The Truth About Shock Wave Therapy: Why It Falls Short for Plantar Fasciitis

Plantar fasciitis, a painful condition that can cause heel/arch discomfort, is a common issue for many people, and various treatments are available to help alleviate the pain. One treatment that has gained popularity in recent years is Extracorporeal Shock Wave Therapy (ESWT), specifically Radial Shock Wave Therapy (rESWT). However, despite its widespread use, recent research challenges the effectiveness of shock wave therapy in treating plantar fasciitis.

The idea behind this therapy is that shock waves, which are sound waves directed at the painful area, can stimulate blood flow, promote healing, and reduce inflammation in the plantar fascia. The treatment is generally quick and non-surgical, making it an appealing alternative for those who want to avoid more invasive interventions.

What the Research Says

Despite its initial promise, several high-quality studies have cast doubt on the efficacy of shock wave therapy for plantar fasciitis. Reviews of clinical trials have shown that while some individuals report a reduction in pain, the results are often inconsistent, and the benefits of shock wave therapy are no better than those of other conservative treatments, such as exercise, activity modification, footwear recommendations, or use of orthotics.

If you’re dealing with persistent heel pain, it’s important to consult with a healthcare professional to explore the treatment options that are backed by solid evidence and best suited to your specific needs.

In short, while shock wave therapy might seem like a quick fix, the latest evidence shows that it may NOT be the most effective choice for treating plantar fasciitis after all.

References:

https://pubmed.ncbi.nlm.nih.gov/38904119/

https://www.sciencedirect.com/science/article/pii/S1743919115002095

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