Protocol framework
Achilles Tendinopathy
Mid-portion and insertional Achilles framework integrated with progressive loading.
Moderate evidenceCombinedEducational protocol framework
Protocol framework
Parameter ranges by ESWT modality. Adapt to device, patient and clinical context.
fESWT
Focused ESWT
- Energy / dose
- 0.10–0.60 mJ/mm² (most trials 0.15–0.25)0.10–0.60 mJ/mm² (most trials 0.15–0.25)
- Pulses
- 1,500–2,000
- Frequency (Hz)
- 3-8
- Sessions
- 3-4
- Interval
- 1/w
rESWT
Radial ESWT
- Energy / dose
- 1.5–3.0 bar (≈ 0.10–0.18 mJ/mm² equivalent)
- Pulses
- 2,000-3,000
- Frequency (Hz)
- 7-12
- Sessions
- 3-4
- Interval
- 1/w
ImportantThis is an educational protocol framework. Adapt all parameters to the device, the patient, and your clinical reasoning. Follow manufacturer instructions and local regulations.