Why Choose Our Programme
✓ Evidence-based treatment
Clinical research shows focused shockwave combined with progressive loading achieves 70-85% success rates in chronic tendinopathy
✓ Sports Medicine Consultant access
Direct referral to tendon specialists—appointments within days, no GP referral needed
✓ Clear, structured packages
Three tiers from £720—know exactly what you're getting upfront
✓ Our guarantee
If your pain isn't resolving, we'll refer you to a specialist and refund any unused sessions
Book Your Initial Assessment (£180)
Included in all packages
Why Choose Physio Remedies?
Piezowave2 Focused Shockwave
Gold standard technology delivering highly targeted energy to the precise area of injury, stimulating powerful healing deep within tendon tissue.
Specialist Physiotherapists
Highly experienced physiotherapists with body-specific expertise, delivering treatment with in-depth understanding of your condition.
Objective Progress Tracking
Using VALD Dynamo dynamometry, VALD ForceDecks testing, and MAT (Muscle Activation Techniques) to objectively track progress and ensure measurable improvements in tendon capacity.
Evidence-Based Protocols
Progressive loading exercises and rehabilitation programs based on the protocols of Peter Malliaras, world-leading physiotherapist in tendinopathy research, combined with focused shockwave therapy.
Trusted by Leading Consultants
London's top orthopaedic and sports medicine consultants with specialist interest in tendon health trust us with their patients—a testament to our clinical excellence.
Comprehensive Care Pathway
We address the root cause, providing a clear structured pathway from initial pain relief through to full return to activities.
Focused vs Radial Shockwave
Not all shockwave therapy is the same. Here's why it matters for your recovery.
Piezowave2 Focused Shockwave
(What We Use)
Precision targeting: Concentrated energy precisely to injured tendon at depth
Higher energy density: More powerful therapeutic effect at exact injury point
Depth penetration: Reaches deeper tendon structures and calcific deposits
Clinical evidence: Supported by higher-quality research for chronic tendinopathy
Best for: Stubborn, chronic tendon problems, deeper injuries, calcific tendonitis
Radial Shockwave
(Common in gyms and basic clinics)
Superficial treatment: Energy disperses across wider area near surface
Lower energy density: Less concentrated therapeutic effect
Limited depth: Cannot effectively reach deeper tendon structures
Best for: Superficial soft tissue conditions and muscle tension
Why this matters:
Focused shockwave therapy is specifically designed for the precise, high-energy treatment that chronic tendinopathy requires. This is why our packages deliver superior outcomes compared to "gun on the tendon" approaches you may have tried elsewhere.
Conditions We Treat
Upper Limb Tendinopathies
Tennis Elbow (Lateral Epicondylitis)
Golfer's Elbow (Medial Epicondylitis)
Rotator Cuff Tendinopathy
Calcific Tendonitis (Shoulder)
Biceps Tendinopathy
De Quervain's Tenosynovitis (Wrist/Thumb)
Lower Limb Tendinopathies
Achilles Tendinopathy (Insertional & Mid-portion)
Patellar Tendinopathy (Jumper's Knee)
Gluteal Tendinopathy (Lateral Hip Pain)
Trochanteric Bursitis
Hamstring Tendinopathy (Proximal)
Adductor Tendinopathy (Groin Pain)
Plantar Fasciitis
Note: If you are unsure whether your condition is a tendinopathy, our initial assessment will provide a definitive diagnosis and determine the most appropriate treatment plan for you.
Our Technology & Testing Equipment
Powered by VALD Performance Technology
Piezowave2 Focused Shockwave
Swiss-engineered focused shockwave system targeting up to 12cm depth. Gold standard for chronic tendinopathy.
VALD Dynamo
Precision strength measurement to track improvements and guide progression objectively.
VALD ForceDecks
High-speed movement analysis for jump height, force production, and return-to-sport readiness.
MAT Assessment
Identifies muscle inhibition patterns to restore optimal function and reduce re-injury risk.
Compex & BFR
NMES and Blood Flow Restriction to enhance muscle building with progressive load.
Which Package Is Right For You?
Choose based on your goals and situation
FLEXIBLE PACKAGE SELECTION
You can choose your package before or after your initial consultation. The cost of the initial consultation (£180) is included in all package prices. Many patients prefer to select after their assessment, as the consultation findings—including condition chronicity, severity, and contributing factors—will help guide the most appropriate package choice for your individual needs.
ESSENTIAL PACKAGE
£720
Duration: 3 months
What's Included:
1 x Initial Assessment (60 mins)
Up to 3 Shockwave Sessions
2 x Follow-up Physio (30 mins)
Progressive Loading Exercise Program
ADVANCED PACKAGE (MOST POPULAR)
£1,050
(Save £90)
Duration: 6 months
What's Included:
1 x Initial Assessment (60 mins)
Up to 5 Shockwave Sessions
4 x Follow-up Physio (30 mins)
Biomechanical Assessment
Objective Load Testing
Return to pre injury activities/sports training
Video Library Access
Email Support
Metabolic, Hormonal & Lifestyle Assessment
Compex & BFR (Blood Flow Restriction) Available
PERFORMANCE RESET
£1,595
(Save £295, Standard value: £1,890)
Duration: 9 months
What's Included:
1 x Initial Assessment (60 mins)
Up to 6 Shockwave Sessions
8 x Follow-up Physio (30 mins)
Advanced Biomechanics & Movement Analysis
Enhanced Objective Load Profiling at Each Level of Recovery
Periodised Exercise Plan with Sport Specific Strength & Conditioning
Video Library Access
Email & Phone Support
Return-to-Sport Protocol
Metabolic, Hormonal & Lifestyle Assessment
Compex & BFR (Blood Flow Restriction) Available
Free CHOICE: Sports Specific Analysis / Massage
16-Week Review Included
Still unsure? Book an initial assessment (£180) and we'll recommend the most appropriate package based on your specific condition, goals, and timeline. The assessment fee is included in all packages.
Which Package Is Right For You?
Essential Package
£720
Best for: Tendon pain (> 6 weeks less than 3 months), straightforward cases, or those wanting a structured recovery program
What you'll achieve:
Pain relief - Reduce inflammation and discomfort within weeks
Foundation strength - Begin rebuilding tendon capacity with guided exercises
Clear direction - Understand your condition and what to do next
Cost-effective start - If you need more you can always add on sessions
Advanced Package
£1,050 (Save £90) - MOST POPULAR
Best for: Chronic tendon pain (3+ months), recreational athletes returning to sport, or those who've tried other treatments without success
What you'll achieve:
Lasting recovery - 6-month timeframe allows proper tendon remodeling and healing
Return to sport - Structured plan to safely resume running, tennis, gym, or your chosen activity
Confidence through data - Objective testing shows your progress and validates your recovery
Expert oversight - Regular check-ins ensure you're progressing optimally without setbacks
Ongoing support - Email access between sessions for questions and reassurance
Access to BFR and Compex - Blood Flow Restriction therapy and NMES to enhance muscle building with progressive load
Performance Reset Package
£1,595 (Save £295)
Best for: Competitive athletes, complex/recurrent cases, or those requiring peak performance and comprehensive support
What you'll achieve:
Complete rehabilitation - 9-month programme ensures tendon is fully healed and resilient
Athletic performance - Return to competition-level training with confidence
Comprehensive monitoring - Frequent physio sessions catch issues early and optimize progression
Direct access - Phone and email support means you're never stuck or uncertain
Complex case management - Ideal for recurrent injuries or cases that haven't responded to previous treatment
Best value - Highest savings and most comprehensive care pathway
BFR and Compex - Blood Flow Restriction therapy and NMES to enhance muscle building with progressive load
Still unsure? Book an initial assessment (£180) and we'll recommend the most appropriate package based on your specific condition, goals, and timeline. The assessment fee is included in all packages.
Access to London's Leading Tendon Experts
You're never alone in your recovery. We have direct access to London's top Sports Medicine Consultants and Orthopaedic Surgeons with specialist interest in tendon health and can arrange appointments in days, not weeks. If at any stage we feel you need further investigation or treatment, we can refer you quickly for additional support.
If Further Investigation or Treatment is Needed
Diagnostic Ultrasound Scanning: Direct access to specialist musculoskeletal ultrasound for detailed tendon assessment and diagnosis
Advanced Imaging (MRI): Fast-track referral for MRI or other advanced imaging when clinically indicated for complex cases
Guided Injection Procedures: Access to ultrasound-guided tendon procedures including PRP, corticosteroid, or regenerative treatments from Sports Medicine Consultants with specialist interest in tendon health
Consultant Sports Medicine & Orthopaedic Surgeons: Direct referral to London's leading Sports Medicine Consultants and Orthopaedic Surgeons with specialist interest in tendon health for surgical consultation if conservative treatment is insufficient
Diagnostic Certainty: If your diagnosis is unclear or you need advanced imaging or specialist consultation, we can arrange rapid access to Sports Medicine Consultants (additional charge applies). This ensures you receive the right treatment from the start.
Begin Your Recovery Today
Ready to take the first step towards a pain-free life? Booking your Tendon Recovery Package at our Mayfair clinic is simple.
Book an Initial Consultation: Call us on 020 3012 1222, email info@physioremedies.com, or use our online booking system to schedule your initial 60-minute physiotherapy assessment. During this session, we will diagnose your condition and recommend the most suitable package for you.
Start Your Personalised Treatment Plan: Your package will begin with your first focused shockwave therapy session, and your physiotherapist will guide you through every step of your recovery journey.
Contact Details
Phone: 020 3012 1222
Location: Mayfair, London
Booking: Call 020 3012 1222 to book your initial assessment
Frequently Asked Questions
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Most patients experience some discomfort during treatment, but the intensity is adjusted to your tolerance. Sessions are short (typically 8-12 minutes with focused shockwave), and discomfort usually subsides quickly.
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Research and our clinical experience show that 3-6 sessions of focused shockwave are typically required for optimal results, which is why our packages are structured this way.
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We use VALD Dynamo dynamometry, VALD ForceDecks testing, and MAT (Muscle Activation Techniques) to measure your tendon's ability to tolerate load. This gives us objective data on your progress, not just subjective feedback. Patients and insurers value seeing measurable improvements with real numbers.
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Many patients notice improvements within 2-3 weeks, with significant pain reduction and functional gains typically occurring over 8-12 weeks. However, full tendon recovery and remodeling can take 6-12 months. Our objective load testing helps track your progress throughout this journey, ensuring you progress safely at each stage. Remember: tendons heal slower than muscles, but with the right treatment and patience, they heal stronger.
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Your journey begins with a comprehensive 60-minute assessment including movement analysis and diagnosis. Shockwave sessions (8-12 minutes) are typically scheduled weekly or bi-weekly, combined with progressive physiotherapy to gradually rebuild tendon capacity. You'll receive a personalized home exercise program and ongoing support. Treatment is structured in phases: pain reduction, tissue healing, strength building, and return to full activity.
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This depends on your condition severity. We'll provide clear guidance on activity modification—some activities may need temporary reduction while others can continue. The goal is to keep you as active as possible while allowing healing. As your tendon strengthens, we progressively increase load to prepare you for full return to sport, work, or daily activities.
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Many patients have tried radial shockwave (the "gun" approach common in gyms) without success. Piezowave2 focused shockwave is fundamentally different—it delivers higher energy precisely to the injured tendon at depth. Combined with our progressive loading program and objective tracking, patients who failed previous treatments often achieve excellent results with our approach.
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Many private health insurance providers cover physiotherapy and shockwave therapy. We can provide itemised receipts to submit to your insurer. We recommend checking with your provider about your policy specifics.
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No referral is required to start. If imaging or further investigations are indicated, we can refer you directly to our Sports Medicine Consultants with specialist interest in tendon health.
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We have direct access to Sports Medicine Consultants and Orthopaedic Surgeons with specialist interest in tendon health and can arrange appointments in days, not weeks. Our established pathways include diagnostic imaging, guided injection procedures, or surgical consultation if required. You'll never be left without a clear next step.
If you are unsure whether your condition is a tendinopathy, our initial assessment will provide a definitive diagnosis and determine the most appropriate treatment plan for you.
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Package Duration & Validity
Essential Package:
Timeframe: 3 months
Validity: 6 months from purchaseAdvanced Package:
Timeframe: 6 months
Validity: 12 months from purchasePerformance Reset Package:
Timeframe: 9 months
Validity: 18 months from purchase Refund Policy
Full refund available within 14 days of purchase if no sessions have been used
After initial assessment, refund available for unused sessions if objective testing shows no improvement
Refund requests must be made in writing with supporting objective data
Refunds processed within 14 working days
Cancellation Policy
24 hours notice required for appointment changes
Late cancellations (< 24 hours) or no-shows will be charged at full session rate
Emergency cancellations considered case-by-case
Clinical Responsibility
Patients must disclose all relevant medical history and current medications
Patients must follow prescribed exercise programs for optimal results
Patients should report any adverse reactions or concerns immediately
We reserve the right to refer to Sports Medicine if condition requires specialist input
Research & Clinical Evidence
Our treatment protocols are grounded in peer-reviewed research
Progressive Loading Protocols
1 Malliaras P, Barton CJ, Reeves ND, Langberg H. "Achilles and patellar tendinopathy loading programmes: a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness." Sports Medicine. 2013;43(4):267-286. PubMed
2 Malliaras P, Cook J, Purdam C, Rio E. "Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations." Journal of Orthopaedic & Sports Physical Therapy. 2015;45(11):887-898. PubMed
3 Breda SJ, Oei EHG, Zwerver J, et al. "Effectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial." British Journal of Sports Medicine. 2021;55(9):501-509. PubMed
Extracorporeal Shockwave Therapy (ESWT)
4 van der Worp H, van den Akker-Scheek I, van Schie H, Zwerver J. "ESWT for tendinopathy: technology and clinical implications." Knee Surgery, Sports Traumatology, Arthroscopy. 2013;21(6):1451-1458. Link
5 Gerdesmeyer L, Frey C, Vester J, et al. "Current evidence of extracorporeal shock wave therapy in chronic Achilles tendinopathy." International Journal of Surgery. 2015;24(Pt B):154-159. Link
6 Feeney KM, Bedi HS, Farrelly J, et al. "The Effectiveness of Extracorporeal Shockwave Therapy for Midportion Achilles Tendinopathy: A Systematic Review and Meta-Analysis." Cureus. 2022;14(8):e27746. Link
7 Dedes V, Stergioulas A, Kipreos G, et al. "Effectiveness and Safety of Shockwave Therapy in Tendinopathies." Materia Socio-Medica. 2018;30(2):141-146. Link
Combined Treatment Approach
8 Burton I, McCormack A. "Combined extracorporeal shockwave therapy and exercise for the treatment of tendinopathy: A narrative review." Sports Medicine and Health Science. 2022;4(1):8-17. ScienceDirect
Note: All references are to peer-reviewed publications in established medical and sports medicine journals. Our clinical protocols are continuously updated to reflect the latest evidence-based research.