We discuss the latest review PMID: 39704142 with Prof Peter Malliaras
✅ Identifying early responders – Can we predict who will benefit?
✅ Effect – Does it work?
✅ Diminishing returns – When does adding SWT to exercise stop being beneficial?
✅ Types of shockwave therapy – Why radial shockwave was chosen in this study
✅ Sham treatments – Do they still have a therapeutic effect?
✅ Mechanisms of action – Neuromodulation, therapeutic alliance, and tendon adaptation
✅ The ‘Big Machine Effect’ – Is patient belief in SWT part of its effectiveness?
✅ Comparisons to exercise – Would fewer appointments with exercise yield similar outcomes?
We also discuss clinical implications—will these findings change how shockwave therapy is used in practice?
🔗 References & Studies Discussed:
• Alsulaimani et al. (2024) - Achilles tendinopathy & shockwave RCT
• Benli et al. - SWT vs. exercise alone
• Heide et al. - Shockwave therapy for plantar heel pain
Find out about Peter and upcoming course:
https://www.tendinopathyrehab.com/home
Socials: https://www.instagram.com/tendinopathyrehab/
https://www.linkedin.com/posts/petermalliaras_my-new-tendinopathy-rehabilitation-framework-activity-7296743926009368576-GNRW/?utm_source=share&utm_medium=member_ios&rcm=ACoAAAexDmkBlV5e4jGTX2E4X9J6s8ZitO8yX0M&fbclid=PAZXh0bgNhZW0CMTEAAabnnAaDDYH_S3We7eJaZZbOHWHxrtGYC_5AiRO-rDUtmh29GdmHqrWh9fI_aem_FLbCehDnORljxK3cgMA8fQ
