In this paper, we address the problem of proving confluence for string diagram rewriting, which was previously shown to be characterised combinatorially as double-pushout rewriting with interfaces (DPOI) on (labelled) hypergraphs. For standard DPO rewriting without interfaces, confluence for terminating rewriting systems is, in general, undecidable. Nevertheless, we show here that confluence for DPOI, and hence string diagram rewriting, is decidable. We apply this result to give effective procedures for deciding local confluence of symmetric monoidal theories with and without Frobenius structure by critical pair analysis. For the latter, we introduce the new notion of path joinability for critical pairs, which enables finitely many joins of a critical pair to be lifted to an arbitrary context in spite of the strong non-local constraints placed on rewriting in a generic symmetric monoidal theory.