Elbow Pain  is becoming increasing common due to our use of computers and smart phones.  Shockwave Therapy as you can read from Helen has an excellent record of attending plenty of Conferences  more papers are coming out most physiotherapists and osteopaths will all have shockwave therapy as part of their treatment and exercise plans   Tennis elbow is really called lateral humoral epicondylitis.  It is really caused by repetitive mechanical loading all repetitive strain injury leading to an increase of pain on exertion on the outside of the elbow or sometimes on the inside of the elbow.People normally present this condition after suffering for a period of 4 to 6 months and complained of pain when bending their wrist repetitive, strenuous movements of the lower arm leads to disabling painful condition

As Helen has been  Shockwave therapy now for over 4 year  with good beneficial outcomes for tennis elbow, she knows that to chronic tennis elbow may take 3 to 4 sessions of  Focus shockwave therapy and exercises which is why she keeps the cost of shockwave therapy to an affordable cost so that her patients become completely pain free and return to their full activities such as tennis golf or personal training or simply to be pain free.

Helen at the moment has the only Focus Shockwave Therapy by Storz in Scotland   This is an expensive and costs over £24.000 plus VAT  for this reason Helen has to charge £80 for a treatment with Focus however it takes fewer sessions that Radial and the evidence is that is more effective on tennis elbow

One must always consider the Neck and or shoulder examination.













Every day tasks such as lifting and carrying shopping bags, DIY such as hammering, continual typing using your smart devices, computers daily life activities such as opening jars all load and irritate the tendon of the elbow causing


Well known Cause of Elbow Pain


Common Repetitive Every Day Life Style Tasks causing Elbow Pain

Carrying Shopping Bags


Repetitive Manual Occupational Risks can cause elbow pain







Part of Self Help Management includes self massage over the tendon and muscles





Alternatively some Chronic Long Term Elbow Pain or  Tennis Elbow may need some shockwave therapy 












Shock Wave Therapy induces neovascularization at the tendon-bone junction 







As you can see there are a number of different diagnosis for Elbow Pain   which all must be considered and diagnosis is confirmed by either MRI or diagnostic ultrasound with power Doppler sonography  This shows up if there are have been a chronic condition in the tendon irregular  vessel generation

These pathological capillary vessels are considered to be the failed misdirected healing of an afflicted, degenerative modified tendon area.   Neovascularisation is more pronounced in chronic tendinopathy is and helps examine the determine the severity of the condition.

Exercises can help with support many tennis elbow conditions. However, Helen is used to treating the long-term severe cases, and now with three years experience, one can follow up with examinations of shockwave therapy after 36 or 12 months and the disappearance of the new vessels show that the tendon is improving















You will also receive education, and your mini video clips on how to do your exercises, all part of the treatment and consultation £45.00 Helen has been delighted that feedback is the number of treatment sessions is reduced and the outcomes and benefits are much










Edinburgh Osteopath Helen How has over twenty-eight years experience of treating patients at the How Osteopathic Clinic (Trinity Edinburgh). Registered Osteopath Helen combines the latest advances in osteopathy with a gentle patient-centred approach to diagnosis and treatment ensuring that osteopathic treatment at the How Clinic is suitable for a wide-range of conditions including; back pain, neck pain, shoulder pain, knee conditions Helen uses Video Clips exercises educational information and outcome which is sent to your computer smartphone or iphone if you wish Treatment at the How Osteopathic Clinic is tailored to the individual and where necessary uses a combination of osteopathic techniques including, Traditional Osteopathy, Cranial Osteopathy, Electrotherapy, Vibrotherapy and Sports Remedial Massage. The holistic approach to osteopathy at the How Osteopathic Clinic, in addition to a full one hour treatment sessions, is designed to alleviate symptoms rapidly and can often significantly reduce the number of osteopathic treatments required. One of the few Osteopaths in Edinburgh and in Britain who uses the unique, gentle fleximatic vibrotherapy or shockwave therapy massage equipment combined with traditional osteopathic techniques in order to to find, feel and palpate those hard fibrotic bands of muscles which accumulate over the years of prolonged sitting, Helen has attended conferences held throughout the country; Helen has been using Shockwave Therapy for over 3 years now for Patella Tendons , Achilles Tendons Plantar Fasciitis and Tendon pain Hips, Upper Proximal Hamstring tendinopathy along with rehabilitation loading Contact Helen How, Registered Osteopath, 14 Craighall Gardens, Edinburgh EH6 4RJ To make an appointment contact Helen on 131 551 1044 or Text /Call 07889304762