Heel Pain

Heel Pain

LEWISHAM FOOT HEALTH

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heel pain
heel pain treated with shockwave

 

Patient information for:

Shock wave therapy for tendon injuries (ESWT)

 

 

Is ESWT safe?

Shockwave technology has been used safely for decades in millions of treatment episodes. Although not used in the UK untill very recently, its use is widespread in Europe and the U.S. Please enquire if you want to know more or download our pdf for more information on the procedure and what to expect.

Does shockwave work?

Shockwave works very well on injured tendons and ligaments, including the plantar fascia otherwise known as the heel for heel pain. Results from international studies have documented a 80% success rates.  These studies have looked at the effects three six and 12 months follow up. The amplified number of healing cells from the treatment speeds up recovery.

Who can have treatment?

Anyone over 18 years of age who is reasonably healthy. Anyone who shows up on the ultrasound scanner as having plantar fasciitis or who has the classic first pain in the morning symptoms; stepping onto the floor in the morning.

Can Shockwave treat other problems?

Yes shockwave is effective for jumpers knee, hip bursitis, and medial tibial stress syndrome otherwise known as shin splints, Achilles tendinopathy as well as heel pain. Shockwave therapy also works for other tendon damage or pain of the lower limb. We have also found that shockwave therapy works very well for painful and sore muscles and grade 1 muscle tears.

Even if you have no pain after treatment, we strongly recommend that you refrain from activities that stress the treated area for the next 48 hours.
Please enquire to book a consultation tel. 07828 585604 or book online 

 

Patient information 

Radial shockwave, or ESWT,  is a series of energetic pressure waves that are directed to the site of injury in the body. The energy is transmitted through the tissue to the painful area, and is not an electric wave but a pressure wave. The pressure wave creates inflammation in the injured tissue that increases blood flow and the number of healing cells in the tissue.

This helps the body reduce the time to recovery as there is an increased number of inflammatory cells or healer cells at the site of pain. The following is a list of advantages of shockwave

  • There is no need for medication
  • Treatment sessions are short – approximately 30min with 3-4 sessions needed
  • No complications
  • Virtually painless after treatment
  • Significant improvement following treatment and 6-8 weeks following treatment
  • No anasthetic needed

How does shockwave therapy work?

The shockwave is delivered to the tissue by a handpiece by compressed air. This pressure wave travels through the tissue. Tissue that is calcified or diseased can be broken down by this pressure wave to be replaced by new and healthy tissue. The treatment lasts about five minutes.

Does shockwave therapy work?

International studies show results of 80% success rate in chronic conditions that have not been resolved by other treatments. We highlight the importance of what our treatment outcomes should be however there is a chance that your symptoms may not improve. A 12 week review is advised following your last treatment. If your symptoms have not reduced substantially you will be offered other treatments.

Is shockwave painful?

Sometimes the treatment is a bit painful. Most people can tolerate the few intense minutes without medication. If you are in pain during treatment please let the Podiatrist know and they can adjust the settings on the machine to reduce the discomfort. However that there is some pain suggests the shockwaves are having some effect.

Will I be in pain after treatment?

Normally there is a reduced level of pain or no pain at all immediately after treatment. A mild diffuse pain can occur a few hours after your treatment. This dull pain can last a day or so.

What if I am in pain after treatment?

The local inflammatory response to shockwaves is at the site where your pain or injury is. You can use ordinary prescription free pain killer. Do not use anti inflammatory medication or ice as this will reduce your bodies’ ability to self heal.

What if I am pain free after the treatment? 

If you are pain free after the treatment it is strongly advised not to do intensive activity that will stress the treated area. This applies to the next 48 hours after each treatment.

What if the shockwave doesn’t work for me?

The response to shockwave is normally exceptionally good within a few weeks it may take several months before the maximum effect is achieved. If after 3-4 months you are not getting a significant improvement, there are other treatments that can be offered.

Are there any contraindications?

yes

  • You can not have had cortisone injections 11 weeks before your first shockwave treatment
  • Sometimes there is some bruising and coagulation disturbances. In this respect if you are on warfarin or other anti platelet therapy please let us know
  • If you have a pace maker

 

Please contact us if you need to know more about this treatment.