Plantar Fasciitis

Plantar fasciitis is a common problem among people who are active. It starts as a dull intermittent pain in the heel, which may progress to a sharp persistent pain. Classically it is worse in the morning with the first few steps, after sitting, standing, or walking. The plantar fascia is a thick fibrous ligament on the bottom of the foot. It is attached to the heel bone (calcaneus), fans forward toward the toes, and acts like a bow string to help maintain the arch of the foot.

A problem may occur when part of this inflexible fascia is repeatedly placed under tension. Tension causes an overload that produces inflammation, usually at the point where the fascia is attached to the heel bone. The result is pain. Plantar fascia injury may also occur at midsole or near the toes. Since it is difficult to rest the foot, the problem gradually becomes worse because the condition is aggravated with every step. In severe cases the heel is visibly swollen. The problem may progress rapidly, and treatment must be started as soon as possible. Your chances of recovering quickly improve with early treatment.

What is Extracorporeal
Shock Wave Therapy?

ESWT is a non-surgical treatment option for chronic heel pain associated with plantar fasciitis. The definition of extracorporeal is "outside the body". Shock waves are generated by a special ESWT device, and focused on specific targeted areas of tissue. Shockwave therapy works by triggering "messengers" that activate the bodys' own healing mechanisms to increase blood flow, change cell permeability, and enhance tendon healing. These shock waves also over-stimulate nerves that may block pain transmission, which leads to decreased sensitivity.

You and your doctor will decide if ESWT treatment is recommended for you after reviewing all options. You may be a candidate if you have been diagnosed with chronic plantar fasciitis for at least six months, and if your symptoms have failed to respond to three conservative treatments. These conservative treatments may include; rest, physical therapy, heel cushions, non-steroidal medications (Motrin or other over-the-counter anti-inflammatories), cortisone injections, taping/strapping, orthotics, shoe modifications, night splinting, and casting.

Compared to traditional invasive or endoscopic surgery, ESWT has virtually no side effects, and a much shorter recovery period. Most patients who have undergone ESWT may return to their normal activity levels 24 hours after the procedure.

Please check with your insurance carrier to see if this is a covered benefit of your policy.