Occupational Health Physiotherapy Northwich

September 7, 2026

Supporting a Healthier, Stronger Cheshire Workforce

Work-related pain can have a significant impact on both employees and businesses. A persistent back problem, repetitive strain injury or painful shoulder may begin as a minor irritation, but without appropriate management it can affect concentration, productivity, physical capacity and ultimately an employee’s ability to remain at work.

Across Great Britain, musculoskeletal problems remain a major workplace health issue. The Health and Safety Executive (HSE) estimates that 511,000 workers were affected by work-related musculoskeletal disorders during 2024/25, resulting in approximately 7.1 million working days lost.

At Weaver Physiotherapy & Sports Injury Clinic in Northwich, we provide professional occupational health physiotherapy in Northwich and across Cheshire, helping employees recover from musculoskeletal problems while supporting employers who want to reduce sickness absence, improve workplace wellbeing and maintain a healthier workforce.

With 70+ years of combined clinical experience, our team provides evidence-informed assessment, treatment and rehabilitation tailored to the individual, their occupation and the physical demands of their role.

What Is Occupational Health Physiotherapy?

Occupational health physiotherapy focuses on the relationship between a person’s physical health and their work.

Unlike a generic approach to pain management, occupational physiotherapy considers not only where it hurts, but also the factors that may be contributing to the problem.

These might include:

Repetitive movements

Manual handling and lifting

Prolonged sitting

Poor workstation ergonomics

Sustained or awkward postures

Repetitive computer or keyboard work

Driving for extended periods

Physically demanding employment

Reduced strength, mobility or physical capacity

Previous injuries aggravated by work

The objective is not simply to provide temporary symptom relief. Our aim is to understand the problem, restore function and develop a practical rehabilitation strategy that helps the employee perform their role more comfortably and confidently.

Why Workplace Musculoskeletal Health Matters

Musculoskeletal disorders affect hundreds of thousands of UK workers.

According to the Health and Safety Executive’s latest musculoskeletal disorder statistics , work-related MSK disorders accounted for approximately 27% of work-related ill health cases in 2024/25.

Back problems accounted for around 43% of work-related MSK cases, while upper-limb and neck conditions represented approximately 41%.

For employers, this makes early access to appropriate assessment and rehabilitation an important component of workforce health.

For employees, early intervention may prevent a relatively manageable problem from developing into persistent pain, reduced physical capacity or prolonged absence.

Common Work-Related Conditions We Assess

Our Northwich occupational health physiotherapy service supports employees from a broad range of working environments, including offices, healthcare, manufacturing, engineering, logistics, construction, retail and other physically demanding occupations.

Common presentations include:

Back Pain

Lower back pain is one of the most frequent problems encountered in occupational physiotherapy.

Symptoms may be associated with manual handling, repeated bending, prolonged sitting, driving, lifting or physically demanding work.

Assessment can help identify contributing factors such as reduced spinal mobility, strength deficits, movement patterns and work-related loading.

Neck and Shoulder Pain

Long periods at a desk, sustained postures and repetitive upper-limb movements can contribute to neck, shoulder and upper-back discomfort.

We assess mobility, strength, posture, workstation demands and movement to develop an individual treatment and rehabilitation programme.

Repetitive Strain and Upper-Limb Problems

Repetitive tasks can contribute to symptoms affecting the hands, wrists, elbows and shoulders.

Conditions may include:

Tennis elbow

Golfer’s elbow

Carpal tunnel symptoms

Rotator cuff-related shoulder pain

Tendon problems

Forearm and wrist pain

Repetitive strain injuries

Manual Handling Injuries

Workers involved in lifting, carrying, pushing, pulling or repetitive physical tasks may experience back, shoulder, hip or knee injuries.

Our rehabilitation programmes can be adapted to reflect the actual physical demands of the person’s occupation.

Lower-Limb Pain

Employees who spend long periods standing or walking may develop problems involving the feet, ankles, knees or hips.

These can include plantar heel pain, Achilles tendon problems, knee pain and other load-related conditions.

A Thorough Occupational Physiotherapy Assessment

Effective rehabilitation starts with understanding why the problem has developed.

At Weaver Physio, we take time to understand both the injury and the working environment.

Your assessment may include:

Clinical history

We discuss the symptoms, how they started, previous injuries, general health and the activities that aggravate or relieve the problem.

Workplace demands

A warehouse operative has very different physical requirements from an office worker, driver, engineer or healthcare professional.

Understanding these demands helps us create rehabilitation that is relevant to the employee’s actual working life.

Movement assessment

We may assess joint movement, muscle flexibility, strength, balance, functional movement and other relevant physical factors.

Functional testing

Where appropriate, rehabilitation can include movements similar to those required at work, helping determine whether the employee is physically prepared for their normal duties.

The result is a personalised occupational rehabilitation plan, rather than a generic sheet of exercises.

Occupational Health Physiotherapy Treatment in Northwich

Treatment depends entirely on the assessment findings and individual clinical needs.

A programme may incorporate:

Physiotherapy and Manual Therapy

Hands-on techniques may be used alongside rehabilitation to improve movement, reduce stiffness and help manage musculoskeletal symptoms.

These may include joint mobilisation, soft-tissue techniques and other appropriate manual therapy interventions.

Exercise Rehabilitation

Exercise is central to many occupational rehabilitation programmes.

Depending on the condition and occupation, rehabilitation may focus on:

Mobility

Strength

Muscular endurance

Core control

Balance

Stability

Functional movement

Lifting capacity

Progressive loading

Work-specific conditioning

The ultimate objective is to build a body that can tolerate the demands being placed upon it.

Strength & Conditioning

For physically demanding occupations, returning to work may require more than becoming pain-free.

An employee may need sufficient strength, endurance and confidence to repeatedly lift, carry, bend, climb or perform other demanding tasks.

Progressive strength and conditioning helps bridge the gap between clinical rehabilitation and the realities of the workplace.

Acupuncture and Dry Needling

Where clinically appropriate, acupuncture or dry needling may form part of a broader physiotherapy programme to help manage pain and muscular symptoms.

These treatments are normally combined with movement and rehabilitation rather than being used as standalone solutions.

Shockwave Therapy

For selected persistent tendon and soft-tissue conditions, Extracorporeal Shockwave Therapy (ESWT) may be considered as part of a wider rehabilitation programme.

Shockwave therapy is non-invasive and delivers acoustic waves through the skin to the treatment area. NICE has published guidance covering ESWT for several musculoskeletal conditions, although evidence and recommendations vary depending on the condition.

Further independent information is available from NICE guidance on extracorporeal shockwave therapy

Running and Biomechanical Assessment

For employees whose work requires prolonged standing or walking, lower-limb biomechanics can sometimes contribute to recurring symptoms.

Where clinically appropriate, movement and gait assessment can help identify factors contributing to foot, ankle, knee or hip problems.

Ergonomic Advice and Workplace Injury Prevention

Occupational health physiotherapy should not only address existing injuries.

Preventing recurrence is equally important.

We can provide practical advice around:

Desk and workstation positioning

Sitting and standing habits

Manual handling

Movement breaks

Lifting technique

Postural variation

Workplace exercise

Managing physical workload

Gradually increasing activity following injury

Small changes can sometimes make a considerable difference when repeated throughout an eight-hour working day.

Supporting a Safe Return to Work

Returning to work after injury is not simply a question of whether pain has disappeared.

An employee may feel considerably better but still lack the strength, mobility or endurance required for their job.

Our return-to-work rehabilitation in Northwich can progressively rebuild these physical qualities.

Depending on the employee’s occupation, rehabilitation might involve:

Lifting and carrying

Squatting

Repeated bending

Pushing and pulling

Reaching overhead

Walking

Standing tolerance

Grip and upper-limb strength

Repeated functional movements

This provides a more meaningful measure of recovery than pain levels alone.

Occupational Physiotherapy for Northwich & Cheshire Businesses

Weaver Physio can work with employers who want faster access to musculoskeletal assessment and rehabilitation for their employees.

Occupational physiotherapy can form part of a broader strategy designed to:

Identify musculoskeletal problems earlier

Support employees experiencing workplace pain

Reduce the risk of persistent problems

Facilitate rehabilitation

Support return-to-work planning

Improve employee physical wellbeing

Provide ergonomic and injury-prevention advice

Help employees remain active and productive

Early intervention can be particularly valuable. Instead of waiting until symptoms become severe enough to require prolonged absence, employees can receive professional assessment when problems first begin affecting their work.

Supporting Different Industries Across Cheshire

Our approach can be adapted to suit a wide variety of occupations.

Office & Desk-Based Workers

Support for neck pain, back pain, shoulder discomfort, repetitive strain problems and postural issues associated with prolonged computer work.

Manufacturing & Engineering

Assessment and rehabilitation for lifting injuries, repetitive movement problems, shoulder conditions, back pain and other physically demanding workplace injuries.

Logistics & Warehousing

Rehabilitation for employees involved in repeated lifting, carrying, walking, bending and manual handling.

Healthcare Workers

Physiotherapy and rehabilitation for musculoskeletal problems associated with patient handling, prolonged standing and physically demanding clinical work.

Drivers

Support for back, neck, hip and shoulder symptoms associated with prolonged sitting, driving and repetitive vehicle-based tasks.

Why Choose Weaver Physio for Occupational Health Physiotherapy in Northwich?

We believe effective occupational rehabilitation should be individual, evidence-informed and focused on function.

At Weaver Physiotherapy & Sports Injury Clinic, you benefit from:

70+ years of combined clinical experience

A highly experienced team providing musculoskeletal assessment, physiotherapy and rehabilitation.

Chartered Physiotherapists

Professional assessment and treatment from appropriately qualified clinicians.

Individualised rehabilitation

No two occupations — or employees — are identical. Rehabilitation is designed around the individual and the physical requirements of their job.

Comprehensive treatment options

Our Northwich clinic offers physiotherapy, manual therapy, exercise rehabilitation, strength and conditioning, sports massage, acupuncture, dry needling, shockwave therapy and biomechanical assessment where appropriate.

Convenient Northwich location

Our clinic provides easy access for individuals and businesses across Northwich and surrounding Cheshire areas, including Hartford, Weaverham, Winsford, Middlewich, Knutsford and surrounding communities.

Investing in a Healthier Workforce

Work-related musculoskeletal disorders are not simply an employee health issue. They can affect attendance, productivity, morale and the overall performance of a business.

The HSE estimates that work-related illness and workplace injury resulted in approximately 40.1 million working days being lost across Great Britain during 2024/25.

Providing employees with timely access to professional musculoskeletal care can therefore be an important part of a proactive occupational health strategy.

At Weaver Physio in Northwich, our objective is straightforward:

Identify the problem. Restore movement. Rebuild physical capacity. Support a confident return to work.

Occupational Health Physiotherapy Northwich – Contact Weaver Physio

Whether you’re an employer looking to support your workforce or an employee struggling with a work-related musculoskeletal problem, we’re here to help.

Weaver Physiotherapy & Sports Injury Clinic

📍 Northwich, Cheshire

📞 01606 227484

🌐 http://www.weaverphysio.com

Supporting Northwich and Cheshire businesses with professional physiotherapy, workplace rehabilitation and musculoskeletal injury management.

Frequently Asked Questions

Do I need a GP referral for occupational health physiotherapy in Northwich?

Private physiotherapy can normally be accessed without a GP referral, allowing employees to arrange an assessment directly. If treatment is being funded through an employer or insurance policy, it is worth checking whether the organisation or insurer has its own referral or authorisation requirements.

What workplace injuries can physiotherapy help with?

Occupational physiotherapy can assess and manage many musculoskeletal problems, including back and neck pain, shoulder injuries, repetitive strain problems, tendon conditions and lower-limb injuries. Treatment depends on the individual’s diagnosis, occupation and functional requirements.

Can physiotherapy help an employee return to work?

Yes. Rehabilitation can be progressively adapted to reflect the physical demands of an employee’s role. This might include rebuilding strength, mobility, endurance and confidence before progressing towards normal duties.

Can Weaver Physio work with local employers?

Yes. Weaver Physio can provide occupational health physiotherapy and musculoskeletal support for businesses in Northwich and across Cheshire, with programmes tailored to the needs of individual employees and organisations.

What is the difference between occupational therapy and occupational health physiotherapy?

Although there can be some overlap, the professions have different areas of expertise. Occupational health physiotherapy primarily focuses on physical movement, musculoskeletal injury, rehabilitation and an individual’s physical capacity for work. Occupational therapists have a broader focus on enabling participation in everyday activities and may recommend environmental adaptations, equipment and strategies to help people function independently.

How can employers reduce work-related musculoskeletal problems?

There is rarely one solution. A comprehensive approach may involve ergonomic assessment, appropriate manual handling practices, variation in physical tasks, regular movement, employee education and early access to assessment when symptoms develop. The Health and Safety Executive⁠ provides further guidance for employers on managing musculoskeletal risks in the workplace.

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Have you ever been told that your running style is “wrong” and immediately wondered whether you need to change it? Advice online can make normal differences in movement look like faults. While certain running habits may be worth exploring—particularly when pain keeps returning—there is no single perfect stride, cadence or foot strike for every runner. At Weaver Physiotherapy & Sports Injury Clinic, we take an individual approach to running technique. Your training history, symptoms, strength, mobility, goals and the way you respond to load all matter. For runners in Northwich, Middlewich, Winsford, Knutsford, Sandbach, Frodsham and Tarporley, our Runner’s MOT and running gait analysis⁠ provides clear, personalised feedback rather than generic rules. What are common running form mistakes? A “running form mistake” is often better described as a movement habit to investigate. A pattern may look unusual without being harmful, and a video alone cannot confirm that it is the cause of pain. Common concerns include: Overstriding – the foot appearing to land well ahead of the body. Upper-body tension – raised shoulders, clenched hands, a tight jaw or stiff arm swing. Forcing foot strike – deliberately trying to run on the forefoot or heel when it feels awkward. Slumped posture – losing trunk control as fatigue develops. Abrupt changes in technique – trying to alter cadence, posture and foot strike at the same time. These patterns can change with pace, hills, footwear, fatigue, confidence and training load. Research has found limited evidence that individual biomechanics alone predict running injury, which is why form should be considered alongside the wider picture rather than treated as a diagnosis. Is there one correct way to run? No. Effective running does not look identical from person to person. Your anatomy, strength, experience, speed, terrain and fatigue level all influence your stride. A single photograph or short clip captures only one moment. It cannot explain how you feel during a run, what your training has involved that week, or whether a movement pattern is actually contributing to symptoms. If you are comfortable, progressing well and free from persistent pain, you may not need to change your technique simply because it differs from someone else’s. The aim is not to chase a “perfect” running style. It is to understand your own movement and make sensible adjustments only when they are relevant to your goals or symptoms. How to assess your running form safely Start with one question. Perhaps your foot feels as though it reaches too far forwards, your shoulders tighten on longer runs, or you notice discomfort appearing as you fatigue. During an easy run at your usual pace, consider: Does your breathing feel relaxed? Are your shoulders, hands and jaw unnecessarily tense? Does your stride feel comfortable and natural? Does your movement alter later in the run? Is there recurring pain during, after or the following day? If you use video, record a brief clip from a safe, consistent position beside the route or on a treadmill. Never hold or watch a phone while running. Footage can be useful for observation, but it should prompt questions—not provide a self-diagnosis. How to change running technique without overdoing it Avoid making dramatic changes based on a social-media tip or a one-size-fits-all rule. A sudden change in cadence, posture or foot strike may feel unnatural and can make it difficult to work out what is helping. Instead: Choose one area to explore. Use one simple cue during an easy run. Keep the adjustment gentle and brief. Notice how it feels during the run and over the next 24–48 hours. Do not introduce several technique changes at once. For example, if you feel tense through the upper body, a helpful cue may be “soft shoulders and easy arms” rather than forcing a rigid posture. If you are concerned about stride length, focus on a light, comfortable rhythm rather than trying to land in a prescribed position. Training progression matters too. Increasing distance, pace, hills and frequency too quickly can overload tissues, regardless of how your running looks. NHS advice recommends building running gradually and listening to pain rather than pushing through it. Read the NHS guide to common running injuries ⁠. When should you seek individual running advice? Consider a running assessment if pain: Keeps returning or becomes more severe Changes the way you run Persists after reducing or adapting training Is associated with swelling, weakness, limping or a loss of confidence Leaves you unsure which changes, if any, are appropriate Sudden severe pain, inability to bear weight, major swelling, numbness, deformity or a suspected serious injury should be assessed urgently. NHS guidance on sprains and strains explains when to seek urgent help. What can running gait analysis help with? A running gait analysis does not promise to predict injury or reveal one universal correction. It can, however, provide a clearer view of movement patterns in the context of your symptoms, training and goals. At Weaver Physio, our Runner’s MOT (/runners-mot)⁠ combines slow-motion video gait analysis with strength, mobility and movement assessment. We look at factors such as: Running rhythm and lower-limb control Trunk, hip, knee and foot movement Strength, balance and mobility Previous injuries and current symptoms Training volume, recovery and running goals Your findings are then used to create practical, personalised recommendations. This may include a gradual gait cue, running-specific strength work, mobility exercises, load-management advice or a structured return-to-running plan. Our Chartered Physiotherapists and Sports Rehabilitators bring more than 70 years of combined clinical experience to help runners move with greater understanding and confidence. Build a stronger, more confident running stride Running form is not a test you have to pass. A movement pattern may be worth exploring, but it does not automatically mean that something is wrong. Pay attention to comfort, recurring symptoms and changes that develop with fatigue. Make adjustments gradually, progress training sensibly and seek individual support if pain continues. For runners across Northwich and Cheshire, Weaver Physio’s running gait analysis service (/runners-mot)⁠ offers professional, tailored guidance to help you run stronger and with more confidence. Frequently Asked Questions Is there one correct running form for everyone? No. There is no single ideal foot strike, cadence or posture that applies to every runner. Comfortable, efficient running can look different depending on the individual, their pace, experience and physical characteristics. Can changing my running form cause pain? It can. Sudden or uncomfortable changes may increase stress in unfamiliar areas. Make one gradual change at a time and reduce or stop if pain worsens. How can I tell if I overstride? Overstriding may appear as the foot landing well ahead of your body, but this does not automatically mean it is causing a problem. A short video can provide useful context, while a gait assessment can help interpret the pattern alongside your symptoms and training. When should I book a running gait analysis? Book an assessment if pain is recurring, your running style has changed, you are returning from injury, or you would like clearer guidance about your stride and training. Weaver Physio supports runners from Northwich, Middlewich, Winsford, Knutsford, Sandbach, Frodsham, Tarporley and across Cheshire.

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Persistent pain at the back of the heel can make simple things—walking the dog, climbing stairs, training for the Knutsford 10K or enjoying a run around Tatton Park—feel far more difficult than they should. At Weaver Physiotherapy & Sports Injury Clinic, we provide shockwave therapy ⁠ as part of a structured rehabilitation programme for people with persistent Achilles tendon pain. Our Northwich clinic is easily accessible from Knutsford and supports active adults, runners and sportspeople across Cheshire. The goal is not simply to settle symptoms for a few days. It is to understand why the tendon is painful, improve its capacity for load, and help you return to the activities that matter to you with greater confidence. Achilles Tendinitis or Achilles Tendinopathy? “Achilles tendonitis” is the term most people use when describing pain, stiffness or swelling around the tendon at the back of the ankle. However, when symptoms have persisted for several weeks or months, the more accurate clinical term is often Achilles tendinopathy. Tendinopathy is a complex condition associated with tendon pain, reduced function and lower tolerance to exercise or repeated loading. The tendon may become more sensitive and less able to cope with the demands being placed upon it. It is not always a straightforward inflammatory problem, which is why complete rest, stretching or massage alone may not create a lasting solution. A detailed review of tendinopathy research describes the changes that can occur within painful tendons and the importance of an individualised management approach. Common symptoms include: Pain or stiffness at the back of the heel, especially first thing in the morning Discomfort when walking uphill, climbing stairs or rising onto tiptoes Pain during or after running, football, tennis, gym training or long walks Thickening or tenderness in the tendon Symptoms that improve as you warm up, then return later At Weaver Physio, we assess whether your symptoms are likely to be related to mid-portion or insertional Achilles tendinopathy, and screen for other possible causes of heel and calf pain. If there is concern about a rupture, significant tear or another condition requiring medical investigation, we will advise on the appropriate next step. What Is Shockwave Therapy? Extracorporeal Shockwave Therapy—often shortened to ESWT or radial shockwave therapy—uses controlled acoustic pressure waves delivered through a handheld applicator. It is not an electric shock and does not involve injections or surgery. During treatment, gel is applied to the skin and the handpiece is positioned over the relevant area of the Achilles tendon. The sensation is commonly described as firm tapping or pulsing. Your clinician can adjust the treatment intensity to keep it manageable. Shockwave therapy may be considered for longer-standing tendon pain, particularly where a well-planned rehabilitation programme has not yet delivered the progress you need. It should always be used following a thorough assessment and alongside progressive exercise—not as a standalone “quick fix”. How Shockwave Therapy May Help Achilles Pain Shockwave therapy is thought to influence pain sensitivity and stimulate biological responses within the tendon and surrounding tissues. The practical aim is to create a window in which you can move more comfortably and build strength more effectively. For Achilles tendinopathy, a comprehensive treatment plan may help you to: Reduce pain that is limiting walking, work or sport Improve confidence with daily activity and exercise Progress calf-strength and tendon-loading exercises more successfully Address training errors, footwear issues and movement factors contributing to overload Build resilience for a return to running, sport or long-distance walking Outcomes vary between individuals. Some people notice a change in symptoms early in treatment, while tendon adaptation and improvements in load tolerance typically take longer. We will always discuss realistic expectations and measure your progress against your own goals. Your Shockwave Therapy Assessment Near Knutsford Your journey starts with a detailed physiotherapy assessment. We look beyond the painful spot to understand the full picture, including: Your symptom history and training or activity levels Previous injuries and treatment Calf strength, ankle mobility and balance Achilles tendon tenderness and loading tolerance Footwear, running surface and recent changes in training volume Hip, knee and foot control where relevant This allows us to confirm whether shockwave therapy is an appropriate option and develop a recovery plan tailored to you. Weaver Physio’s team also provides specialist physiotherapy and sports injury rehabilitation ⁠, so your treatment can be integrated with hands-on care, exercise rehabilitation and return-to-sport planning where needed. What Does a Typical Course Involve? A course of shockwave therapy commonly involves three to five sessions, often spaced about one week apart. The exact number and timing will depend on your presentation, response to treatment and rehabilitation goals. Each appointment is combined with guidance on tendon loading. This may include: Isometric calf exercises for pain management Progressive heel raises and heavy slow resistance work Soleus and gastrocnemius strengthening Balance, control and single-leg stability work A gradual return to running, hills, speed work or plyometric exercise Rather than avoiding all activity, we help you find an appropriate level of movement that keeps the tendon challenged without repeatedly exceeding its current capacity. Is Shockwave Therapy Right for You? Shockwave therapy may be suitable if you have persistent Achilles symptoms that have not settled with sensible activity modification and a targeted rehabilitation programme. It is particularly relevant for people who want a non-invasive option before considering more invasive interventions. However, it is not suitable for everyone. Your physiotherapist will discuss relevant precautions and assess factors such as pregnancy, blood-clotting issues, certain medications, recent steroid injection near the treatment area, suspected rupture or other medical considerations. It is also important to seek urgent medical advice if you experience a sudden pop in the back of the ankle, immediate weakness when pushing off, marked bruising or an inability to rise onto your toes. These can be warning signs of an Achilles rupture. Why Choose Weaver Physio? Weaver Physiotherapy & Sports Injury Clinic combines clinical assessment with a practical understanding of sport, training and everyday activity. We are based in Northwich and regularly support patients travelling from Knutsford, Alderley Edge, Holmes Chapel, Middlewich and across Cheshire. Our approach is built around three principles: Accurate assessment We identify the likely driver of your Achilles pain rather than treating every heel problem the same way. Evidence-informed rehabilitation Shockwave therapy is used as one part of a clear, progressive plan designed to restore strength and confidence. A return to the life you enjoy Whether your goal is pain-free dog walks, a hiking holiday, club running or competitive sport, your programme is shaped around it. Book an Achilles Tendon Assessment Persistent Achilles pain does not have to dictate how active you can be. If you are looking for shockwave therapy for Achilles tendinitis in Knutsford, Weaver Physio can help you understand your options and build a tailored recovery plan. Contact Weaver Physiotherapy & Sports Injury Clinic to arrange an assessment: Book or contact Weaver Physio 01606 227 484 07795 908 027 110 Middlewich Road, Northwich, CW9 7DP Frequently Asked Questions Is shockwave therapy painful? Most people describe shockwave therapy as uncomfortable rather than painful. The feeling is similar to firm tapping against the skin, and the intensity can be adjusted throughout treatment. Mild soreness, redness or tenderness can occur afterwards and usually settles within a few days. How many sessions will I need? Many patients have a course of three to five sessions, usually one week apart. Your clinician will recommend an appropriate plan based on your symptoms, tendon presentation and response to treatment. Can I exercise after shockwave therapy? Light daily activity is usually encouraged, but your clinician may advise avoiding high-impact exercise—such as running, jumping or hard hill work—for a short period after treatment. You will be given clear guidance on what to continue, reduce and progress. Will shockwave therapy cure my Achilles pain? No treatment can guarantee a cure. Shockwave therapy may help reduce pain and support recovery in suitable cases, but lasting improvement usually depends on combining treatment with a progressive loading programme, sensible activity management and a gradual return to sport.