Shockwave Therapy vs PRP
Both treatments target the same problem — chronic, degenerative tendon or fascial tissue that has failed to heal — but by different routes. Shockwave uses acoustic energy to stimulate repair from outside the body; PRP delivers biological growth factors directly into the lesion.
At a glance
| Criterion | Shockwave therapy | PRP |
|---|---|---|
| Delivery | Non-invasive, external probe | Injection under ultrasound |
| Sessions | 3–5 weekly sessions | 1–3 injections spaced 4–6 weeks |
| Downtime | None | 48–72 hours relative rest |
| Best evidence | Plantar fasciitis, greater trochanteric pain, calcific tendinitis | Tennis/golfer's elbow, patellar and Achilles tendinopathy |
| Pain during treatment | Mild-to-moderate | Brief injection discomfort |
| Cost per course | Lower–moderate | Higher |
When Shockwave therapy is preferred
- Plantar fasciitis or Achilles insertional tendinopathy
- Calcific tendinitis of the rotator cuff
- You want a non-injection option
When PRP is preferred
- Mid-substance Achilles or patellar tendinopathy
- Failure to respond to shockwave
- Early tendon tears
Bottom line
Shockwave is a strong first-line non-invasive option; PRP is the next step if symptoms persist. In some cases we combine both.
Frequently asked questions
Can shockwave and PRP be combined?
Yes — evidence supports using shockwave to prime tissue followed by PRP for stubborn tendinopathies.
Related treatments
Not sure which is right for you?
Book a consultation — we'll examine, scan and recommend an evidence-based plan on the day.