CK Physiotherapy

W7, W5, W13, Ealing, West London

57 Elthorne Avenue
Hanwell, W7 2JY

T: 020 8566 4113
M: 079 572 46185

Location / Parking

We are situated in Hanwell, between Boston Manor Road and Northfields Avenue, south of the Uxbridge Road.

57 Elthorne Avenue
Hanwell, W7 2JY

There are parking restrictions Mon - Fri 9-10am and 2-3pm. If you need a permit during this time please inform your therapist when you arrive. There are no parking restrictions at other times.

Opening Times

Monday – Thursday

Please phone the number above during working hours to make an appointment. Our reception service will be happy to book your session.

London Underground / Bus Services

London Underground

10 min. walk from Boston Manor Tube Station.
15 min. walk from Northfields Tube Station.

Bus Service

E8, E3, E2, 207, 607, 83

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Our Blog

Shockwave therapy - Focussed vs Radial

By: BryanKelly (Psst, View author in Google Plus) Date: Jan 4th, 2019

The Difference between Radial and Focussed Shockwave



What's so special about the Piezowave 2 Technology?


Until recently I was under the impression that radial shock wave therapy, the technology more commonly used by many other practices, involves the same principle as the focussed shock wave (ESWT) described in the original literature. It does not.

As it turns out, the entire research on the effectiveness and mechanisms of shock wave therapy was originally done using focused shockwave technology - the kind of shock wave generated by piezoelectric technology.

 There are several important benefits of a focused ESWT using the Piezowave 2 Therapy device:


* Direct focusing piezoelectric technology for minimal pain during treatment

* Well defined, precise focus – perfect for diagnosis and therapy

* Finely adjustable penetration depth

* Independently adjustable penetration depth and intensity setting

* Trigger points can be diagnosed and specifically treated


The key differences of focused shock wave therapy are derived in the way in which it is delivered. Radial shock waves are generated using mechanical energy from a simple mechanical hammer. The result is the pressure wave first impacts the skin, moving divergently or spreading (not focused) through the body. The maximum effect of radial shock waves is therefore at the surface of the skin, with dissipating levels penetrating into the tissue. Within a penetration depth of 5-10mm, a practically undetectable dosage impacts the tissue. 

Cells vs tissue effect.gif


In contrast, focused shock wave therapy delivers the greatest amount of energy into a focused point at a determined depth in the body and penetrates accurately into deep tissue layers (from 5mm to 40mm) where the problem actually is.

Focussed vs Radial Shockwave.jpg



Both radial and focussed forms of shockwave therapy have been proven effective. Shockwave therapy works! However, the studies that have compared radial vs focused SWT have largely concluded that focused shockwave therapy has an advantage. This, along with the other benefits mentioned above, are the reasons CK Physiotherapy elected to go with Piezowave 2 as our preferred shockwave technology.


 Shockwave sites.png