Specialist centre for shockwave therapy
Persistent back, knee, muscle or tendon symptoms? We assess what is causing them and whether focused or radial shockwave could be right for you.
Free ultrasound with a paid initial consultation.
when ultrasound is clinically indicated and technically feasible.
Focused shockwave
Focused shockwave deserves a broader perspective. Its applications extend beyond tendon symptoms to muscle conditions and specialist bone care. For back, meniscus and ligament symptoms, we carefully assess what treatment may offer. Expected benefits and the strength of the evidence vary by condition.
View all applications
The waves come together in a demarcated area in the tissue.
This is how focused shockwave worksIllustration of the working principle · not on scaleFor persistent back symptoms, we consider the potential role of focused shockwave alongside physical activity and exercise. Research suggests possible pain relief; the effect depends on the diagnosis.
Shockwave in case of back discomfort
Focused shockwave is also being studied for degenerative meniscus symptoms. One small study suggests a possible reduction in pain. We discuss what this emerging application might mean for your knee.
More about meniscus symptoms
Ligament symptoms involve both pain and stability. We assess whether additional treatment fits your injury and recovery plan. Evidence for shockwave varies by condition and remains limited.
Our approach to ligament symptomsIn myofascial pain, sensitive muscle points can make it difficult to move. Research shows that shockwave can reduce pain, although not every study finds additional benefit.
Shockwave for muscle painFrom heel pain to certain tendon conditions, shockwave may form part of a treatment plan following an appropriate diagnosis. Its potential benefit varies by condition.
Explore your symptomWe also discuss radial shockwave with certain nerve symptoms. This application has been studied especially in mild to moderate carpal tunnel syndrome. We first assess the cause and discuss the possible added value.
Radial shockwave for nerve problemsWhen moving hurts, sometimes your world gets smaller. We'll start with what's bothering you and what you'd like to do again.
See the symptoms
In case of persistent back symptoms and discopathy, we look beyond the name on a scan. We assess whether focused shockwave can contribute to fewer symptoms, in addition to a plan for movement and load. The basis for this application is still under development.
Read more about back & discShockwave is not suitable for every condition. We also discuss other options.
What's going on, what have you tried and what do you want to be able to do? A careful investigation gives direction.
We discuss what approach can fit, what you can expect and what it costs. You know what you're choosing.
Where appropriate, we combine treatment with exercises and advice. We'll monitor your progress and adjust it.
You don't have to choose a device. Understanding the difference will help you make a conscious choice.
Focused shockwave bundles acoustic energy into a chosen area. In addition to muscle and symptoms of the tendons, the technique is investigated for back, meniscus and ligaments symptoms. Also within specialized bone care has focused shockwave applications. We translate those possibilities into a treatment choice that fits your diagnosis.
More about focused shockwave
In the technique shown, an electromagnetic source moves a membrane. A reflector in the handpiece bundles the acoustic waves.
Contact gel connects the contact plane to the skin. Thus the acoustic pressure pulses are transmitted from the handpiece to the tissue.
The waves come together in a demarcated area. The location and dimensions of that zone depend on the handpiece and the applicator.
Technical explanation of the manufacturer (opens in a new tab) ↗
Radial pressure waves and focused shock waves are physically different. Deeper, stronger or both aren't automatically better. The diagnosis and the justification determine the balance.
Supplementary therapy
For long-term symptoms of tendons in the shoulder without calcification One study showed better pain and function results with focused shockwave plus EMTT than with focused shockwave plus placebo EMTT.
A targeted investigation finding. Whether this combination is appropriate requires a personal consideration of evidence, guidelines and alternatives.
Discover EMTT as a supplementStudy in 86 adults · follow-up to 24 weeks · both groups also received physiotherapy.
Connected to Spine Clinics. We link the clinical experience with back symptoms and the musculoskeletal system to our expertise in shockwave and ultrasound. Careful research and a personal choice of treatment are central.
What our approach stands forClinical trials as a starting point. Additional research, like ultrasound, when it adds something.
The reason for a technique, the potential benefits and the uncertainties clearly discussed.
Treatment where appropriate, load guidance and agreed evaluation.
Attention in practice
The same symptom could mean something quite different for two people. That's why your story belongs to every consideration, from the first conversation to the evaluation.
Meet the conceptThe knowledge hub
From the first painful steps to sports again. Immerse yourself in your symptom, research and treatment choices, with clear explanations and sources.
Explore the knowledge baseWhen does shockwave come to heel pain? Read the Dutch recommendation, the uncertainties and the questions that help to weigh a treatment.
Read the articleWhat does Klüter's research into EMTT prove besides focused shockwave? Read for which shoulder symptoms it applies and which limitations are important.
Read the articleAn ultrasound can answer a targeted question about a tendon. Read when imaging adds something and why a scan is always placed next to your symptoms.
Read the articleVisit us in Uden, Veghel, Nuenen or Gemert. Asten is coming soon. Choose your location and request a consultation.
Discover our locationsAn existing basis
Shockwave Clinics is built on these practices. These reviews are about the existing care of Spine Clinics; they are not specific to shockwave or the new Shockwave Clinics.
About these assessments
UdenControlled on 1 October 2026
VeghelControlled on 1 October 2026
NuenenControlled on 1 October 2026
GemertControlled on 1 October 2026
With a paid intake, we don't charge extra costs for ultrasound, when ultrasound is clinically indicated and technically feasible. So the intake itself is paid for. We discuss the consultation fee before you confirm your appointment. Any treatments are excluded from this offer and are discussed separately.
In long-term symptoms of tendons in the shoulder without calcification, one study showed more favourable pain and function results with focused shockwave plus EMTT than with focused shockwave plus placebo EMTT. That doesn't mean that the combination works better with every symptom. We're assessing whether the potential added value fits your situation.
No. That choice is part of the assessment of your symptom. The techniques differ in the way they transfer energy. Your clinician explains why a technique fits or doesn't. Using both is not automatically better.
No. We also assess symptoms of discopathy, meniscus problems and ligaments, in addition to muscle and tendon symptoms. For these wider applications, the basis differs and additional research is needed. Outside our clinics, focused shockwave also has a role in specialized bone care. The diagnosis determines which treatment fits. Look at the applications and what they mean to you.
Shockwave may reduce pain and improve functioning when appropriately diagnosed. This has also been investigated outside symptoms of the tendons, for example at painful muscle points. A general success rate does not reflect the differences between conditions. We make it concrete: what effect do we expect in your symptom and when do we assess your progress?
Your first date
With a paid initial consultation, when ultrasound is clinically indicated and technically feasible.
You're paying for the intake. The ultrasound costs nothing extra.
You decide whether to proceed with any further treatment.
The consultation fee will be announced before opening.
