Huw Hurley • 6 February 2026

Cortisone Injections vs Radial Shockwave Therapy — Which Is Better for Long-Term Pain Relief?

Many people searching for relief from joint or tendon pain are told that a cortisone injection is the quickest solution. And yes — in some cases it can reduce pain in the short term.

But here’s the honest truth: cortisone injections often don’t solve the underlying problem, and repeated use can actually make tissues weaker over time.

At Hurley Clinic, we regularly see patients who’ve had injections but are still struggling months later. That’s why we focus on treatments that help the body heal rather than simply masking pain.

Let’s look at the differences.

What Does a Cortisone Injection Actually Do?

Cortisone is a powerful anti-inflammatory steroid injected into a painful area, often used for:
  • Shoulder pain
  • Tennis or golfer’s elbow
  • Plantar fasciitis
  • Knee pain
  • Tendon or joint inflammation

The injection reduces inflammation and pain — sometimes dramatically — but it does not repair damaged tissue.

In fact, evidence shows repeated injections may:
  • Weaken tendons and soft tissue
  • Increase risk of tendon rupture
  • Lead to cartilage damage in joints
  • Provide only temporary relief for many conditions

Pain may disappear for weeks or months, but the underlying tissue often remains weak or damaged, so symptoms frequently return.

What Is Radial Shockwave Therapy?

Radial Shockwave Therapy works very differently.

Instead of suppressing inflammation, it stimulates the body’s natural healing process.

High-energy acoustic waves are applied to the injured area to:
  • Increase blood flow
  • Stimulate tissue repair
  • Break down scar tissue and calcifications
  • Restart healing in chronic injuries

This is why shockwave therapy is particularly effective for long-standing tendon problems that haven’t improved with rest or injections.

Why Many Patients Prefer Shockwave Therapy
  • Treats the Cause, Not Just the Pain
Shockwave therapy encourages real tissue repair rather than temporarily numbing symptoms.
  • No Steroids or Medication
No drugs, no injections, no systemic side effects.
  • Effective for Chronic Tendon Problems
Conditions like plantar fasciitis, tennis elbow, Achilles pain and shoulder tendon pain often respond well.
  • Long-Term Improvement
Many patients report gradual improvement over weeks, with lasting results rather than temporary relief.

Is Cortisone Ever Useful?
Yes — in some situations, particularly acute inflammatory flare-ups, cortisone injections can be appropriate.

But they shouldn’t automatically be the first or only treatment, especially for chronic tendon problems where tissue quality matters.

Our Approach at Hurley Clinic

When patients come to us with persistent tendon or joint pain, we look at:
  • Why did the injury developed
  • Biomechanics and movement patterns
  • Tissue health and loading capacity
  • Strength and rehabilitation needs

Shockwave therapy is often combined with osteopathic treatment and tailored exercise advice to get better long-term outcomes.

Thinking About Your Options?

If you’ve been offered a cortisone injection — or already had one without lasting relief — it may be worth exploring alternatives that support real recovery.

Shockwave therapy may help your body do what it was designed to do: heal.

Hurley Clinic — Osteopathy & Shockwave Therapy
Helping you move better, recover faster, and stay active.