Focused Shockwave Therapy near Harley Street
Focused shockwave therapy is available through Shockwave Therapy Harley Street at UNTIL Marylebone, 1 Orchard Street, a 13-minute walk from Harley Street: the shockwave machine that concentrates its energy at a chosen depth below the skin.
- No fee to enquire
- UNTIL Marylebone, W1H 6HJ
- 13 minutes from Harley Street
The short answer
What is focused shockwave therapy?
Focused shockwave therapy is the form of extracorporeal shockwave therapy (ESWT) in which the wave is made electrohydraulically, electromagnetically or piezoelectrically and then converged on a point at a chosen depth. NICE notes that it can be aimed using ultrasound. Where radial energy is strongest at the skin, focused energy peaks where the practitioner sets it.
Several physiotherapy practices at UNTIL Marylebone describe using focused shockwave, delivered alongside the loading exercises.
How focused shockwave works
The applicator is held over the painful area with gel between it and the skin, and the practitioner sets the depth at which the energy converges. Some devices let the practitioner check the target with ultrasound. The dose is described as energy flux density: below 0.12 mJ per square millimetre is low energy, above it is high energy.
At high energy, NICE notes that treatment can be painful enough for a local anaesthetic to be offered, and that there is evidence an anaesthetic may work against the result. Ask which energy your course uses before the first session.
What happens in a focused shockwave session
Finding the target
The practitioner locates the painful tissue by examination and, on some devices, with ultrasound, then sets the depth at which the energy converges.
The setting
Focused devices are set by energy flux density in millijoules per square millimetre. NICE puts the line between low and high energy at 0.12, and in one published trial the focused group received about 0.09.
Afterwards
You walk out after about 10 to 20 minutes. Soreness for 1 to 3 days is usual, the loading exercises carry on, and the next session is usually about a week later.
When focused shockwave is chosen
A practitioner may suggest focused treatment when the target sits deeper, when they want to aim at a specific point such as a calcific deposit in a shoulder tendon, or when a radial course has not helped. NICE has assessed shockwave for four tendon conditions and found no major safety concerns and inconsistent evidence that it works, whichever device is used, so it remains a second-line option once the loading exercises have been given a fair try.
Focused vs radial shockwave: what one trial found
Not proven in general. One trial of 46 people with shoulder tendon pain, each given 4 sessions, found no difference between focused and radial treatment for the first 24 weeks, and lower pain with focused treatment at 24 and 48 weeks. One small trial in one tendon does not decide it for a heel or an elbow. How radial shockwave therapy works, and shockwave physiotherapy near Harley Street covers both.
Focused shockwave price near Harley Street
A Mayfair clinic that names a focused device publishes £180 for a first appointment with treatment and £120 for each follow-up session, checked on 29 September 2026. At UNTIL Marylebone, one practice publishes £150 a session and £400 for a course of 3. Shockwave Therapy Harley Street sets no price and charges nothing for arranging the assessment. London shockwave prices compared.
Areas treated
Focused shockwave benefits
- Energy concentrated at a chosen depth below the skin
- Can be aimed with ultrasound at the tissue to be treated
- Dose described in energy flux density, the unit NICE uses
- Given alongside the loading exercises, in sessions of 10 to 20 minutes
FAQ
Focused shockwave
FAQs
What is focused shockwave therapy used for?
Tendon pain where the practitioner wants to aim at a depth or a point, such as a calcific deposit in a shoulder tendon, and tendons that have not settled with a radial course. Shockwave Therapy Harley Street arranges an assessment first, because the diagnosis decides which device suits you.
Does focused shockwave therapy need an anaesthetic?
Not at low energy. NICE notes that high-energy treatment, above 0.12 mJ per square millimetre, can be painful enough that a local anaesthetic is offered, and that using one may work against the result. Shockwave Therapy Harley Street suggests asking which energy your course uses before the first session.
Is focused shockwave better than radial?
Not proven in general. One trial of 46 people with shoulder tendon pain found no difference for 24 weeks and lower pain with focused treatment after that. Shockwave Therapy Harley Street suggests letting the assessment decide, because the right device depends on where the problem sits.
Is focused shockwave available at UNTIL Marylebone?
Yes. Several physiotherapy practices at UNTIL Marylebone, 1 Orchard Street, describe using focused shockwave. Shockwave Therapy Harley Street arranges assessments there through UNTIL Health Concierge, 13 minutes on foot from the south end of Harley Street, and the practitioner confirms the device and the fee first.
Get Started
Ask for an assessment before you pay for a course.
At UNTIL Marylebone, near Harley Street.
Shockwave Therapy Harley Street • UNTIL Marylebone, 1 Orchard Street, London W1H 6HJ
Enquire About ShockwaveNo fee to enquire. You agree the practitioner's fee before the first session.