Clinical reference

ESWT Protocol Library

Condition-specific, evidence-informed protocol frameworks for clinicians using shockwave therapy in MSK practice.

Moderate evidenceDevice-dependent

Coccygodynia

Spine

Framework protocol for coccygodynia

Moderate evidenceDevice-dependent

Knee Osteoarthritis

Knee

Focused and radiating ESWT framework for knee osteoarthritis

Emerging evidenceDevice-dependent

Low Back Pain

Spine

Moderate evidenceDevice-dependent

Plantar Fasciopathy

Foot/ankle

Chronic plantar heel pain framework covering selection, parameters, loading, and outcome tracking.

Moderate evidenceCombined

Achilles Tendinopathy

Foot/ankle

Mid-portion and insertional Achilles framework integrated with progressive loading.

Moderate evidenceDevice-dependent

Lateral Epicondylalgia

Elbow

Common extensor tendon framework combining ESWT with isometric and graded loading.

Moderate evidenceDevice-dependent

Calcific Shoulder Tendinopathy

Shoulder

Focused and radiating ESWT framework for calcific deposits in the rotator cuff

Moderate evidenceCombined

Patellar Tendinopathy

Knee

Patellar tendon framework combining ESWT with heavy-slow resistance loading.

Methodology

How protocols are structured

Every protocol uses the same clinical framework so you can compare, adapt, and integrate them into existing workflows.

Introduction

Methods and search string

Results and data extraction

Conclusion

Recommended protocol overview

Strength of evidence — radial vs focused, and by generator type

References

ImportantThese protocols are educational frameworks for qualified clinicians. They do not replace individual clinical reasoning, diagnosis, local regulations, device-specific instructions, or patient-specific medical assessment.

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