A 4 bar ceiling shapes the caseload more than any other figure on the sheet. The randomised trials that report radial settings cluster below it: Achilles tendinopathy at 2.5 to 3 bar, lateral elbow work at roughly 1.6 to 2.5 bar and plantar fasciitis at 2 to 3 bar. Gluteal tendinopathy sits right at it, with one trial running 2,000 pulses at 4 bar and 10 Hz, which leaves no headroom on this console for a patient who needs more.
That makes the EV20 a fit for superficial tendon insertions, where radial energy is strongest and moderate pressures are the norm. Elbow, heel and Achilles lists suit it well. Hip work is possible within the published figures, but it uses the whole scale.
The size changes who can run it. At 6.55 kg with a handle, the console suits a single-handed physiotherapist moving between two rooms, a sports club treatment area or a small private practice with little free bench or floor space. It needs mains power wherever it goes, and every session still needs the screening questions, the written patient information and the outcome audit that NICE's special arrangements set for heel and Achilles work.
Recording matters more than usual on a compact device, because settings written as bar alone mean little outside this console. Naming the EV20, the transmitter, and all three parameters in each record keeps the audit readable if the service later changes equipment. Procurement routes differ between NHS physiotherapy teams, sports medicine services and private practitioners, but the conformity paperwork is always the manufacturer's, supplied through the seller.



