Back and joint pain that won't go away for months is treated differently

Pain clinic · Restore

Recognising the conditions

What patients most often come in with. If you recognise yourself in one of these descriptions, that's a reason for precise diagnostics, not for waiting.

Back

Back pain

An acute catch or chronic pain that drags on for months and limits movement.

Foot

Heel spur

Sharp pain in the heel on the first steps in the morning and after rest.

Elbow

Epicondylitis

Pain on the outer or inner side of the elbow when loading the hand.

Shoulder

Shoulder tendinopathy

Rotator-cuff pain when raising the arm, sometimes with calcium deposits.

Differentiation

What it can be mistaken for

The same complaint can have different causes behind it. Each one needs its own kind of help, so the first step is always precise diagnostics.

Referred pain

The source is in one place, the pain in another — typical of internal organs and trigger points.

Radicular syndrome

Numbness, weakness, pain along the nerve — a separate approach is needed.

Red flags

Night pain, weight loss, fever, pelvic dysfunction — urgent assessment is needed.

Screening

Indications for shockwave therapy

A short test doesn't make a diagnosis — it shows whether there's a reason to book a visit and where to start the conversation with a doctor.

Diagnostics

How we diagnose

First, an objective baseline picture. The board selects the combination of methods individually.

Pain diary

How many days a month it hurts, under what loads, what eases it and what aggravates it.

Neurologist and orthopaedist examination

Functional tests, localisation of the pain source, range of motion in the joint.

Imaging if needed

Soft-tissue ultrasound, X-ray or MRI — when the result changes the treatment approach.

Treatment

How we treat

Treatment on three pillars of one programme under constant supervision; the plan is adjusted as the condition changes.

Shockwave therapy

Focused and radial shockwave therapy for heel spur, epicondylitis, tendinopathies.

Local procedures

Targeted injections, work on trigger points — strictly by indication.

Rehabilitation

A dosed load, movement technique and relapse prevention after the course.

Support

This is a programme, not a one-off prescription

Every case goes through the full cycle — led by a personal programme manager.

Consultation

The character of the pain, the diary, a review of tests and previous treatment.

Pain source

Examination by a neurologist and orthopaedist, tests, imaging if needed.

Course

Shockwave therapy, local procedures and rehabilitation — for the specific area.

Follow-up

We compare pain days and range of motion before and after; a decision on maintenance or a pause.

Questions

Frequently asked questions

What does shockwave therapy treat?

Heel spur, epicondylitis, tendinopathies, myofascial pain — where the screening result shows an indication.

Is it painful, and how many sessions are needed?

The sensations are moderate and controlled; the course is usually a few sessions a few days apart.

When does back pain need urgent assessment?

Night pain that wakes you, weight loss, fever, numbness in the groin or problems passing urine — these are red flags.

Can I load the joint during treatment?

Yes, in a dosed way and to a plan — complete rest more often harms than helps.

When should I expect an effect?

The first changes come during the course; a lasting result is judged a few weeks after it ends.

What if the pain comes back?

The plan includes maintenance measures and a quick review; a personal manager stays in touch.

Booking

Assessment of the cause of back and joint pain

Book a consultation — or start by checking your indications for shockwave therapy. A coordinating doctor will clarify the details.