Heel Pain Treatment

Plantar fasciitis

Heel pain can be difficult to treat. In most cases heel pain is plantar fasciitis. This is a degenerative condition of the plantar fascia. The plantar fascia is a fibrous band that supports the arch of your foot. It starts at the front of the heel bone and attaches to the front of your foot at the beginning of your toe bones. Think the string of an archery bow.

You will often feel a sharp pain first few steps in the morning when you get out of bed. The pain is located under the heel bone or into the arch of the foot. After a few minutes the pain may disappear, only to return later on in the day.

You may have got this as a result of prolonged standing, a new pair of shoes, a change in your exercise program or a previous injury such as an ankle sprain or a fracture. The pain can be very intense and limit your activities of daily living.

Leaving the heel to get better by itself may not be the best option as swelling in the area can lead to nerve entrapment and pain into the foot. A change in your walking to avoid the pain can cause pain further up the kinetic chain such as the knee hip or even the lower back.

With a foot and ankle assessment we can identify and target treatment tailored to your individual foot and ankle.

Below is a very effective treatment that we offer. It involves three treatments one week apart,  in accordance with the NICE guidelines (National Institute of Clinical Excellence). Studies have shown 80% treatment success.

You can download the pdf information leaflet that tells you more about the treatment below. Otherwise you can continue down the page and there is information there on shockwave treatment. Our clinic offers both radial shockwave and focused shockwave treatment. The focused shockwave can target the deeper tissues in the heel that radial shockwave cannot. We therefore always use both types.


Enter your name and email in the form below and we will send you to the download page for our Shockwave Therapy PDF information pack for heel pain treatment.

  • No information is shared outside Lewisham Foot Health

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 at three six and 12 months follow up. The increased number of healing cells from the shockwave speeds up recovery and can be traced in the tissues more than a year later.

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

After your treatment

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. You can go to work as normal the following day.
Please enquire to book a consultation tel. 07828 585604 or book online 


Patient information 

Radial shockwave, or ESWT,  is a series of energy pressure waves that are directed to the site of injury in the body. The energy is transmitted through the tissue to the painful area. The pressure wave helps to improve blood flow, increases the number of healing cells (Platelet derived growth factors, PDGF), reduces substance P in the injured tissue that reduces sensitivity of the area. The shockwaves also improves the tendons ability to glide with an increased amount of lubricin at the tendon site.

The heel pain treatment with shockwave  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 hand piece 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 shockwave treatment is working.

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 up to 24hrs 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. 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?


  • You can not have had steroid injections 11 weeks before your first shockwave treatment
  • Sometimes there is some bruising and coagulation disturbances. In this respect if you are on blood thinning medications 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.

Get in Touch


  • customer review lewisham foot health

    Best service

    I am suffering from osteoarthritis in my left hip after a big trauma in my early 20’s. For the last 5 years I have…

    Mrs. C (Forest Hill)
  • customer review lewisham foot health

    Outstanding, professional, friendly service!

    I can highly recommend Peter´s services. His knowledge of my issues as a person with diabetes was exemplary and he is exceptionally thorough in his…

    Mrs. S (Bellingham)
  • customer review lewisham foot health

    Quick appointment for a home visit

    I live at Blackheath and I was very happy to have a quick appointment for a home visit. I am very satisfied by the…

  • customer review lewisham foot health

    Walking pain free, in better footwear

    I have been seeing Peter for the past year, having had pain in my feet when walking. I now find myself walking pain free,…

    Mr. DC (Catford)
  • customer review lewisham foot health

    Better advice and treatment

    Peter at lewisham Foot Health has been marvelous since I rang him desperate to find someone to treat my feet. I was even more…

    Elaine (Catford)
  • customer review lewisham foot health

    My ingrown toenails were so painful,it was difficult to find shoes, and I couldn’t wear sandals.I was very embarrassed how my toenails looked! Now…

    Rita, (Catford)
  • customer review lewisham foot health

    ‘I am very pleased with my needling treatment. I had been struggling with a pretty large verruca on my left foot for seven months….

    Maria (Balham)
  • customer review lewisham foot health

    ‘I had a verruca on the sole of my foot which had proved extremely difficult to shift. For over two years I had tried…

    Verruca on Foot
  • After two half marathons, I got serious pain in one foot when I tried to run, which subsequently got worse until it hurt even…

    Plantar Fasciitis
  • ‘I was in a lot of pain with my ankle when I was fortunate through the internet to book an appointment with Peter Gauntlett…

    Foot and Ankle Injury
ipsum odio leo libero ultricies Nullam dictum quis Praesent vel, pulvinar consectetur