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Plantar Fasciitis

How is shockwave therapy applied in plantar fasciitis?

Shockwave Therapy for plantar fasciitis and heel pain is applied following a set protocol.  Michael Brown or Joanna Cram (your physician) will carry out a thorough case history to isolate the area that is painful, and understand the reasons behind your presenting condition.

It is important to make sure that the condition being treated is actually plantar fasciitis or heel pain and is therefore treatable with Shockwave Therapy.

During your examination a tender point where the pain is worst will be located. A water based contact gel will be applied to aid the transmission of shockwave impulses into the desired area.

The shockwave applicator (see picture) will then be placed over the area.  The clinician will ensure the discomfort is kept to a minimum.

After treatment you should feel very little pain, though during the recovery process some discomfort may occur as the body starts to self-heal.

How long will shockwave therapy take to work?

Generally most applications of shockwave for plantar fasciitis and heel pain and most conditions will resolve within 3-5 sessions of 30 minutes (roughly).  This obviously can depend on the exact presentation of the condition.

What is the evidence for shockwave therapy for plantar fasciitis?

The most effective non-operative treatment for plantar fasciitis appears to be shockwave therapy (Aqil 2013,  Cutts 2012)

(Saxena 2012) compared shockwave therapy to surgery and agreed that the outcomes for return to sport and continuation of sport whilst undergoing treatment were in favour of shockwave therapy for plantar fasciitis. Athletes were able to have shockwave therapy and maintain playing their chosen sport, whilst the surgical group had to stop playing sport.

(Vahdatpour 2012) produced a study, which showed the morphological changes associated with shockwave therapy for plantar fasciitis. Most studies also show that, alone, the shockwave therapy can significantly reduce pain and suffering associated with plantar fasciitis but it is clear that biomechanical factors need to be addressed and maintained to allow optimal functioning of the foot during weight bearing. Cram Osteopaths will always combine Shockwave Therapy with Osteopathic examination and treatment.

Where can I get shockwave therapy for plantar fasciitis?

Shockwave Therapy is only available at a few specialist clinics in the UK. Cram Osteopaths offer Shockwave Therapy at our Barrington Drive practice location. Please Call 0141 339 0894

How much does it Cost?

Shockwave treatment per visit £105

Conclusion

Shockwave therapy is a safe and effective form of treatment in the management of plantar fasciitis