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Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial.

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Title: Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial.
Authors: Alsulaimani, B (AUTHOR), Perraton, L (AUTHOR), Bourke, J (AUTHOR), Powers, T (AUTHOR), Malliaras, P (AUTHOR)
Source: Clinical Rehabilitation. Feb2026, Vol. 40 Issue 2, p171-181. 11p.
Subjects: Patient education, Pain measurement, Placebos, Data analysis, Statistical significance, Research funding, Statistical sampling, Exercise therapy, Visual analog scale, Multiple regression analysis, Achilles tendon, Achilles tendinitis, Pain threshold, Treatment effectiveness, Randomized controlled trials, Multivariate analysis, Descriptive statistics, Pain management, Statistics, Ultrasonic therapy, Body movement, Data analysis software
Abstract: Objectives: To investigate the immediate effects of radial shockwave therapy versus sham on movement evoked pain in people with insertional Achilles tendinopathy. Design: Randomised controlled trial. Setting: Private clinic. Participants: People diagnosed with insertional Achilles tendinopathy who were over 18 years old with a symptom duration of greater than 3 months. Intervention: Seventy-six participants (53% female, mean age 51 years) were randomly allocated to a radial shockwave (n = 38) or sham (n = 38) group. Three sessions of radial shockwave or sham (no pressure) to the most affected side in 5-to-10-day intervals. All participants received identical education and exercises. Main measures: The primary outcome measure was movement evoked pain (measured on a 100 mm visual analogue scale) at the first, second and third session immediately after each application. Results: There was 96% follow up of participants at the third session. Over half of the participants believed they were receiving the 'real' treatment (average 58%). The mean movement evoked pain scores improved each session by 0.6 points for the radial shockwave therapy and 0.7 points for the sham group. There was no difference between the groups after the first (−0.4, 95% confidence interval (CI) −1.6 to 0.8), second (0.4, 95% CI −0.8 to 1.6) or third session (−0.4, 95% CI −1.6 to 0.8). Conclusions: In adults with insertional Achilles tendinopathy, radial shockwave therapy demonstrated no more efficacy than a sham in reducing immediate movement evoked pain. These results do not support the use of radial shockwave therapy for immediate pain relief among people with this condition. Clinical trial registration: ACTRN12620000035921. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial.
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  Data: <searchLink fieldCode="AR" term="%22Alsulaimani%2C+B%22">Alsulaimani, B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Perraton%2C+L%22">Perraton, L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bourke%2C+J%22">Bourke, J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Powers%2C+T%22">Powers, T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Malliaras%2C+P%22">Malliaras, P</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Rehabilitation%22">Clinical Rehabilitation</searchLink>. Feb2026, Vol. 40 Issue 2, p171-181. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+measurement%22">Pain measurement</searchLink><br /><searchLink fieldCode="DE" term="%22Placebos%22">Placebos</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+significance%22">Statistical significance</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise+therapy%22">Exercise therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Visual+analog+scale%22">Visual analog scale</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Achilles+tendon%22">Achilles tendon</searchLink><br /><searchLink fieldCode="DE" term="%22Achilles+tendinitis%22">Achilles tendinitis</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+threshold%22">Pain threshold</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Ultrasonic+therapy%22">Ultrasonic therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Body+movement%22">Body movement</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: To investigate the immediate effects of radial shockwave therapy versus sham on movement evoked pain in people with insertional Achilles tendinopathy. Design: Randomised controlled trial. Setting: Private clinic. Participants: People diagnosed with insertional Achilles tendinopathy who were over 18 years old with a symptom duration of greater than 3 months. Intervention: Seventy-six participants (53% female, mean age 51 years) were randomly allocated to a radial shockwave (n = 38) or sham (n = 38) group. Three sessions of radial shockwave or sham (no pressure) to the most affected side in 5-to-10-day intervals. All participants received identical education and exercises. Main measures: The primary outcome measure was movement evoked pain (measured on a 100 mm visual analogue scale) at the first, second and third session immediately after each application. Results: There was 96% follow up of participants at the third session. Over half of the participants believed they were receiving the 'real' treatment (average 58%). The mean movement evoked pain scores improved each session by 0.6 points for the radial shockwave therapy and 0.7 points for the sham group. There was no difference between the groups after the first (−0.4, 95% confidence interval (CI) −1.6 to 0.8), second (0.4, 95% CI −0.8 to 1.6) or third session (−0.4, 95% CI −1.6 to 0.8). Conclusions: In adults with insertional Achilles tendinopathy, radial shockwave therapy demonstrated no more efficacy than a sham in reducing immediate movement evoked pain. These results do not support the use of radial shockwave therapy for immediate pain relief among people with this condition. Clinical trial registration: ACTRN12620000035921. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/02692155251394951
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 171
    Subjects:
      – SubjectFull: Patient education
        Type: general
      – SubjectFull: Pain measurement
        Type: general
      – SubjectFull: Placebos
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Statistical significance
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Exercise therapy
        Type: general
      – SubjectFull: Visual analog scale
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Achilles tendon
        Type: general
      – SubjectFull: Achilles tendinitis
        Type: general
      – SubjectFull: Pain threshold
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Multivariate analysis
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Pain management
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Ultrasonic therapy
        Type: general
      – SubjectFull: Body movement
        Type: general
      – SubjectFull: Data analysis software
        Type: general
    Titles:
      – TitleFull: Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial.
        Type: main
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            NameFull: Alsulaimani, B
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              M: 02
              Text: Feb2026
              Type: published
              Y: 2026
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            – TitleFull: Clinical Rehabilitation
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