Focused Shockwave Therapy

Focused shockwave therapy delivers high-energy acoustic impulses deep into tissue — reaching 6 to 12 cm below the skin surface — to disrupt calcifications, stimulate tissue regeneration, and interrupt chronic pain signalling at the treatment site. Unlike radial (pressure wave) devices, K+Clinic's focused technology concentrates energy at a precise focal point within the tissue, making it effective for conditions at the tendon-bone junction and deep within muscle or fascial structures. Priced at 1,200 Kč standalone or 700 Kč as an add-on within a physiotherapy session.

Shockwave therapy uses controlled acoustic pressure waves to create a mechanical stimulus in targeted tissue. The focused variant used at K+Clinic concentrates its energy at a specific tissue depth — 6 to 12 cm — which distinguishes it from the lower-power radial shockwave devices found in many physiotherapy clinics. This depth capability allows direct treatment of deep tendon insertions, fascial planes, and bony attachment points that radial devices cannot reliably reach. The biological mechanisms are well-studied: shockwave application increases local blood flow and angiogenesis, disperses calcium deposits (particularly relevant in calcific tendinitis), disrupts abnormal scar-tissue organisation in chronic tendinopathies, and stimulates tenocyte and collagen regeneration. For chronic conditions where conservative physiotherapy and anti-inflammatory treatment have produced limited benefit, focused shockwave represents an evidence-supported escalation that avoids cortisone injection or surgical intervention. At K+Clinic, shockwave is administered by a trained physiotherapist following a clinical assessment. The session begins with identification of the target area using palpation and, where relevant, cross-reference with prior ultrasound or imaging. The device head is applied to the skin with gel coupling, and a series of focused pulses is delivered to the focal zone. Most patients feel a deep pressure sensation during treatment; some experience brief sharp pain at the treatment site. Post-session soreness for 24–48 hours is common and indicates a biological response. Recommended conditions include plantar fasciitis, heel spur, Achilles tendinopathy, calcific shoulder tendinitis, tennis elbow (lateral epicondylitis), golfer's elbow, patellar tendinopathy, and chronic lower back and gluteal pain. A typical course is 3–6 sessions at weekly intervals, with clinical review after the third session. Contraindications include pregnancy, active blood-thinning medication, tumours at the treatment site, and implanted pacemakers.