area
    • Implanted cardiac stents and heart valves
    • Joint replacements

    If you are unsure whether Shockwave therapy is suitable for you, please contact us to discuss further.

  • What evidence is there to support the use of Shockwave Therapy?

    The use of Shockwave Therapy has been found to safely and successfully treat a range of musculoskeletal conditions, supported by a wealth of clinical experience and scientific evidence.  More details can be found on our Shockwave Therapy Evidence page here.

  • How much does Shockwave Therapy cost?

    Full pricing details can be found on our Shockwave Therapy product page here, where you can make your purchase directly online if you wish.

 

Book Your Focused Shockwave Assessment online today, or call 0118 934 4055 BOOK ONLINE