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Tendinopathy & Chronic Pain

Shockwave Therapy in London

A non-invasive option for stubborn tendon problems such as Achilles and patellar tendinopathy, plantar fasciitis and gluteal tendinopathy that have not settled with time alone: our chartered physiotherapists use focused shockwave to ease the pain enough to load and rehabilitate the tendon, always alongside a progressive loading plan, never a cure on its own.

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  • Self-referral; no GP letter needed.
Chartered physiotherapist applying shockwave therapy to a patient's lower limb at Kaizen Physiotherapy & Performance in London

Shockwave Therapy can help to:

Make progress on a stubborn tendon

For chronic Achilles, patellar, gluteal and hamstring tendon problems that have stalled, shockwave can ease pain enough to get rehabilitation moving again.

Treat long-standing plantar fasciitis

When heel pain has not settled with loading and time, focused shockwave is an option reviewed by NICE as part of a wider plan.

Ease pain enough to load and rehab

By reducing pain, shockwave lets you do the progressive loading that has the strongest evidence for lasting change in tendinopathy.

Try a step before injections or surgery

It is non-invasive and drug-free, a reasonable option to try before more invasive routes for the right, well-diagnosed tendon problem.

Know it is earning its place

We reassess your pain and function throughout a short course and stop if it is not helping, so you never have sessions you do not need.

An initial consultation at Kaizen Physiotherapy & Performance

At your first appointment we work out what is really holding you back, then agree the plan with you before you leave.

Your initial visit runs 45–60 minutes: a detailed history, then a thorough examination of movement, strength and the affected area. We explain what we find in plain English and agree a working diagnosis together.

Treatment starts the same day, and you leave with the first exercises of a plan built around your goal.

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5.0 out of 5

Based on 218 Google reviews

Read our reviews on Google

David helped me when I started to have a strong tibia pain only 5 weeks before the marathon. I genuinely thought at some point that I wasn’t going to be able to do it and I did my PB!

Vivian Perez Rodriguez1 month ago
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After suffering with terrible back pain, Gus has helped me make huge improvements. Very professional and happy to explain the processes and treatments. Many thanks

Thomas Porter1 week ago
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Couldn’t recommend this physio team enough! They helped me recover from a knee injury 3 weeks before the London Marathon which I thought was going to prevent me from running it! Everyone was really friendly, supportive and genuinely cared about helping me reach my goal. Special thanks to Charlie, Gus, Brad and Stef!

phillip shepherd2 weeks ago
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I came to Dave with an ongoing injury that I’ve been struggling with for months! He helped sort it out straight away, also giving me some exercises to help target the area to get back to full strength. I’m now back to running pain-free already and training properly — I’ll definitely be recommending Kaizen Physiotherapy to my clients!

Olivia Holland7 months ago
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Gus worked miracles to get me running a marathon after being injured 6 weeks out. He worked out the issue really quickly and provided a clear and actionable plan to deal with it. The sports massages were the best I’ve ever had too — thanks Peggy! Can’t recommend Gus and Peggy enough.

Richard Storrow1 month ago
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I had such a positive experience working with Brad at Kaizen. He supported me through a meniscus tear and got me all the way back to running a half marathon and HYROX training. Everything was structured, progressive, and easy to follow, and I always felt like I was in safe hands.

jasmine ayliffe1 month ago
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Inside a Kaizen Physiotherapy & Performance clinic

Shockwave Therapy fees and insurance

Book online through Jane and self-refer, with no GP letter needed. If you are using private health insurance, check your policy first: some insurers ask for a GP referral before your first session.

  • Initial assessment and treatment: £155 for a full 45–60 minutes
  • Follow-up treatment: £93, with your plan progressed at each visit
  • Sports massage: £115 for 60 minutes, £155 for 90 minutes
  • Performance MOT & Screening: £300 for a 90-minute screen with force-plate testing and a written report
  • Recognised by Bupa, AXA Health, Aviva, Cigna, WPA and Allianz
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Your journey
with Kaizen

Everything starts with a proper assessment. We find what is driving the problem, treat it, and build the strength that keeps it fixed, so you finish performing, not just pain-free.

A physiotherapy consultation at Kaizen Physiotherapy & Performance

Assessment

A detailed history, then a thorough examination of movement, strength and the affected area. You leave with a working diagnosis you understand and a plan agreed with you, not handed to you.

Hands-on treatment at Kaizen Physiotherapy & Performance

Treatment

Hands-on care to settle symptoms and restore movement: manual therapy, with acupuncture, shockwave or soft-tissue work where they genuinely help. The first home exercises go with you the same day.

Physiotherapist-led Reformer Pilates at Kaizen Physiotherapy & Performance

Rebuild

Progressive exercise that returns strength, control and load tolerance, from Reformer Pilates to strength and conditioning. Each follow-up reassesses against your baseline, so progress is measured rather than guessed.

Strength and conditioning session at Kaizen Physiotherapy & Performance

Perform

Criteria-based milestones return you to work, sport and training. Discharge happens by mutual agreement once you can manage independently, with a Performance MOT available to catch the next weak link early.

Better than yesterday. Kaizen means continuous improvement: small, repeatable gains, built session by session, until you are back to what you love and no longer need us.

Treadmill running assessment at Kaizen Physiotherapy & Performance
  • One team across five London clinics: Soho, Liverpool Street, Marylebone, Canary Wharf and Wimbledon Village, plus online appointments.
  • Rated 5.0 on Google across 218 reviews.
  • Founded in 2022 by David Thomas and Gus Hadonou. You see the same physiotherapist at every visit, so each session builds on the last.
A physiotherapy treatment room at Kaizen Physiotherapy & Performance

We specialise in:

  • Musculoskeletal and sports physiotherapy
  • Western medical acupuncture (AACP)
  • Physiotherapy-led Reformer Pilates
  • Specialist hand therapy and splinting
  • Shockwave therapy for stubborn tendons
  • Strength and conditioning for rehabilitation
  • Running and gait analysis
  • Performance MOT and movement screening
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Shockwave Therapy across our 5 London clinics

Written and medically reviewed byDavid Thomas, Founder & Chartered Physiotherapist · HCPC-registered · MSc · Chartered Society of Physiotherapy · Health and Care Professions Council (HCPC) and Chartered Society of Physiotherapy (CSP).

FAQs

What conditions can shockwave therapy treat?

We use shockwave mainly for chronic, long-standing tendinopathies that have not settled with loading and time. That includes Achilles, patellar, gluteal, and proximal hamstring tendon problems, plus plantar fasciitis. NICE has reviewed it as an option for several of these. It is used as part of a wider rehabilitation plan, not as a stand-alone cure.

Does shockwave therapy hurt?

It can feel uncomfortable while the pressure waves are applied, and some people find the affected area tender for a day or two afterwards. We adjust the intensity to a level you can tolerate while keeping it effective, and the active treatment usually lasts only a few minutes per session. Tell your clinician if anything becomes too much.

How many shockwave sessions will I need?

Most people have a short course, often around three to six sessions spaced about a week apart, though this varies by condition and response. Shockwave works best alongside a progressive loading programme rather than alone. We reassess your pain and function throughout and stop if it is not adding value, so you are never having sessions you do not need.

Is shockwave therapy a cure on its own?

No. The strongest evidence in tendinopathy supports progressive loading exercise, and shockwave is used as an adjunct that can ease pain enough to let you load and rehabilitate the tendon. Used alone it is far less likely to produce lasting change. We always pair it with a structured rehabilitation plan tailored to your tendon and your goals.

Do I need a GP referral for shockwave therapy at Kaizen?

No. Kaizen is a self-referral clinic, so you can book directly online through our Jane page with no GP referral needed. Shockwave itself is offered only after a physiotherapy assessment, so your first appointment is an assessment where we confirm the diagnosis and decide together whether shockwave is suitable for you.

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Kaizen Physiotherapy & Performance • 111 Charing Cross Road, Soho, London WC2H 0DT

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