Shockwave Therapy vs. Cortisone Shots: Which Is Better for Tendon Pain?

Is shockwave therapy better than cortisone shots for tendon pain?

For chronic tendon pain, shockwave therapy consistently outperforms cortisone in long-term outcomes. Cortisone provides faster short-term relief but doesn’t repair the underlying tendon damage and can weaken tissue with repeated use.

How does cortisone work?

Cortisone suppresses inflammation but does not repair damaged tendon tissue. Repeated injections are associated with tendon weakening and increased rupture risk.

How does shockwave work differently?

Shockwave triggers new collagen formation, increases blood flow, and breaks down scar tissue and calcification. It addresses the root cause of tendon pain rather than masking it.

Which conditions respond better to shockwave than cortisone?

• Plantar fasciitis lasting more than 3 months
• Calcific tendinitis of the shoulder
• Tennis elbow (lateral epicondylitis)
• Achilles tendinopathy
• Patellar tendinopathy

Can I have shockwave after a cortisone injection?

Yes — wait at least 6 weeks after cortisone before starting shockwave treatment.