Assessment
A detailed history, then a thorough examination of movement, strength and the affected area. You leave knowing what is wrong, why it happened, and exactly what we are going to do about it.
Tendinopathy Adjunct
Shockwave Therapy in London
Give a stubborn tendon problem the stimulus it needs when loading alone has not settled it, with focused shockwave therapy delivered by our expert physiotherapists across three London clinics, reserved for persistent tendinopathies and always run alongside the progressive exercise programme that does the rebuilding so you finally move past a plateau.
At your first appointment we look for the cause: your history, how you move, and what your work, sport and life ask of your body.
The assessment covers a detailed history and a thorough examination of movement, strength and the affected area. We explain what we find and agree a working diagnosis and plan you understand before you leave.
You go home with a written summary and a home-exercise programme built around your diagnosis and goals, so progress continues between visits.
Shockwave Therapy can help to:
Kick-start healing in a stalled tendon
Focused acoustic pressure waves stimulate the body's own repair response in tissue that has stopped healing on its own, giving a stubborn tendon a fresh stimulus.
Move past a rehab plateau
When a structured loading programme has taken you as far as it can, shockwave can be the adjunct that helps persistent symptoms finally settle.
Ease persistent heel, shoulder or Achilles pain
We reserve it for recalcitrant cases like plantar fasciitis, calcific rotator-cuff, Achilles and patellar tendinopathy, where it is most likely to help.
Stay on solid clinical ground
Every course begins with a full physiotherapy assessment, and we will tell you honestly if your presentation falls outside the group shockwave suits.
Keep the exercise plan doing the work
Shockwave always runs in parallel with progressive loading, never in its place, because the rebuilding still comes from the exercises.
Our shockwave therapy team
Shockwave therapy fees and insurance
You can self-refer and book directly: no GP letter needed, and every new patient can start with a free 15-minute consultation call. The same fees apply across our Soho, Liverpool Street and Marylebone clinics.
- Physiotherapy: a full 60 minutes for £145, whether it is your first visit or a follow-up
- 30-minute follow-ups at £90, with video appointments from £70
- Strength training and Reformer Pilates £120, sports massage from £75
- VALD performance and strength testing with a written report, £195
- 5% off a block of five sessions, 10% off a block of ten
- An itemised receipt with every session, for claiming back where your policy covers physiotherapy
Your journey
with Physio and Performance
Everything starts with finding the cause. Whether the goal is a marathon start line or a week at your desk without pain, we treat what is driving the problem, then build the strength that keeps it fixed.
Treatment
Hands-on manual therapy combined with a progressive, tailored exercise programme. Sports massage, dry needling, shockwave or Reformer Pilates are added where they help your specific problem.
Rebuild
Coached, progressive strength work restores the load tolerance your body lost, paced to where you start. This is the stage that decides whether the fix lasts.
Perform
Each follow-up reassesses you against your baseline, with VALD testing where useful, so your return to work, sport or training rests on measured readiness. Discharge happens by mutual agreement when you can manage independently.
From pain to performance. Pain relief that lasts is not enough on its own: we rebuild the strength behind the pain so it stays gone.
- Three central London clinics: Soho, Liverpool Street and Marylebone, plus home visits across London and online sessions.
- Led by physiotherapist Sam Harvey: 15 years of clinical practice and an elite-sport background across football, rugby and GAA.
- Physiotherapy, strength and nutrition under one roof: three clinicians, three disciplines, joined-up care.
We specialise in:
- Physiotherapy and sports rehabilitation
- Coached strength and conditioning
- Reformer Pilates
- Sports massage and soft-tissue therapy
- Dry needling and shockwave therapy
- VALD performance and strength testing
- Post-operative rehabilitation
- Running and gait analysis
- Sports nutrition and dietetics
3 Locations
Shockwave therapy across our 3 London clinics
- Liverpool Street 280 Bishopsgate, London EC2M 4RB View location →
- Marylebone 1 Orchard Street, London W1H 6HJ View location →
- Soho 111 Charing Cross Road, London WC2H 0DT View location →
Written and medically reviewed bySam Harvey, Physiotherapist & Clinical Lead · HCPC-registered · 15 Years’ Experience · Health and Care Professions Council (HCPC) and Chartered Society of Physiotherapy (CSP).
FAQ
FAQs
What conditions is shockwave therapy used for?
We use it for persistent tendinopathies that have not settled with loading rehabilitation: most commonly plantar fasciitis, calcific rotator-cuff tendinopathy, and Achilles or patellar tendinopathy. NICE interventional procedures guidance supports careful use in these recalcitrant cases. We do not offer it as a first-line treatment, and we will tell you if your problem is unsuitable.
Does shockwave therapy actually work?
The evidence is mixed. For some recalcitrant tendinopathies that have failed first-line loading, shockwave can be a useful adjunct, and that is the basis of NICE interventional procedures guidance. It is not a guaranteed cure and works best alongside a progressive loading programme rather than on its own. We reassess your response and stop if you are not improving.
Does the treatment hurt, and are there side effects?
Most people find it uncomfortable but tolerable; the sensation settles as soon as the applicator lifts. Temporary redness, mild swelling, or aching over the treated area for up to a day or two is common and usually self-limiting. We screen for contraindications at every visit, which is how we keep the treatment appropriate and safe for you.
How many sessions will I need?
Shockwave is usually given as a short course of weekly sessions, but the right number depends on your tendon, your response, and how rehabilitation is progressing. We review after each session and only continue while you are improving. We will not commit you to a fixed package or add sessions that the evidence does not support for your case.
Do I need a referral, and is shockwave suitable for everyone?
No GP referral is needed: you can self-refer and book a free 15-minute consultation call first. Shockwave is not suitable in pregnancy, over an active infection or tumour site, with certain clotting disorders or blood-thinning medication, or for under-18s without specialist input. We confirm suitability at your assessment before any treatment.
Get Started
Ready to begin?
Book today.
Physio and Performance • 111 Charing Cross Road, Soho, London WC2H 0DT
BookAppointments typically available within 1–2 weeks