Celtic SMR Healthcare

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What does the evidence actually say about ESWT?Extracorporeal shockwave therapy has one of the more mature evidence base...
08/09/2026

What does the evidence actually say about ESWT?

Extracorporeal shockwave therapy has one of the more mature evidence bases of any adjunct MSK modality - systematic reviews and RCTs spanning two decades now support its use for chronic Achilles and patellar tendinopathy, plantar fasciitis, and calcific rotator cuff tendinopathy specifically.

The important nuance clinicians ask us about: dosage and technique matter. Under-dosed or poorly targeted treatment is the most common reason for a 'shockwave doesn't work' experience - which is exactly why protocol adherence (energy level, pulse count, session interval) is as important as patient selection.

The full reading list - ISMST guidelines plus a curated set of the key papers - comes as standard with every Neo system, so you're never guessing at dosing from memory.
Get in touch for the reading list before you've ordered!

[email protected] | 0800 279 9050

The real ROI of adding shockwave to your clinicWe're not going to talk about price today - we're going to talk about cap...
05/09/2026

The real ROI of adding shockwave to your clinic

We're not going to talk about price today - we're going to talk about capacity, because that's where shockwave actually earns its keep.

A radial shockwave session typically runs 10–15 minutes and needs no consumables, so it slots into gaps around your existing appointment types rather than replacing them. For most clinicians it's patient-funded and doesn't require a GP referral or insurance pre-authorisation for common indications, which shortens the path from 'this patient needs it' to 'this patient is booked in'.

The honest way to work out whether it's worth it for your clinic: take your realistic weekly session capacity, multiply by your planned session fee, then subtract nothing much - because running costs stay close to zero once the unit is in the room. That's the sum worth doing before you look at anything else.

Want a worked example for YOUR clinic? Contact our experts for a personalised ROI breakdown.

[email protected] | 0800 279 9050

Everyone stop - we have a new colleague. Introducing Ronnie, who has been working hard all day today in the office! How ...
03/09/2026

Everyone stop - we have a new colleague. Introducing Ronnie, who has been working hard all day today in the office! How cute is he?!

Ronnie belongs to our Customer Service Manager Sam's daughter Amber, and Amber's partner Tom. Sam has been looking after Ronnie today and safe to say, noone in the office has been sad about it!

6 presentations where shockwave belongs in your differentialWeighing up whether shockwave fits your caseload? Here are s...
03/09/2026

6 presentations where shockwave belongs in your differential
Weighing up whether shockwave fits your caseload? Here are six presentations where it's consistently supported as an option once first-line management has stalled:

● Chronic plantar fasciitis - symptoms >3 months, conservative care plateaued
● Mid-portion or insertional Achilles tendinopathy
● Lateral epicondylalgia (tennis elbow) unresponsive to load management alone
● Greater trochanteric pain syndrome / gluteal tendinopathy
● Myofascial trigger points
● Calcific tendinopathy of the shoulder

None of these mean shockwave replaces exercise-based rehab - the evidence base supports it as an adjunct that can accelerate the plateau cases, not a substitute for loading.

Which of these do you see most in clinic? Drop it in the comments - it's useful to know what your peers are treating.

Why are more clinics adding shockwave in 2026?Radial shockwave therapy isn't a niche add-on anymore - it's becoming core...
01/09/2026

Why are more clinics adding shockwave in 2026?

Radial shockwave therapy isn't a niche add-on anymore - it's becoming core MSK practice. With ISMST guidelines behind it and a growing evidence base for tendinopathies, plantar fasciitis and myofascial trigger points, it's a modality that extends what you can treat without extending your appointment times.
This month we're running through the evidence, the protocols and the numbers behind adding the Neo radial shockwave system to your clinic. First: what does shockwave actually do?

Radial shockwave delivers controlled mechanical energy into soft tissue to stimulate neovascularisation, upregulate collagen synthesis, and modulate pain via hyperstimulation analgesia - supporting healing in chronic, degenerative conditions where load management alone has plateaued.

Follow along this month for the evidence, the reasoning and the real-world.

[email protected] | 0800 279 9050

Before August ends - who are you referring?Our £250 referral scheme runs all year, across our full laser, shockwave and ...
29/08/2026

Before August ends - who are you referring?

Our £250 referral scheme runs all year, across our full laser, shockwave and ultrasound range - but there's no reason to wait. If a colleague or clinic you know is thinking about upgrading their equipment, a five-minute introduction to us could be worth £250 to you.

Refer → they purchase → you get paid. It really is that simple.

Send us their details, or point them our way: [email protected] | 0800 279 9050

Increasingly, clinics are using laser therapy and shockwave in combination rather than choosing one over the other - las...
26/08/2026

Increasingly, clinics are using laser therapy and shockwave in combination rather than choosing one over the other - laser to manage pain and support tissue healing early in a course of treatment, shockwave to address more chronic, load-related tendon changes.

Having both modalities in-house means you can tailor the pathway to the patient in front of you, rather than fitting the patient to whatever single tool you happen to have.

We’ve written an introductory guide to using both in combination – email us at [email protected] to request your copy!

Ask us about package deals across our laser and shockwave ranges, including finance options tailored to growing practices.

[email protected] | 0800 279 9050

New kit is only as good as the confidence your team has using it.Every laser, shockwave and ultrasound system we supply ...
24/08/2026

New kit is only as good as the confidence your team has using it.

Every laser, shockwave and ultrasound system we supply comes with dedicated training and CPD, not just a handover on installation day. Because equipment that sits underused isn't just a missed clinical opportunity, it's a missed return on your investment.

Our approach to onboarding covers:
Hands-on training for your clinical team
Ongoing CPD sessions and virtual laser clinics
24/7 technical support and loan units if servicing is ever needed

If you're evaluating new equipment, ask us what the training and support package looks like, it's often the difference between a device that gets used daily and one that gathers dust.

[email protected] | 0800 279 9050

£250 richer, just for making an introduction.Some of our best customers came to us through a referral from a clinic just...
22/08/2026

£250 richer, just for making an introduction.
Some of our best customers came to us through a referral from a clinic just like yours. If you're happy with the equipment, training and support you've had from Celtic SMR, chances are you know another practice that would benefit too.
Refer them to us. If they purchase laser, shockwave or ultrasound equipment, you get £250 - it's that straightforward.

Who's the first clinic that comes to mind?

Message us to make a referral: [email protected] | 0800 279 9050

"I think it's the tendon" vs. "I can see it's the tendon" - that's the difference ultrasound makes.Clinical examination ...
19/08/2026

"I think it's the tendon" vs. "I can see it's the tendon" - that's the difference ultrasound makes.

Clinical examination is a skill, but soft tissue and joint pathology can look and feel similar on palpation alone. Musculoskeletal ultrasound lets you confirm what you're treating - tendon tears, effusions, bursitis, nerve entrapment - rather than working from a working diagnosis.

It also changes what you can offer in the room:

Real-time image guidance for injections, improving needle placement accuracy. Objective evidence to support your clinical reasoning and referral letters
Reassurance for patients who can see what you're seeing, on screen, there and then

For clinicians, that's fewer "let's wait and see" appointments and more confident, evidence-backed treatment decisions from session one.

Curious how MSK ultrasound could fit into your assessment process? Get in touch.

[email protected] | 0800 279 9050

Address

Frederick House, Hayston View, Johnston
Haverfordwest
SA623AQ

Telephone

+448002799050

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