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The use of shockwave therapy for plantar fasciitis has become increasingly popular due to its effectiveness and minimal side effects. 70% to 90% of patients experience significant pain relief after undergoing this treatment, with many reporting improvements within just a few weeks. This therapy utilizes sound waves directed at specific body areas to facilitate healing and alleviate pain.
This article will briefly cover plantar fasciitis and explore the application of shockwave therapy, including its mechanism, benefits, protocols, side effects, and research findings.
Plantar fasciitis involves the inflammation of the plantar fascia, a robust band of connective tissue stretching along the sole of the foot, linking the heel bone to the toes. This condition often manifests as sharp heel pain, particularly noticeable in the morning or after prolonged inactivity.
The pain typically results from micro-tears in the fascia caused by excessive strain, leading to inflammation and discomfort. Risk factors for developing plantar fasciitis include age (it most commonly affects individuals between 40 and 60), obesity, flat feet or high arches, and occupations requiring prolonged standing.
Shockwave therapy employs high-energy acoustic waves that are directed at the affected area. These waves penetrate the skin and stimulate healing by promoting increased blood flow, reducing inflammation, and encouraging tissue regeneration.
The energy delivered can effectively disrupt scar tissue and calcifications in chronic conditions like plantar fasciitis. The treatment typically lasts 10 to 20 minutes per session and may involve multiple sessions for optimal results.
The primary advantage of shockwave therapy is its noninvasive nature, which allows patients to avoid surgical interventions while still achieving significant pain relief. Clinical studies have demonstrated that shockwave therapy can reduce pain levels and improve function for individuals suffering from plantar fasciitis.
For instance, a study indicated that patients experienced noticeable pain relief after one session, with cumulative benefits observed over subsequent treatments. Furthermore, shockwave therapy has been associated with a lower risk of complications compared to more invasive procedures or long-term medication use.
Typically, shockwave therapy consists of three to six sessions spaced about a week apart. The exact number of sessions required can vary based on individual response to treatment and the severity of symptoms.
Patients may experience mild discomfort during each session as the acoustic waves are applied; however, this discomfort is generally well-tolerated and can be adjusted based on patient feedback.
Patients can expect each session to last between 10 and 20 minutes per foot during the treatment sessions. The therapy is typically conducted weekly over three to six weeks. While patients may experience mild discomfort during the procedure, the intensity of the treatment can be adjusted to ensure comfort throughout the session.
Research supports the efficacy of shockwave therapy for treating plantar fasciitis. A randomized controlled trial found that patients receiving shockwave therapy showed significantly improved pain levels and functional outcomes compared to traditional treatments, such as corticosteroid injections or physical therapy alone.
Additionally, studies have indicated that many patients experience positive outcomes within six months post-treatment. While results vary among individuals, many report significant long-term relief from symptoms.
While shockwave therapy is generally considered safe, some patients may experience temporary side effects such as swelling or mild bruising at the treatment site. Patients must review their medical history with their healthcare provider before starting treatment.
Contraindications include pregnancy, certain cardiovascular conditions, and active infections in the treatment area. When performed by trained professionals, shockwave therapy presents minimal risks compared to surgical options.
Experience lasting relief from plantar fasciitis with safe, noninvasive shockwave therapy designed to restore mobility and comfort.
Leão, R. G., Azuma, M. M., Ambrosio, G. H. C., Faloppa, F., Takimoto, E. S., & Tamaoki, M. J. S. (2020). Effectiveness of shockwave therapy in the treatment of plantar fasciitis. Acta Ortopédica Brasileira, 28(1), 7–11. https://doi.org/10.1590/1413-785220202801227402
Liao, C., Xie, G., Tsauo, J., Chen, H., & Liou, T. (2018). Efficacy of extracorporeal shock wave therapy for knee tendinopathies and other soft tissue disorders: a meta-analysis of randomized controlled trials. BMC Musculoskeletal Disorders, 19(1). https://doi.org/10.1186/s12891-018-2204-6
Sun, J., Gao, F., Wang, Y., Sun, W., Jiang, B., & Li, Z. (2017). Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis. Medicine, 96(15), e6621. https://doi.org/10.1097/md.0000000000006621
Sun, H., Chen, H., Mu, G., Fu, H., & Yue, L. (2022). Comparison of Different Treatment Regimens of Extracorporeal Shockwave Therapy in Chronic Low-back Pain: A Randomized Controlled Trial. Pain physician, 25(8), E1211–E1218.
