---
title: Shockwave Therapy in Ealing & Hanwell | CK Physiotherapy
description: Focused shockwave therapy at our Hanwell clinic, near Ealing. Assessment plus 3 sessions £390. HCPC-registered physios; BUPA & AXA PPP recognised.
---
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###### Focused shockwave therapy · West London
# Shockwave Therapy in Ealing & Hanwell
Focused shockwave therapy (ESWT) for stubborn heel and tendon pain, at our Hanwell clinic in the London Borough of Ealing. Delivered by HCPC-registered, chartered physiotherapists as part of a proper rehabilitation plan — an assessment plus three sessions costs £390.
[Book Today](https://ckphysio.co.uk/bookings)
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###### Is shockwave therapy for me?
## Focused shockwave therapy, built around your rehab
Shockwave therapy (extracorporeal shockwave therapy, or ESWT) delivers pulses of acoustic energy into a painful tendon or fascia to try to restart a healing process that has stalled. It is non-invasive, needs no anaesthetic, and each session takes around 15–20 minutes.
CK Physio offers focused shockwave therapy rather than the radial shockwave therapy most clinics offer. Focused shockwave concentrates its energy at a precise point, so it can be directed accurately into deeper tissue.
We never use it on its own. Every course is built around a thorough assessment and an exercise and loading programme — the part of treatment with the strongest evidence behind it.
###### Want individualised Shockwave therapy?
## CK Physio like to keep it simple
#### Talk about symptoms and medical history
We’ll discuss and gather information about your symptoms, pain levels, and how they affect your daily routine. Medical and family history will also be examined for the safe use of shockwave therapy.
#### Physical assessment
Visiting our physiotherapy clinic, a comprehensive physical assessment is conducted to check your balance, range of motion, coordination, strength, endurance, and tissue texture and sensitivity.
#### Individualised shockwave therapy plan
An individualised shockwave therapy plan is devised for your specific needs and requirements. This will include short and long-term goals, complementary exercises, and progress indicators.
#### Support and follow-up
Maintenance is key! You’ll receive ongoing support, follow-up treatments, and necessary adjustments to sustain your recovery.
###### Who is shockwave therapy for?
## Conditions we treat with shockwave therapy
Shockwave is used for long-standing tendon and soft-tissue pain that has not settled with conservative treatment. These are the conditions we see most often — with an honest note on the evidence for each.
#### Plantar fasciitis (heel pain)
Our most common shockwave patients. NICE finds the evidence inconsistent, so we use it after conservative care, alongside stretching, loading and footwear advice.
#### Achilles tendinopathy
Recent sham-controlled trials have not shown a clear benefit, so we use shockwave only as an add-on to a progressive tendon-loading programme, never instead of it.
#### Lateral hip pain (trochanteric pain syndrome)
Sometimes used for persistent pain on the outside of the hip, alongside a strengthening programme. The evidence is limited, and we will say so at assessment.
#### Tennis elbow
NICE finds the evidence inconsistent. For long-standing cases that have not responded to exercise-based rehab, we will discuss whether shockwave is worth adding.
#### Carpal tunnel syndrome
Small trials have looked at mild-to-moderate symptoms, but the evidence is limited. Worsening numbness, weakness or night pain needs assessment for a different route.
#### Not sure it's right for you?
Call us on 020 8566 4113. If shockwave is not a sensible option for your problem, we will tell you honestly and suggest what is more likely to help.
###### Embark on a Wellness Journey
## What do you need to know before getting shockwave therapy?
The questions we are asked most often before a first shockwave appointment:
#### How much does shockwave therapy cost at CK Physio?
#### Is shockwave therapy painful?
#### Does shockwave therapy work, and what does NICE say?
#### Who shouldn't have shockwave therapy?
#### How much does shockwave therapy cost at CK Physio?
Shockwave therapy is sold as a course. An assessment plus three shockwave sessions costs £390. Three sessions without an assessment, for patients already under our care, cost £310, and each additional session is £110. Individual appointments at CK Physio cost between £65 and £130. Our [bookings page](https://ckphysio.co.uk/bookings) carries the live fee schedule. We are recognised by BUPA, AXA PPP, WPA, Groupama and Life UK; cover varies by policy, so check with your insurer first.
#### Is shockwave therapy painful?
Most people find it uncomfortable rather than painful. You will feel a strong tapping or pressure during each 15–20 minute session, and we adjust the intensity to what you can tolerate. The area may be sore, red or slightly swollen for a day or two afterwards. Watch our [video of a patient having shockwave therapy](https://ckphysio.co.uk/treatments/shockwave-therapy/shockwave-video-hanwell) to see what it involves.
#### Does shockwave therapy work, and what does NICE say?
NICE has looked at shockwave therapy and found no major safety concerns, but says the evidence on how well it works is mixed. For plantar fasciitis, Achilles tendinopathy and tennis elbow it describes the evidence as inconsistent. A 2026 meta-analysis of sham-controlled trials found no significant benefit over sham treatment for chronic Achilles tendinopathy. That is why we only use shockwave after conservative treatment, explain the uncertainty up front, and track your outcomes.
#### Who shouldn't have shockwave therapy?
Shockwave is not suitable during pregnancy, over an area of infection or cancer, over open growth plates in children and teenagers, on a torn or ruptured tendon, or near a pacemaker or similar implanted device. We take extra care if you take blood thinners, have a bleeding disorder or reduced sensation, or have recently had a steroid injection in the same area. Sudden severe calf pain with a snap, a hot swollen calf, or foot pain with fever needs prompt medical advice from your GP or NHS 111 instead.
###### From Humble Beginnings
## Our registered physiotherapists tailor their expertise to your specific story
Choosing a chartered practice like CK Physio gives you peace of mind that best practice is being followed, treatment is safe, and you are protected while receiving high-quality care. We have been looking after patients in Hanwell since 2003.
All physiotherapists at CK Physio are members of the Chartered Society of Physiotherapy and registered with the Health and Care Professions Council (HCPC). Why not learn more about who will be taking care of you?
[Meet our team](https://ckphysio.co.uk/about-us)
###### Shockwave therapy in the London Borough of Ealing
## Shockwave therapy near Ealing, at our Hanwell clinic
**CK Physiotherapy provides focused shockwave therapy at our clinic at 57 Elthorne Avenue, Hanwell W7 2JY — in the London Borough of Ealing, a short journey from Ealing Broadway, West Ealing and Northfields. A course of an assessment plus three shockwave sessions costs £390, delivered by HCPC-registered, chartered physiotherapists as part of a full rehabilitation plan.**
We have been treating patients in Hanwell since 2003. Shockwave therapy is one of the tools we use for long-standing tendon and heel pain — never on its own, and never before we have assessed you properly. This page explains who it suits, what the evidence honestly shows, what a course involves and what it costs.
### Who is shockwave therapy for?
**Shockwave therapy is for tendon and fascia pain that has lasted several months and has not settled with good conservative treatment** such as exercise, load management, footwear changes and physiotherapy. It is a second-line option, not a first step.
The two conditions we see most often are:
- **Plantar fasciitis** — persistent pain under the heel, often worst with the first steps in the morning.
- **Achilles tendinopathy** — pain and stiffness in the Achilles tendon, either in the middle of the tendon or where it attaches to the heel.
We also assess patients with tennis elbow and other stubborn tendon problems. If shockwave is not a sensible option for you, we will say so and suggest what is more likely to help.
### What does the evidence say?
**NICE has looked at shockwave therapy and found no major safety concerns, but says the evidence on how well it works is mixed.** That is why we only use it after conservative treatment, explain the uncertainty up front, and track your outcomes.
| Condition | NICE guidance | What NICE says about how well it works |
| --- | --- | --- |
| **Plantar fasciitis** | [IPG311](https://www.nice.org.uk/guidance/ipg311) | Evidence is inconsistent; use with special arrangements for consent and audit |
| **Achilles tendinopathy** | [HTG426](https://www.nice.org.uk/guidance/htg426) | Evidence is inconsistent and limited in quality and quantity; use with special arrangements |
| **Tennis elbow** | [HTG201](https://www.nice.org.uk/guidance/htg201) | Evidence is inconsistent; use with special arrangements for consent and audit |
In practice, "special arrangements" means the patient should understand the uncertainty before treatment and the clinic should audit its results. We think that is simply good practice, so it is how we work with every shockwave patient.
The research is not all encouraging, and we would rather you heard that from us. For Achilles tendinopathy, a [2026 meta-analysis of sham-controlled trials](https://pmc.ncbi.nlm.nih.gov/articles/PMC12786123/) found no significant difference between shockwave and a sham (placebo) treatment for chronic mid-portion or insertional Achilles pain, on either pain or function. For that reason we treat shockwave as an add-on to a progressive tendon-loading programme — which has the stronger evidence — and not as a replacement for it.
For plantar fasciitis, results vary widely between trials. Where shockwave helps, improvement usually appears gradually over roughly 4–12 weeks, with the full effect over three to six months — unlike the quick but often short-lived relief of a steroid injection. Not everyone responds. If you do not, we will review the diagnosis and your plan rather than simply adding more sessions.
### What a shockwave course involves
**A standard course is an assessment followed by three shockwave sessions, usually a week or two apart.**
1. **Assessment (up to 45 minutes).** We take your history, examine the painful area, check whether shockwave is safe and appropriate for you, and agree a plan — including the exercises that do most of the long-term work.
2. **Shockwave sessions (around 15–20 minutes each).** Gel is applied and the applicator is held against the painful area while it delivers a series of pulses. You will feel a strong tapping or pressure. It is uncomfortable rather than painful for most people, and we adjust the intensity to what you can tolerate.
3. **Review.** We check your progress against the measures we recorded at the start, and decide together whether to continue, change approach or discharge you with a home programme.
Afterwards the area may be sore, red or slightly swollen for a day or two, and occasionally bruised. Most people go straight back to work. We usually advise avoiding high-impact or pain-provoking activity, such as running, for about 48 hours after each session.
### Shockwave therapy prices
**Shockwave therapy at CK Physio is sold as a course rather than a single session, because any benefit builds over several treatments.**
| **Assessment plus 3 shockwave sessions** | **£390** |
| --- | --- |
| 3 shockwave sessions (for patients already under our care, no assessment) | £310 |
| Additional shockwave session | £110 |
These are self-pay fees from 1 July 2026. Our [bookings page](https://ckphysio.co.uk/bookings) carries the live fee schedule and is always the most up-to-date source. Individual appointments at CK Physio cost between £65 and £130; the £390 is the price of the full three-session course with assessment, not a single visit.
**Insurance:** CK Physiotherapy is recognised by BUPA, AXA PPP, WPA, Groupama and Life UK. Cover for shockwave therapy varies between policies, so please check with your insurer and obtain an authorisation code before your first appointment.
**On the NHS:** some NHS services do offer shockwave therapy, but usually only after other treatments have been tried and following a referral, and availability varies from area to area. If you would rather not wait, you can book an assessment with us directly.
### When we won't use shockwave
Shockwave is not suitable during pregnancy, over an area of infection or cancer, over open growth plates in children and teenagers, on a torn or ruptured tendon, or near an implanted pacemaker or similar device. We take extra care if you take blood thinners, have a bleeding disorder, have reduced sensation, or have had a steroid injection in the same area recently. Your assessment covers all of this.
**Don't wait for a shockwave appointment — get medical advice promptly if you have:**
- sudden, severe calf or heel pain with a "snap", or you cannot push off on your toes (possible Achilles rupture)
- foot or heel pain with fever, spreading redness or heat, or you cannot put weight on it
- a swollen, hot, tender calf (possible blood clot)
Contact your GP or NHS 111. In an emergency, call 999.
### Getting to us from Ealing and Hanwell
**Our clinic is at 57 Elthorne Avenue, Hanwell, London W7 2JY.** The nearest bus stop, Elthorne Park Road, is about 100 metres away and is served by the E8 and 195. Routes 207, E3 and 483 stop at Church Road, the E2 at Hessel Road and the SL8 at Hanwell Broadway, each roughly 700–800 metres away. The nearest Underground stations are Boston Manor and Northfields, both on the Piccadilly line.
Street parking is available near the clinic. Permit restrictions apply from 9–10am and 2–3pm; if your appointment falls in those times, bring your car registration details and your physiotherapist can arrange a visitor permit for you.
We are open Monday to Thursday 8am–8pm, Friday 8am–6pm and Saturday 9am–12pm. If you are unable to travel, we also offer physiotherapy home visits in selected West London postcodes — call us to check whether we cover yours.
Is shockwave therapy right for you?
Call us on [020 8566 4113](tel:+442085664113) to talk it through, or book your assessment online.
[Book an appointment](https://ckphysio.co.uk/bookings) [Contact us](https://ckphysio.co.uk/contact)
###### Client testimonials
## Hear what our previous customers have to say.
A few words from patients about their treatment at CK Physio.
M
##### Michelle
From the moment I met Coryn, I felt real warmth and caring. She listened carefully as I spoke about my problems with my neck and back. She did a full assessment and worked out a therapy plan for me. She was so patient and kind.
P
##### Paul
They were excellent and very knowledgeable. They identified my issues quickly and dealt with them over 4 sessions. I would fully recommend CK Physio. A really good experience and really nice physiotherapists to deal with.
###### Ready for a more active, pain-free life?
## Get Started with [CK Physio](https://ckphysio.co.uk/treatments/physiotherapy) Today
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###### Discover More Health Insights
## Updates from CK Physio's Blog
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[Read More](https://ckphysio.co.uk/blog/restoring-your-post-pregnancy-body-shape)
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