Conditions we treat

Show us where it hurts.

Radial shockwave therapy is used for painful tendon, fascia and muscle problems lying relatively close to the surface. Pick the area below, read what’s usually going on, then tell us about yours.

Tap a marker, or choose an area from the list.

Find your area

Six areas we treat most often

Each one links straight to the detail below — what the problem usually is, what it tends to feel like, and how shockwave therapy is used for it.

Read this first. Pain in any of these areas can have several different causes, and some of them need a different treatment entirely. Nothing on this page is a diagnosis. An appropriate assessment is important before treatment, and we’ll always tell you if we think you should see your GP or a physiotherapist first.

Lower leg

Shin and calf pain

RADIALShin painAn ache along the inner shin that builds through a run — often called shin splints.

Medial tibial stress syndrome

In plain terms: the inside edge of your shin bone and the tissue attached to it are irritated from repeated pounding.

COMMONLY CALLED SHIN SPLINTS

What is it?

Pain along the inner border of the shin bone, associated with repetitive loading — running, jumping, marching, court sports. It typically follows a spike in training volume, a change of surface or a return to activity after a break.

What does it normally feel like?

A diffuse ache or burn spread along several centimetres of the inside of the shin, rather than one precise point. It usually starts early in a run, may ease slightly, then builds afterwards. Tenderness along the bone edge is common.

How can shockwave therapy be used?

EMS lists medial tibial stress syndrome among the superficial conditions the DolorClast® Radial system is used for. Treatment is applied along the painful border of the shin and the adjacent soft tissue, generally combined with a sensible reduction and rebuild of training load.

Why EMS DolorClast®?

Shin pain covers a long, narrow area rather than a single spot, so being able to treat efficiently across a larger surface matters. The system offers a set of seven applicators of different sizes to suit the area being treated.

Focal, pinpoint bone pain may be a stress fracture — that needs imaging first.

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RADIALMuscle painTight bands and tender spots that keep returning however much you stretch.

Calf muscle pain

MUSCULAR & MYOFASCIAL

What is it?

Persistent tightness, tenderness or a stubborn painful band in the calf muscles — often after a strain that never fully settled, or in people whose sport or job loads the calf repeatedly.

What does it normally feel like?

A pulling or cramping sensation, tender spots you can find with your thumb, and a calf that feels tight no matter how much you stretch it. It often flares with hills, speed work or long days standing.

How can shockwave therapy be used?

EMS lists muscular pathologies and trigger points among the applications for the radial system. Treatment is applied across the muscle belly and over the tender points, using a larger applicator to cover the area.

Why EMS DolorClast®?

The system includes a burst mode that alternates high frequency with a preset frequency, which EMS describes as preventing patients from acquiring a tolerance to mechanical stimulation. Myofascial pain syndromes and large muscular areas are both listed by EMS as ideal radial applications.

A sudden “pop” with swelling or bruising needs assessing before any treatment.

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Knee

Pain at the front of the knee

RADIALJumper's kneeA pinpoint pain just below the kneecap, worse jumping, landing or on stairs.

Patellar tendinopathy

In plain terms: the cord below your kneecap has been overloaded, usually by jumping, landing or squatting.

JUMPER’S KNEE

What is it?

A painful overload of the patellar tendon, which runs from the bottom of your kneecap down to the shin bone. It’s the classic jumping-sport injury — basketball, volleyball, GAA, athletics — but it also turns up in anybody doing a lot of squatting, stairs or repeated loaded knee bend.

What does it normally feel like?

A precise, localised pain just below the kneecap that you can usually point to with one finger. Worse when jumping, landing, squatting, going down stairs or standing up after sitting. Early on it warms up with activity, which is exactly why people keep pushing through it.

How can shockwave therapy be used?

EMS lists superficial tendinopathies among the applications for the DolorClast® Radial system, which is designed for structures lying within roughly 4 cm of the surface — and the patellar tendon sits directly under the skin. Treatment is applied along the tendon and its tender area, typically alongside a progressive strength programme for the knee.

Why EMS DolorClast®?

The tendon sits directly under the skin, so a radial system delivers its energy exactly where the problem is. And because the area is often very tender, the analgesic mode — higher frequency at lower pressure — is available for sensitive presentations.

Knee pain with locking, giving way or swelling needs assessment first.

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RADIALJumper's kneeA pinpoint pain just below the kneecap, worse jumping, landing or on stairs.

Quadriceps & hamstring tendon pain

ABOVE AND BEHIND THE KNEE

What is it?

Overload pain in the tendons around the knee other than the patellar tendon — the quadriceps tendon above the kneecap, or the hamstring tendons at the back — and in the muscle immediately above them.

What does it normally feel like?

An ache or sharp catch above or behind the knee on loading: lunging, sprinting, deep squats, hill running. Often accompanied by tightness in the muscle above the painful tendon.

How can shockwave therapy be used?

These are superficial tendon and myotendinous problems, which is the category EMS lists the radial system for. Treatment covers the tender tendon area and the adjoining muscle, adjusted to what we find on assessment.

Why EMS DolorClast®?

Different applicator sizes let us work a focal tendon point and a broader muscular area in the same session without swapping equipment.

Symptoms here overlap with several conditions — assessment matters.

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Hip

Pain on the outside of the hip

RADIALOuter hip painPain on the bony point of the hip, often worst lying on that side at night.

Greater trochanteric pain syndrome

In plain terms: the tendons attaching to the bony point on the outside of your hip have become painful.

LATERAL HIP PAIN · GLUTEAL TENDINOPATHY

What is it?

Pain over the bony point on the outside of the hip — the greater trochanter — and the tissue around it, most often involving the gluteal tendons that attach there. It’s a common cause of hip pain that gets mistaken for arthritis.

What does it normally feel like?

Pain and tenderness on the side of the hip, typically worse lying on that side at night, climbing stairs, standing on one leg or after sitting cross-legged. Pain can spread down the outside of the thigh.

How can shockwave therapy be used?

EMS lists greater trochanteric pain syndrome among the superficial indications for the DolorClast® Radial system, and it has been studied in published research using radial shockwave therapy. Treatment is applied over the tender area on the outside of the hip, normally combined with load management and gluteal strengthening.

Why EMS DolorClast®?

This area needs energy delivered efficiently across a broad tender region rather than one pinpoint, which suits the way a radial wave spreads out from the applicator.

Hip pain felt in the groin is usually a different problem — tell us where exactly.

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RADIALOuter hip painPain on the bony point of the hip, often worst lying on that side at night.

Proximal hamstring pain

PAIN AT THE SITTING BONE

What is it?

Pain where the hamstring tendons attach to the sitting bone at the base of the pelvis, usually from repetitive loading in running, hurdling, kicking sports or heavy hinging movements.

What does it normally feel like?

A deep, nagging ache right at the sitting bone. Classically worse with prolonged sitting, driving, accelerating when you run, and stretching the hamstring.

How can shockwave therapy be used?

Straight answer: this one is a judgement call. The hamstring attaches deep at the sitting bone, and the radial system is specified for pathologies within about 4 cm of the surface. Where the painful area is reachable we can treat it. We assess first, and if we don’t think radial shockwave is the right tool for your presentation, we’ll say so and point you towards what is.

Why EMS DolorClast®?

If it is suitable, energy output is what matters at depth — and EMS engineer this system around a patented air management design that holds constant high energy output across all frequencies.

Pain with numbness or pins and needles down the leg needs assessing first.

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Shoulder

Rotator cuff-related shoulder pain

RADIALShoulder painPain reaching overhead or behind your back, often worse lying on that side.

Rotator cuff-related tendinopathy

In plain terms: the tendons that steady your shoulder have been overloaded and have become painful to use.

SHOULDER TENDON PAIN

What is it?

Painful overload of the rotator cuff tendons — the group of tendons that stabilise and rotate the shoulder. It’s the most common source of shoulder pain in adults and often follows overhead work, throwing, swimming, racquet sports or simply a change in what the shoulder is being asked to do.

What does it normally feel like?

Pain on the outside or front of the shoulder, worse reaching overhead, out to the side or behind your back. Night pain when lying on that shoulder is very common, and so is a feeling of weakness when lifting away from the body.

How can shockwave therapy be used?

Shoulder tendinopathy is among the conditions extracorporeal shockwave therapy is used for, and it appears in published reviews of the treatment. With a radial system, treatment is directed at the accessible tendon and soft tissue around the shoulder. Suitability depends on what’s found on assessment — not every shoulder problem responds to shockwave, and some need imaging first.

Why EMS DolorClast®?

The shoulder tolerates treatment better when intensity can be dialled in precisely. The DolorClast® Radial system has power controls on the handpiece and an analgesic mode for sensitive presentations, so settings can be adjusted mid-session.

Shoulder pain has many causes. Assessment before treatment is essential.

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RADIALMuscle painTight bands and tender spots that keep returning however much you stretch.

Upper back & shoulder muscle pain

MYOFASCIAL TRIGGER POINTS

What is it?

Persistent tight, tender bands in the muscles across the top of the shoulder and upper back — often described as knots. Commonly associated with sustained postures, desk work, driving and carrying.

What does it normally feel like?

A deep, dull ache across the shoulder and neck that builds through the day, with specific spots that are exquisitely tender when pressed and sometimes refer pain elsewhere.

How can shockwave therapy be used?

EMS lists trigger points and myofascial applications for the radial system. Treatment is applied over the tender bands and surrounding muscle rather than one fixed point.

Why EMS DolorClast®?

EMS lists myofascial pain syndromes as an ideal radial application, and its burst mode alternates frequencies specifically to stop the tissue acquiring a tolerance to the stimulus.

Neck pain with arm symptoms should be assessed before treatment.

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Elbow

Tennis elbow and golfer’s elbow

RADIALTennis elbowPain on the outside of the elbow when you grip, lift or shake hands.

Tennis elbow

In plain terms: where your forearm muscles anchor into the outside of your elbow has become painful from gripping and lifting.

LATERAL EPICONDYLITIS · LATERAL ELBOW TENDINOPATHY

What is it?

A tendinopathy of the common extensor origin on the outside of the elbow — the point where the muscles that lift your wrist and fingers anchor into bone. Most people who get it have never played tennis; it’s far more often gripping, lifting, tools, keyboards and repetitive work.

What does it normally feel like?

Pain on the outer elbow that can travel down the forearm, provoked by gripping, turning a door handle, shaking hands, lifting a kettle or a laptop. The bony point on the outside of the elbow is usually tender to press.

How can shockwave therapy be used?

EMS presents radial shockwave therapy as an option for tennis elbow after conservative measures such as rest, physiotherapy and loading exercises have been tried. Treatment is applied to the tender attachment point and along the extensor muscle, alongside continued loading work.

Why EMS DolorClast®?

The extensor origin sits immediately under the skin and is very tender, so treatment depends on delivering energy accurately at the surface with intensity you can tolerate — the case radial systems are built for.

Elbow pain with numbness in the hand needs assessing first.

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RADIALGolfer's elbowPain on the inside of the elbow, aggravated by gripping, twisting and carrying.

Golfer’s elbow

In plain terms: the same problem as tennis elbow, on the inside of the elbow instead of the outside.

MEDIAL EPICONDYLITIS · MEDIAL ELBOW TENDINOPATHY

What is it?

The same kind of problem as tennis elbow, on the opposite side: an overload tendinopathy where the wrist flexor muscles attach to the inside of the elbow.

What does it normally feel like?

Pain and tenderness on the inner side of the elbow, aggravated by gripping, twisting, carrying, and by wrist movement against resistance. It can spread down into the forearm.

How can shockwave therapy be used?

It is treated in the same way as the lateral side — a superficial tendon attachment problem, which is the category EMS lists the radial system for. Treatment covers the tender attachment and the adjoining forearm muscle.

Why EMS DolorClast®?

The ulnar nerve runs close to the surface on the inside of the elbow, so precise placement and adjustable intensity matter. Settings can be changed on the handpiece during treatment.

Pins and needles in the ring and little fingers should be assessed first.

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Muscle & soft tissue

Muscular and myofascial pain

RADIALMuscle painTight bands and tender spots that keep returning however much you stretch.

Myofascial pain & trigger points

MUSCULAR PATHOLOGIES

What is it?

Pain arising from muscle and the fascia around it, often with discrete tender points within a tight band of muscle. It turns up almost anywhere — calves, hamstrings, glutes, back, shoulders, forearms — and frequently sits alongside a tendon problem rather than instead of one.

What does it normally feel like?

A deep ache with specific spots that are sharply tender when pressed, muscle that feels permanently tight, and pain that keeps returning to the same place despite stretching and massage.

How can shockwave therapy be used?

EMS lists muscular pathologies and trigger points among the applications for the DolorClast® Radial system. Treatment sweeps across the affected muscle and works over the tender points, using a larger applicator to cover ground efficiently.

Why EMS DolorClast®?

Myofascial pain syndromes and large muscular areas are two of the applications EMS lists as ideal for the radial system. Burst mode alternates frequencies to prevent an acquired tolerance to the stimulus, and at 25 Hz the device delivers 1,500 shocks a minute, so a whole muscle belly can be covered properly within a session.

Widespread body-wide pain needs medical assessment rather than shockwave.

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RADIALMuscle painTight bands and tender spots that keep returning however much you stretch.

Muscle injuries that haven’t settled

MYOTENDINOUS & MUSCULAR

What is it?

A muscle strain or myotendinous injury that has passed the acute stage but left behind pain, tightness and a spot that keeps flaring when you go back to full effort.

What does it normally feel like?

A specific area of the muscle that pulls or catches when you sprint, change direction or load it hard — often fine at low intensity and unmistakable at high intensity.

How can shockwave therapy be used?

EMS lists myotendinous tears and muscular pathologies among the applications for the radial system. In practice it is used as part of a wider return-to-load plan rather than as a standalone fix, and timing relative to the injury matters — which is why we assess before treating.

Why EMS DolorClast®?

Larger applicators and high-frequency settings allow a muscle belly to be covered properly in a session, while smaller heads target the specific painful area.

Recent or acute injuries: message us before booking so we can advise on timing.

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Something else?

Can’t see your condition?

Send us a WhatsApp message. Tell us where you’re experiencing the problem and we’ll discuss whether shockwave therapy may be appropriate — including if the answer is no.

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