Treatment for Insertional Tendinopathy at The Physical Therapy Clinic

At The Physical Therapy Clinic in Northampton, we provide advanced, evidence-based treatment using Extracorporeal Shockwave Therapy (ESWT) to help reduce pain and promote healing in conditions such as insertional tendinopathy.

What is Insertional Tendinopathy?

Insertional tendinopathy is a condition where a tendon becomes irritated, weakened, or degenerative at the point where it attaches to a bone (the tendon “insertion”). Unlike mid-portion tendinopathy, this condition affects the tendon–bone junction.

It is commonly caused by:

• Repetitive strain or overuse
• Poor biomechanics or movement patterns
• Sudden increases in activity levels

Typical symptoms:

• Localised pain at the tendon insertion
• Stiffness, especially after rest or in the morning
• Swelling or thickening near the attachment site
• Pain during or after physical activity

Can ESWT Treat Achilles Tendinosis?

Yes, ESWT is an effective treatment for Achilles tendinosis, including insertional Achilles pain.

At The Physical Therapy Clinic, we always begin with a full clinical assessment to:

• Confirm your diagnosis
• Identify contributing factors
• Ensure ESWT is the right treatment for you

What is Extracorporeal Shockwave Therapy (ESWT)?

Extracorporeal Shockwave Therapy (ESWT) is a non-invasive, clinically proven treatment for chronic tendon conditions.

It uses a handheld device to deliver targeted acoustic shockwaves directly to the affected tendon. The treatment is safe, requires no injections, and avoids the need for surgery.

How Does ESWT Work?

ESWT stimulates the body’s natural healing processes by:

• Increasing blood flow to the damaged tendon
• Promoting new blood vessel formation (neovascularisation)
• Activating cellular repair and tissue regeneration
• Helping to break down calcification at the tendon insertion
• Reducing pain through changes in nerve signalling

This leads to:

• Reduced pain
• Improved tendon strength
• Better function and mobility
• Long-term recovery without invasive procedures

What to Expect from Treatment

• Sessions typically last 10–15 minutes
• A course of treatment is usually recommended
• Mild discomfort may be felt during treatment
• No downtime — you can return to normal activities

We also provide a personalised rehabilitation programme to maximise your results.

Is ESWT Right for You?

ESWT may be suitable if you:

• Have persistent tendon pain lasting several months
• Have not improved with rest or standard physiotherapy
• Want to avoid injections or surgery

A detailed assessment at our Northampton clinic will determine the best treatment plan for you.

Book Your ESWT Assessment in Northampton

If you are struggling with ongoing heel or tendon pain, we are here to help.

Call The Physical Therapy Clinic today on 01604 630636
to book your assessment and find out if ESWT is right for you.