Using Shockwave Therapy for Plantar Fasciitis
Plantar Fasciitis (PF) is a very debilitating condition that is nearly as painful to pronounce as it is to suffer with physically. PF is a condition where the thick band of tissue running across the bottom of your foot that connects your heel bone to your toes becomes inflamed. This is a huge cause of foot pain, particularly among those who are active or spend long hours on their feet.
The Plantar tissue is a strong, fibrous ligament that supports the arch of your foot.
Acts like a shock absorber during walking, running, and standing.
When overstressed, it can become inflamed or develop tiny tears, which can cause pain and in severe instances, can stop you from being able to walk properly.
For many, the discomfort can be overwhelming, leading to a significant decrease in the quality of a persons life. Plantar Fasciitis can be at its worst first thing in the morning, when you first get out of your bed from sleeping through the night. Those first few steps can be excruciatingly painful, like a burning red hot poker.
Shockwave therapy is one non-invasive option for long-standing plantar fasciitis. This blog post explains how shockwave therapy works, its possible benefits and what the research says.
Understanding Plantar Fasciitis. Why does this condition occur?
Factors contributing to Plantar Fasciitis include:
Overuse or strain from repetitive activities.
Walking or running on hard surfaces.
Being overweight, which puts additional stress on the feet.
Wearing inadequate or improper footwear.
Age and overall foot structure.
The mechanism of Shockwave Therapy. How does shockwave therapy work?
Shockwave Therapy is a non-invasive treatment that utilises acoustic waves to stimulate healing in the affected area. The therapy typically involves several sessions where high-energy waves are delivered to the heel to promote blood flow and tissue regeneration.
The main processes at play include:
Increased blood flow: Shockwave Therapy enhances circulation in the treatment area, facilitating the body’s natural healing process.
Reduction of pain: The therapy can lead to a decrease in pain receptors and the overall perception of pain, of particular importance for individuals suffering from chronic foot conditions.
Tissue regeneration: Shockwave therapy promotes cellular repair and the production of collagen, essential for restoring the health of the plantar fascia.
These are the ways shockwave therapy aims to help with plantar fasciitis.
Benefits of Shockwave Therapy for Plantar Fasciitis
Shockwave Therapy offers several distinct advantages for managing Plantar Fasciitis, including:
Non-invasive treatment.
Unlike surgical procedures or injections, Shockwave Therapy is non-invasive. This means that patients can avoid the associated risks, recovery times, and complications linked with more aggressive interventions.
Little downtime.
Most people feel some discomfort during treatment but can carry on with normal activities afterwards. We'll advise you about avoiding high-impact exercise for a short time.
Results.
Some people notice less heel pain after a course of sessions, while others notice little change. Results vary from person to person.
Side effects.
Shockwave therapy is generally well tolerated. Side effects are usually mild and short-lived, such as redness, tenderness or occasionally bruising.
What to expect during a Shockwave Therapy session.
When undergoing Shockwave Therapy for Plantar Fasciitis, patients can expect the following:
Assessment: The healthcare provider will perform an assessment of the foot, discussing the patient's medical history and specific symptoms.
Treatment plan: A tailored treatment plan will be developed based on the individual’s condition and response to previous therapies, if applicable.
Application of Shockwave: During the session, the patient lies comfortably while the therapist applies ultrasound gel to the treatment area. The handheld shockwave device delivers acoustic waves to the affected area of the heel.
Duration: Each session varies in length but typically lasts roughly between 15 to 20 minutes. A course is usually 3 to 6 sessions.
Post-treatment care: Patients are often advised to rest the area for a short period following the treatment to allow the healing process to begin. We would always advise against high impact exercise such as running or jumping.
Who is a good candidate for Shockwave Therapy?
While Shockwave Therapy is suitable for many individuals with Plantar Fasciitis, certain criteria can help determine if this treatment is the right option:
Persistent pain: people with long-standing pain that hasn't settled with other treatments (such as exercises or custom orthotics) may be suitable.
Active lifestyle: people whose activities put stress on their feet often ask us about shockwave therapy.
No recent surgery/injections: Those who have had recent surgery on the foot or heel should consult with their healthcare provider before pursuing Shockwave Therapy. Anyone who may have had a cortisone injection into the area must wait a minimum of at least 6 weeks before commencing Shockwave Therapy.
No open wounds or infections: Patients with open wounds or active infections in the treatment area should avoid Shockwave Therapy until the conditions have been resolved.
Effectiveness of Shockwave Therapy for Plantar Fasciitis.
Research suggests shockwave therapy may help some people with long-standing plantar fasciitis, with studies reporting improvements in pain and foot function. NICE guidance (HTG200) says the evidence on how well it works is inconsistent. Results vary from person to person.
Shockwave therapy is also used for other MSK conditions, such as Achilles tendinopathy, patellar tendinitis, GTPS, lower back pain and shoulder problems, including frozen shoulder and shoulder tendinitis.
Potential risks and considerations.
While Shockwave Therapy is considered safe for most individuals, we must state that there are possible side effects that can potentially arise from having Shockwave Therapy.
Pain or discomfort: Some patients may experience some discomfort during the treatment, which usually subsides quickly.
Skin reactions: Mild redness in the treated area is common but typically resolves very quickly.
Contra-indications: Patients with certain medical conditions, such as blood-clotting disorders, infections, or certain skin problems, should avoid this type of treatment.
It’s essential to discuss any concerns with us before starting your course of Shockwave Therapy.
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Conclusion
Plantar fasciitis can significantly affect one's quality of life, causing discomfort and limitations in daily activities. Shockwave therapy may help some people with long-standing plantar fasciitis. Results vary from person to person.
If you are battling Plantar Fasciitis or chronic foot pain, consider discussing Shockwave Therapy with your local Shockwave therapist to determine if it is the right option for you.
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