Current Evidence of Extracorporeal Shock Wave Therapy in Chronic Achilles Tendinopathy (ijspt.org)

• ESWT effective for chronic mid-portion Achilles tendinopathy
• High-energy ESWT shows superior outcomes
• Combination with eccentric exercise recommended
• Contraindications: pregnancy, coagulopathy, infection
• Long-term data limited but promising

"This review synthesizes evidence on extracorporeal shock wave therapy (ESWT) for chronic Achilles tendinopathy. Studies show ESWT reduces pain and improves function, especially when combined with eccentric loading. Outcomes depend on energy level and treatment protocols. ESWT is a safe, non-invasive adjunct for patients failing conservative management."