Shockwave Therapy (ESWT) in Singapore

What is Shockwave Therapy?

Shockwave therapy, also known as Extracorporeal Shockwave Therapy (ESWT), is a cutting-edge, non-invasive treatment that promotes healing in damaged tissues. By delivering acoustic pressure waves to targeted areas, this therapy enhances blood flow, stimulates cellular repair, and accelerates the body’s natural healing process.

Originally developed for breaking up kidney stones, shockwave technology was first introduced in medical settings as Extracorporeal Shockwave Lithotripsy (ESWL), a high-energy procedure performed in operating theatres. Over time, its therapeutic benefits extended to musculoskeletal care, and it is now widely used in podiatry to treat chronic pain and injuries in the feet and lower limbs.

This clinically proven treatment has gained global recognition, including in Singapore, where it is widely adopted for conditions such as plantar fasciitis, Achilles tendinopathy, and other soft tissue injuries. The shockwaves used in ESWT are safe, extensively studied, and recognised as an effective treatment modality in orthopaedic, podiatric, and hospital settings worldwide.

Radial Shockwave Therapy (RSWT)

Radial Shockwave Therapy (RSWT) is a widely used form of shockwave therapy, valued for its portability, cost-effectiveness, and proven success in treating musculoskeletal conditions.

This therapy generates radial pressure waves through a mechanical process in which a projectile strikes a transmitter, creating pressure waves that spread outward as they penetrate the skin and target underlying tissues. The choice of transmitter is crucial in determining the depth and dispersion of these waves, ensuring optimal treatment effectiveness.

Specialized transmitters, such as fascial transmitters, are designed to address imbalances in connective tissues caused by injuries or poor biomechanics. By correcting these dysfunctions, RSWT helps restore movement, alleviate muscle pain, and accelerate recovery.

Focused Shockwave Therapy (FSWT)

Focused Shockwave Therapy (FSWT) employs a concentrated energy beam to deliver targeted treatment to deep tissues, offering greater precision compared to traditional methods. This technology generates shockwaves through an electromagnetic coil, producing a high-intensity beam that penetrates deeply while covering a small surface area. This allows for consistent, high-powered energy delivery to the affected area, enhancing treatment effectiveness.

Although FSWT typically involves a higher cost than Radial Shockwave Therapy (RSWT) due to its specialized technology, it offers enhanced efficiency and effectiveness for certain conditions. For instance, studies have shown that patients with heel pain required fewer sessions with FSWT compared to RSWT.

Combining both radial and focused shockwave therapies has also been highly effective for conditions that require relief for tendinopathies and muscular dysfunction.

RadialShockwaveTherapy (RSWT)

Radial Shockwave Therapy (RSWT) is a widely used form of shockwave therapy, often selected for its application in treating musculoskeletal conditions, particularly those closer to the surface.

This therapy generates radial pressure waves through a mechanical process in which a projectile strikes a transmitter, creating pressure waves that spread outward as they penetrate the skin and target underlying tissues. The mechanical stress created by these waves aims to trigger reactions in the tissue, supporting the body's natural processes. The choice of transmitter influences the depth and dispersion of these waves, guiding effective procedure.

Specialised transmitters, such as fascial transmitters, are designed to address imbalances in connective tissues that may arise from injuries or poor biomechanics. BBy addressing these areas, RSWT aims to support movement, help alleviate muscle pain, and assist recovery.

FocusedShockwaveTherapy (FSWT)

Focused Shockwave Therapy (FSWT) employs a concentrated energy beam to deliver targeted treatment to deep tissues, allowing for greater precision. This technology generates shockwaves through an electromagnetic coil, producing a focused, high-intensity beam that penetrates deeply while covering a small surface area. This allows for consistent, targeted energy delivery to the affected area.

While the specialised technology for FSWT may influence cost, it is often considered for certain conditions due to its ability to target deeper structures. For instance, studies have shown that patients with heel pain required fewer sessions with FSWT compared to RSWT, which our podiatrists can discuss with you.

Combining both radial and focused shockwave therapies has also been highly effective for conditions that require relief for tendinopathies and muscular dysfunction.

Foot & Lower Limb Pain

Plantar Fasciitis & Heel Spurs: Common causes of heel pain that benefit from targeted shockwave therapy.
Metatarsalgia: Pain and inflammation in the ball of the foot.
Achilles Tendonitis & Tibialis Posterior Tendonitis: Chronic tendon injuries requiring deep tissue healing.
Morton’s Neuroma: Nerve-related foot pain often exacerbated by tight footwear.

Sports-Related Injuries

Shin Splints: Pain along the shin bone caused by overuse.
Runner’s Knee (Patellofemoral Pain Syndrome): Knee pain linked to repetitive stress.
Tight Calves & Muscle Imbalances: Addressing restricted movement and enhancing recovery.
Stress Fractures (Early-Stage): Promoting bone healing through enhanced circulation.

Joint & Muscle Pain

Bunions & Sesamoiditis: Painful conditions affecting the forefoot and big toe joint.
PTTD (Posterior Tibial Tendon Dysfunction): A progressive tendon disorder impacting foot alignment.

Many of these conditions can be challenging to treat with traditional methods. Shockwave therapy offers a safe and highly effective alternative, promoting long-term pain relief, faster recovery, and improved mobility.

Our Approach to Shockwave Therapy

Each shockwave therapy session is quick, effective, and minimally disruptive to your daily routine. Here’s what to expect:

1. Initial Consultation

During your first consultation, we’ll take the time to understand your individual needs. This includes reviewing your medical history, assessing key health indicators, and discussing any concerns or issues you may have related to your lower limbs. We will also assess the suitability of shockwave therapy based on your specific condition and medical history.

If shockwave therapy is appropriate for you, we will discuss the treatment plan, including the number of sessions required, potential outcomes, and any precautions or considerations. Our goal is to ensure that we develop a tailored treatment plan that addresses your unique needs and provides the best possible outcome.

Podiatry shockwave - Lewis doing focal shockwave on client's foot

2. Treatment Application

Once we’ve confirmed that shockwave therapy is suitable for you, we will begin the treatment. During the session, a special device will be used to deliver targeted shockwaves to the affected area. You may feel a mild to moderate sensation as the shockwaves are applied, but the treatment is generally well tolerated. Each session typically lasts around 15-25 minutes, depending on the size and location of the treatment area. There is no downtime required, so you can resume your daily activities immediately after the session.

3. Follow Up

After your treatment, we will schedule follow-up appointments to monitor your progress and assess the effectiveness of the therapy. During these sessions, we may perform outcome measures testing to evaluate improvements in pain levels, mobility, and function.

In some cases, follow-up scans or assessments, such as ultrasound or gait analysis, may be recommended to further track healing and ensure optimal results. Based on your progress, we will adjust your treatment plan if needed and determine whether additional shockwave therapy sessions are necessary.

Lewis Nurney

Lewis is a highly experienced podiatrist with over 5 years of practice in Singapore, bringing his expertise to UFIT's comprehensive Circle of Care. As Head of Podiatry at UFIT Club Street, he specialises in sports podiatry, innovative orthotics for adults and children (including 3D-printed custom insoles, Paediatric AFOs and SMOs for pediatric flat feet), and minimally invasive procedures.

A first-class honours graduate from the University of Huddersfield (UK), Lewis holds dual certifications in Extracorporeal Shockwave Therapy (ESWT), Diagnostic Ultrasound and Running Gait analysis. Previously with East Coast Podiatry, he now provides patient-centred care at UFIT, specialising in non-surgical management of conditions like Foot Pain, Plantar Fasciitis and Achilles Tendinopathy in both children and adults, ultimately focused on alleviating discomfort and restoring optimal foot function.

Elliot Yeldham

Elliott is a dedicated podiatrist with over 7 years of healthcare experience, gained in both the UK's National Health Service (NHS) and private practice. He holds an Honours degree in Podiatry from Cardiff Metropolitan University (Wales), and brings a wealth of expertise to Singapore.

Specialising in Musculoskeletal (MSK) podiatry, Elliott's interests include sport podiatry and the management of gait abnormalities in both adults and children. He is also recognised for his skill and patient-focused approach in minimally invasive procedures for ingrown toenails and wart removal. Committed to a patient-centred and multidisciplinary model, Elliott actively stays informed of the latest healthcare advancements through clinical research and international conferences.

Why Choose UFIT Podiatry?

At UFIT, we are dedicated to providing our patients with the highest level of care. We go beyond a regular podiatry clinic, using advanced biomechanical and movement assessments to create personliased treatment plans that will help take you from injury, to optimising health, all the way to performance.

Our commitment extends beyond addressing injuries or pain – our comprehensive range of services are tailored for injury prevention, prehabilitation, rehabilitation, and performance optimization in sports and everyday life. So whether you are an athlete, active individual, or a parent seeking specialized lower limb health for your child, our commitment to personalized, evidence-based care and innovative technologies ensures transformative outcomes.

Frequently Asked Questions about Shockwave Therapy

Is shockwave therapy effective for foot pain? Shockwave therapy, including radial shockwave therapy and focused shockwave therapy, is commonly used to manage various foot pain conditions, such as plantar fasciitis and Achilles tendinopathy. It aims to support the body's natural healing processes and alleviate discomfort. While many patients report positive outcomes, results can vary based on individual factors and the specific condition being treated.

Can shockwave therapy be used for chronic pain?

Yes, shockwave therapy is often considered for chronic musculoskeletal conditions, particularly those that haven't responded sufficiently to other forms of treatment. It targets affected tissues to help stimulate repair and reduce long-standing pain. Your podiatry specialist can assess if it's a suitable option for your specific chronic pain issue.

How long do the effects of shockwave therapy last? The goal of shockwave therapy is to address the underlying cause of pain and promote tissue healing, aiming for lasting improvement rather than temporary relief. The duration of effects varies among individuals and depends on factors like the condition treated, its severity, and adherence to post-treatment advice, including any recommended exercises.

What makes shockwave therapy different from traditional therapies? Extracorporeal shockwave therapy (ESWT) differs primarily in its mechanism. It uses acoustic pressure waves delivered non-invasively to specific tissues. This process aims to stimulate cellular activity, enhance blood flow, and trigger the body's healing and repair mechanisms, whereas some traditional methods might focus more on manual techniques, medication, or exercises alone.

Is shockwave therapy safe? When administered by trained and certified professionals, shockwave therapy is generally considered a safe procedure. It is a non-invasive approach, avoiding injections or surgery. Before proceeding, our podiatrists conduct a thorough assessment to determine your suitability and discuss any potential considerations or contraindications specific to your health profile.

Are there any side effects of shockwave therapy? Some individuals may experience mild and temporary side effects following a shockwave therapy session. These can include localised redness, swelling, bruising, or a temporary increase in discomfort in the treated area. These effects typically subside within a day or two. Serious side effects are uncommon.

Is shockwave therapy suitable for all ages? Suitability for shockwave therapy is determined on an individual basis, not solely by age. Our podiatrists will conduct a comprehensive assessment, considering the specific condition, overall health, and medical history, to decide if this treatment is appropriate, whether for an adolescent athlete or an older adult.

Is shockwave therapy a non-invasive treatment option? Yes, shockwave therapy is a non-invasive treatment. It does not require any surgical incisions, needles, or anaesthesia. The acoustic waves are applied externally through a handheld device placed on the skin over the affected area, making it an alternative to more invasive procedures.

Can shockwave therapy be used on other parts of the body besides the feet? While UFIT's podiatry team primarily utilises shockwave therapy for foot and lower limb conditions, the technology itself is widely used in physiotherapy and sports medicine to treat various musculoskeletal issues in other areas, such as shoulders, elbows, hips, and knees.

Is shockwave therapy covered by insurance?

UFIT does not offer direct billing for shockwave therapy. Services are self-pay at the time of treatment.

However, we are recognised by major insurance providers, and we will provide you with all the necessary documentation (detailed invoices) to submit a claim for reimbursement, according to the terms of your policy. We recommend checking with your insurer beforehand regarding coverage.

A UFIT PROGRAM

Extracorporeal Shockwave Therapy

What is Shockwave Therapy?

Types of Shockwave Therapy

RadialShockwaveTherapy (RSWT)

FocusedShockwaveTherapy (FSWT)

Conditions Suitable for Shockwave Therapy

Foot & Lower Limb Pain

Sports-Related Injuries

Joint & Muscle Pain

Book online & save $20 on your first consultation

Why choose UFIT for Shockwave Therapy?

Expert-Led Treatment

Non-Invasive & Drug-Free

Fast & Effective Relief

Clinically Proven & Trusted Worldwide

Cutting-Edge Technology for Superior Results

Safe, Quick & Convenient

Comprehensive Healing & Recovery

Our Approach to Shockwave Therapy

Meet Our Podiatry Team

Why Choose UFIT Podiatry?

Meet Our Podiatry Team

Price List

Book Your Shockwave Therapy Session Now

Visit Our Podiatry Clinic

Trusted by Global & Local Podiatry Associations

Frequently Asked Questions about Shockwave Therapy

Podiatry Blog

The Best Option for Ingrown Toenail Treatment: GP or Podiatry

Don't run until you've talked to a podiatrist

Podiatry: Myths, Facts, & Comprehensive Foot Care Solutions

How to cure plantar fasciitis in one week