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Shockwave Therapy

Shockwave Therapy in Derby

If you’ve been dealing with persistent pain that hasn’t responded to rest or other treatments, Shockwave Therapy could be the next step towards real recovery. At Moko Physiotherapy in Derby, we deliver this evidence-based treatment as part of a structured physiotherapy programme, not as a standalone fix, but as a tool that works best alongside expert clinical care.

What is Shockwave Therapy?

Shockwave Therapy uses a specialist device to deliver high-energy acoustic pressure waves directly into damaged or painful tissue. These waves create a controlled biological response that encourages the body to restart its own healing process, particularly useful in areas where that process has stalled.

First used in clinical medicine in the 1980s to break down kidney stones, the technology has been refined over decades and is now widely used in musculoskeletal physiotherapy for chronic tendon conditions and soft tissue injuries.

The evidence base is well-established. Clinical research consistently supports its use for a range of tendon and overuse conditions, particularly when other conservative treatments have not produced lasting results.

How does it work?

The pressure waves stimulate increased blood flow to the affected area, promote the formation of new blood vessels, and trigger the body’s natural repair response. In tendon tissue, this can help break down calcifications, reduce chronic inflammation, and stimulate collagen production, the building block of healthy tendons.
shockwave1 - Shockwave Therapy
shockwave3 - Shockwave Therapy

What conditions can Shockwave Therapy treat?

Shockwave Therapy is commonly used for musculoskeletal conditions involving tendons, muscle insertions, and soft tissue, particularly where pain has persisted for more than three months or where other approaches have offered limited relief.

At Moko, we use it to treat:
If you’re unsure whether your condition would benefit, our physiotherapists are happy to advise during an initial assessment.

What to expect at your appointment

Shockwave Therapy at Moko is always delivered within a full 40-minute physiotherapy session. This means you won’t simply receive the machine, you’ll receive a thorough clinical assessment, hands-on treatment, and a personalised rehabilitation plan alongside it.

Your first session

Ongoing sessions

A typical course involves 4 to 6 sessions, usually spaced one week apart. Progress is reviewed regularly throughout, and the rehabilitation programme is adjusted as your recovery develops.
shockwave 4 - Shockwave Therapy
shockwave 2 - Shockwave Therapy

Is Shockwave Therapy painful?

We’ll be straightforward with you: yes, it can be uncomfortable during treatment. The sensation varies depending on the area being treated and the sensitivity of the tissue, but most patients describe it as a deep, achy pressure.

It’s common to experience some temporary increase in soreness, redness, or mild swelling in the hours after a session. This is an expected and positive response, it indicates the body is reacting and beginning to heal. This should settle within 24 hours and should not exceed a 5 to 6 out of 10 on a pain scale.

If you experience anything beyond this, or if discomfort is persisting, let your physiotherapist know at your next session.

What results can I expect?

Shockwave Therapy at Moko is always delivered within a full 40-minute physiotherapy session. This means you won’t simply receive the machine, you’ll receive a thorough clinical assessment, hands-on treatment, and a personalised rehabilitation plan alongside it.

Your first session

Ongoing sessions

A typical course involves 4 to 6 sessions, usually spaced one week apart. Progress is reviewed regularly throughout, and the rehabilitation programme is adjusted as your recovery develops.
IMG 9022 - Shockwave Therapy
male patient receiving - Shockwave Therapy

Why choose Moko Physiotherapy for Shockwave Therapy in Derby?

Pricing

Session Duration Cost
Physiotherapy + Shockwave Therapy 40 minutes £105
The Shockwave treatment forms approximately 10 minutes of your 40-minute physiotherapy session. The remaining time is dedicated to clinical assessment, hands-on treatment, and rehabilitation guidance.

Not sure if Shockwave Therapy is right for you?

If you’ve been living with a stubborn injury or persistent tendon pain and you’re not sure where to turn, we’re always happy to have a conversation before you book. You can contact the clinic directly, and one of our physiotherapists will help you understand whether Shockwave is likely to help, or whether a different approach would serve you better.
leg therapy session in doctor - Shockwave Therapy

Frequently Asked Questions

Most patients complete a course of 4 to 6 sessions, typically one per week. The exact number depends on the condition being treated and how your body responds. Your physiotherapist will review progress throughout and advise accordingly.
Shockwave is not suitable for everyone. It is not recommended during pregnancy, over areas with active infection or open wounds, over bone growth plates in younger patients, or for people on blood-thinning medication. If you have a pacemaker or have recently received a steroid injection to the area, please let us know before booking. Your physiotherapist will always confirm suitability before treatment begins.
Many patients report a noticeable reduction in pain after 2 to 3 sessions. For some, improvement continues gradually after the full course is complete, as the tissue continues to heal. Results do vary, and your physiotherapist will set realistic expectations from the outset.
You may experience some temporary soreness or redness after treatment, which should settle within 24 hours. You don’t need to rest completely, but we’ll advise you on what activities to modify during the treatment course to protect the healing response.
No. Ultrasound uses low-energy sound waves to gently warm tissue and is a different treatment with a different mechanism. Shockwave uses high-energy acoustic pressure waves that create a stronger biological stimulus. The two are used for different purposes and are not interchangeable.
In some cases, Shockwave may be offered through NHS pathways for specific conditions such as plantar fasciitis or calcific shoulder tendinopathy, but availability varies and waiting times can be long. Moko Physiotherapy offers private appointments with no referral needed.
Wear or bring clothing that allows easy access to the area being treated. For lower limb conditions, shorts are ideal. For shoulder or upper back conditions, a vest or loose-fitting top works well.
Shockwave is primarily used for tendon and soft tissue conditions rather than joint arthritis. If you’re dealing with arthritic pain, our physiotherapy team can carry out a full assessment and discuss which treatments are most appropriate for you.

Beth Protheroe

Pilates Instructor

Beth teaches Pilates at Moko Physiotherapy. She uses Pilates techniques within the class or 1:1, using techniques to improve physical and mental health, build resilience, strength and flexibility.  

Suzie Hemmings

Clinic Co-ordinator and Massage Therapist

Suzie works at Moko as a clinic co-ordinator on a Wednesday and Thursday AM, as well as a massage therapist on a Monday AM and Friday AM, specialising in deep tissue massage, pregnancy massage and post natal recovery with an interest in women’s health and well-being.

Whilst juggling her three children and running a business Suzie had grown to appreciate the importance of keeping her body healthy, strong and fit for both her physical and mental health. After gaining her Level 3 Diploma in massage Suzie went on to further train in pre and postnatal massage.

Out of the clinic you will usually find Suzie outdoors, either running (She completed the London Marathon in April 2024!), cycling, skiing, fitness bootcamps and the odd triathlon – she loves a challenge.

Laura Birbeck

Senior Physiotherapist
BSc (Hons) Physiotherapy
CSP No. 102525
HCPC No. PH113273

Laura works as a senior physiotherapist and Pilates Instructor at Moko Physiotherapy 3 days per week.

Specialisms:
– Acute and chronic pain
– Lower limb and upper limb rehab
– Pilates rehab
– Back and neck pain
– Ligament injuries
– Neurological physiotherapy – stroke, Parkinson’s providing independently mobile and medically well.
– Sports and Therapeutic Massage (with a Physiotherapist)
– Aromatherapy Massage
– Hot Stone Massage
– Indian Head Massage

Laura graduated as a Physiotherapist from the University of Nottingham in 2017. Following this, her interest in health and wellbeing led her to also complete a Level 3 NVQ in Massage Therapy and Levels 1-3 of the APPI Pilates Matwork Series. Helping people take time to care for themselves and to build a happier life is one of Laura’s main goals in her work, whether it is supporting recovery from injury or promoting self-care and relaxation.

Outside of work, you will find Laura climbing (bouldering), spending time with friends and family, as well as the odd visit to Hotel Chocolat!!

Leave Us A Review

We’re so sorry to hear that you aren’t happy with our service. Your feedback is really important to us and we do all we can to make sure we are constantly improving. Please leave your feedback for us below and we’ll get back to you to see what we can do to resolve any issues you may have.

Leave Us A Review

We’re so sorry to hear that you aren’t happy with our service. Your feedback is really important to us and we do all we can to make sure we are constantly improving. Please leave your feedback for us below and we’ll get back to you to see what we can do to resolve any issues you may have.

Leave Us A Review

We’re so sorry to hear that you aren’t happy with our service. Your feedback is really important to us and we do all we can to make sure we are constantly improving. Please leave your feedback for us below and we’ll get back to you to see what we can do to resolve any issues you may have.

Mike Noble

Nutritionist

Mike supports Moko Physiotherapy and our clients with Specialist Nutrition Advice. He offers 1:1 support, nutritional plans and educational talks at Moko Physiotherapy.

Starting out as a personal trainer in 2015, Mike’s career has always been geared towards connecting with people and helping them understand how they can better their health. He studied nutrition in 2019 and from there his mission was clear: to empower people to live their best lives through the power of food and fitness.

Since then, he’s been amazed at the difference a natural approach to food and lifestyle can make, helping people increase their energy, cure their skin condition and even fall pregnant.

Mike works with clients struggling with conditions from PCOS and menopause to chronic stress or IBD, who feel they have tried everything, but achieved nothing. Whatever it is you’re struggling with, Mike can work with you to help you get the results you need, all through simple lifestyle changes.

Mike is happy to see you for nutritional support in house at Moko Physiotherapy, online or also offers personal training from his private 1:1 studio in Chester Green.

How does the process work?

1) Discovery call:

You’ll start with an initial chat to find out where you’re at currently, what you want to achieve and how Mike can support you.

Step 2) Send out health questionnaire

When you decide to go ahead, you’ll receive an in depth health questionnaire to find out everything Mike needs to know.

Step 3) Create your personalised plan

Once Mike has a full picture of your health and current situation, he’ll start working on your personalised wellness plan.

What’s included in the personalised wellness plan?

– Summary of your current health/ condition
– Written justifications for all foods & supplements included in your plan
– Full 7 day meal plan
– Recipes
– Shopping lists
– Nutritional information (kcals/fats/protein/ vitamins & minerals)
– Supplement recommendations

Step 4) Get Started

You’ll start the first few weeks of your wellness plan, before a 1:1 catch up again to see how you’re getting on.

At this point, Mike will make some changes and then catch up again in another few weeks. By the third session, we’d expect to be seeing some positive changes.

Pricing structure:

Initial consultation + Personalised Plan
2x follow up appointments
1x Bonus PT session @ Milife Studio
Price: £185

Additional Follow up appointments
Price: £55

For further enquiries, speak with our Moko Physiotherapy reception team and they’ll put you in touch with Mike.