Focused Shockwave Therapy

Focused extracorporeal shockwave therapy (fESWT) delivering concentrated acoustic energy to a precise tissue depth for targeted treatment of deep tendinopathies, calcifications, and non-union fractures.

Focused shockwave therapy generates high-energy acoustic waves that converge at a specific focal point within the tissue, allowing the clinician to target pathology at a precise depth — typically 2 to 6 centimetres beneath the skin surface. This precision makes focused shockwave the treatment of choice for deep-seated conditions that radial shockwave cannot effectively reach, including hip bursitis, deep rotator cuff calcifications, and certain bone healing disorders. The focused shockwave device at Prague Body Clinic uses electromagnetic or piezoelectric generation to produce waves with higher peak pressures than radial devices. The treating physiotherapist uses anatomical landmarks and, when needed, ultrasound guidance to position the focal zone precisely at the target tissue. Treatment typically involves 1,500 to 2,500 impulses per session at energy levels calibrated to the specific condition and patient tolerance. Focused shockwave works through both mechanical and biological mechanisms. The concentrated energy disrupts calcific deposits and scar tissue, while the controlled microtrauma stimulates neovascularisation (new blood vessel formation) and the release of growth factors that accelerate tissue healing. For non-union fractures, focused shockwave has demonstrated the ability to restart stalled bone healing processes. At 1,500 CZK (approximately 60 EUR) per session, focused shockwave at Prague Body Clinic is priced below many Western European radial shockwave treatments, let alone focused. A course of three to five sessions is typical, with most patients noticing improvement after the second or third session. The 20-minute treatment may cause moderate discomfort during application, which is expected and subsides immediately after the session.