Coastal Podiatry Foot & Ankle Therapy Centre

Case Study: Successful Treatment of Calcific Achilles Tendinopathy with Shockwave Therapy

Calcific Achilles Tendinopathy Shockwave Therapy

Case Study: Successful Treatment of Calcific Achilles Tendinopathy with Shockwave Therapy

Background: A 52-year-old female, presented with a significant concern—a large lump on the back of her right heel that had been causing her persistent pain for several months. The pain had gradually worsened, affecting her mobility and daily activities.

Diagnostic Process: A thorough examination, including physical assessment, x-ray, and ultrasound, revealed the presence of calcific Achilles tendinopathy. This condition is characterised by the formation of calcium deposits within the Achilles tendon, leading to pain, swelling, and reduced mobility.

Treatment Plan: Given the diagnosis, a comprehensive treatment plan was formulated, centring around the use of shockwave therapy. The aim was to stimulate the body’s natural healing processes, promote the breakdown of calcium deposits, and ultimately reduce pain and swelling.

Shockwave Therapy Sessions: The 52 year old female underwent a series of eight shockwave therapy sessions, scheduled on a weekly basis.

Session Progression:

Session 1: Immediate Relief

During the first session, it was reported feeling immediate relief from pain. The shockwave therapy targeted the calcification within the Achilles tendon, initiating the process of breakdown and absorption.

Sessions 2-4: Steady Improvement

Over the next few sessions, we experienced a steady reduction in pain levels. The lump on the back of her heel began to show signs of softening, indicating the gradual dissolution of the calcium deposits.

Sessions 5-8: Significant Reduction in Lump Size and Increased Mobility

As the sessions progressed, the lump continued to diminish in size, and mobility noticeably improved. She reported being able to engage in activities that were previously challenging.


After completing the eight-week shockwave therapy program, we experienced remarkable results:

Pain Reduction: It was reported a significant reduction in pain after just one session. By the end of the eight-week program, she described her pain as minimal and only occasional, significantly improving her overall quality of life.

Lump Size Reduction: The lump on the back of the heel had visibly decreased in size, indicating successful dissolution of the calcium deposits. This not only alleviated discomfort but also enhanced the aesthetic appearance of her heel.

Improved Mobility: Mobility and range of motion improved substantially. Activities that were once challenging or painful became more manageable, allowing her to resume her regular daily routines.


This case demonstrates the efficacy of shockwave therapy in treating calcific Achilles tendinopathy. Through a series of eight sessions, spaced weekly, This female experienced significant pain reduction, a visible reduction in the size of the lump, and a remarkable improvement in mobility. This case highlights the potential of shockwave therapy as an effective and non-invasive treatment option for patients struggling with similar musculoskeletal conditions.


The information provided in this case study is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Every individual’s condition is unique, and treatment outcomes can vary. Before undergoing any treatment, it is crucial to consult with a qualified healthcare professional who can assess your specific situation and provide personalised recommendations. Always seek the advice of a podiatrist or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of information contained in this case study.

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About The Author

Dr Peter Shelton

Dr Peter Shelton BSc Hons. is an Accredited Podiatrist based in the Sunshine Coast, Queensland, Australia.

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