Shockwave Therapy for Plantar Fasciitis: A Modern Approach to Heel Pain

lyndseybrasseur
Sep 23
3 min read

Plantar fasciitis is one of the most common causes of heel pain, affecting millions of people worldwide. If you've experienced that sharp, stabbing sensation in your heel when you first step out of bed in the morning, you're not alone. While rest, stretching, orthotics, and other conservative treatments can often help, some stubborn cases require a more advanced approach. That’s where shockwave therapy comes in.

But what exactly is shockwave therapy, and how does it work for plantar fasciitis? Let’s explore.

What is Plantar Fasciitis?

Plantar fasciitis occurs when the plantar fascia—a thick band of tissue that connects your heel to your toes—becomes irritated or inflamed. This condition typically results from overuse, improper footwear, or biomechanical imbalances like flat feet or high arches.

Common Symptoms:

Sharp heel pain, especially in the morning
Pain after prolonged standing or walking
Discomfort after exercise (not during)
Tenderness at the bottom of the heel

While many cases resolve with conservative care, chronic or severe plantar fasciitis may need more targeted intervention.

What is Shockwave Therapy?

Shockwave therapy (technically known as extracorporeal shock wave therapy, or ESWT) is a non-invasive treatment that uses high-energy sound waves to stimulate healing in damaged tissues.

Originally developed to break down kidney stones, shockwave therapy has been successfully adapted to treat a range of musculoskeletal conditions—including plantar fasciitis.

How Does Shockwave Therapy Work for Plantar Fasciitis?

The treatment involves delivering acoustic waves through the skin to the affected area of the foot. These waves:

Increase blood flow to the plantar fascia
Stimulate cellular repair and regeneration
Break down scar tissue
Reduce pain by disrupting nerve signaling

Most patients undergo a series of 3 to 5 sessions, spaced one week apart. Each session lasts about 15 to 20 minutes and requires no anesthesia or downtime.

Benefits of Shockwave Therapy

✅ Non-invasive: No surgery, injections, or incisions
✅ Minimal side effects: Some may experience mild soreness, similar to a workout
✅ No downtime: Patients can walk immediately after treatment
✅ Clinically proven: Studies show success rates of up to 80% in chronic plantar fasciitis cases

What to Expect During Treatment

Assessment: Your provider will examine your foot and determine the precise location of pain.
Application: A handheld device is placed on the heel area. Gel is used to improve contact.
Shockwave Delivery: You’ll feel rhythmic tapping or pulsing. It’s usually tolerable, though intensity can be adjusted.
Post-Session Advice: Light stretching and avoiding high-impact activities for 24–48 hours is typically recommended.

Who is a Good Candidate?

Shockwave therapy is ideal for those who:

Have had plantar fasciitis for more than 6 months
Have tried physical therapy, orthotics, and medication without success
Want to avoid surgery or cortisone injections

However, it's not recommended for:

Pregnant women
People with bleeding disorders
Individuals with nerve or vascular diseases in the foot
Those taking blood-thinning medications (without medical clearance)

Is It Covered by Insurance?

At The GOAT Sport Medicine Clinic Sherwood Park, we can direct bill for shockwave therapy under chiropractic, physiotherapy, massage or acupuncture when booked with the respective practitioner.

Conclusion: A Promising Option for Persistent Heel Pain

Shockwave therapy offers a safe, non-invasive, and effective alternative for people dealing with chronic plantar fasciitis. If traditional treatments haven’t provided relief, this advanced therapy could help you get back on your feet—literally and figuratively.

As always, consult a podiatrist or orthopedic specialist to determine if shockwave therapy is right for your specific case.

Ready to Explore Shockwave Therapy?

If you're struggling with persistent heel pain, don’t wait. Book a consultation with a foot care specialist near you and take the first step toward long-term relief.