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Heel Pain Treatment in Lewisham and Forest Hill

Plantar fasciitis or Heel Pain

 

  • Are you getting pain in your heel first few steps out of bed in the morning?
  • Sharp or stabbing pain in the heel ? Sometimes radiating into the foot or leg
  • Have you tried calf stretches, ice and rest but youre still getting pain in the heel?

 

As a podiatrist that has treated thousands of heel pain patients I know how painful and how difficult heel pain or plantar fasciitis is to treat by yourself.

Often I find that the heel pain may get a little better for a time only to come back….again and again!

There are more than twenty different problems that can cause pain into the heel, however the most common cause is plantar fasciitis.

Plantar fasciitis is either a degenerative and/or inflammatory 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 of a string of an archery bow.  See the picture below.

 

Heel Pain is most commonly plantar fasciitis

 

 

You may have got this as a result of:

  • prolonged standing
  • a new pair of shoes
  • change in your exercise program
  • a previous injury such as an ankle sprain or a fracture  that later causes foot dysfunction
  • Putting on weight
  • Change in your lifestyle

 

Heel pain can be very intense and limit your activities of daily living. Often patients come in feeling very low or depressed and even anxious as the pain doesn’t go away.

The longer you leave the pain in the hope of getting better the more likely your heel pain will become chronic.

 

What To Do?

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

One of the most effective treatments is shockwave therapy. We use the Swiss Piezoclast and Dolorlast machines that are the only approved devices by the FDA for musculoskeletal problems.

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 below that tells you more about the treatment.

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 in Lewisham and Forest Hill

 

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 until very recently, it has been used in Europe and the US as a popular treatment. Shockwave is use on elite athletes such as in the premier league and also in the olympics. 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 recommend that you refrain from high impact 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. 0203 6022640 or book online 

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.

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 twelve week review is advised following your last treatment. If your symptoms have not reduced substantially you will be offered a further shockwave treatment.  Other treatments will be offered in the unlikely event that you are not substantially better.

 

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. Some tenderness can be felt the following day, but is rarely enough to stop you going about your daily routine. You can rest the area or take a paracetamol, but normally you will have less pain. For the first couple of treatments we will tape your foot to protect the area from too much movement. This usually results in pain relief.

 

What if 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?

  • If you have had a recent steroid injection into the same area within three months
  • Sometimes there is some bruising and coagulation disturbances if you are on blood thinning medications. Let us know the medication and dosage and we will assess from there.
  • If you have a pace maker

 

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

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Testimonials

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    Best service

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    Outstanding, professional, friendly service!

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    Better advice and treatment

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