Shockwave for Plantar Fasciitis Heel Pain Treatment

[@drmatulewicz]

I had this done on a heel spur four years ago. It worked so well and I am so grateful to my therapist for helping me. I was basically unable to walk on my left foot and after five sessions I was able to walk all over New York with my daughters. Completely heeled😆

[@AlignTherapyUtah]

Thanks for sharing!

[@goPACK1978]

What about fat pad atrophy? Would you use it for this? If so, would you follow the same steps beginning with the calf, etc.? I have a shockwave machine & did try it on my feet and it hurt so badly that I didn’t continue. Appreciate your counsel.

[@drmatulewicz]

@@goPACK1978 I don’t know anything about that but yah the pain in the beginning was horrible. I compared it to the pains of childbirth. 😫

[@ironpatriot344]

lol heeled 😂

[@Scottish.Gongsta79]

I had my first session on Thursday, I'm praying this works 🙏🏻

[@douggie9991]

I am glad that your wife has had success with this treatment . PF seems to respond to different treatments with different people . I had had PF for 2 years and I had one Shock Wave Therapy treatment , and was in severe pain in my feet for 2 plus weeks immediately afterwards. Needless to say , it is not successful with all patients . I would proceed with caution with this treatment based on my very unpleasant experience !

[@AlignTherapyUtah]

They may have gone too aggressive, but yes it doesn't work on everyone.

[@nhwnhw02]

Had a bunch of treatments performed before shockwave therapy. From the first treatment it got a bunch better. After a series of 3 treatments I haven't had a problem in over 2 years. I did change my brand of shoes. Only Chaco flip flops and Hoka One One shoes. Wore Reefs, Vasque, Merrell and New Balance before.

[@AlignTherapyUtah]

Great to hear. Thanks for sharing!

[@-MutentRain-]

I was diagnosed with chronic pain in both my heels after an injury (falling from height). The pain was so bad, it felt like my feet were on fire, worn-out and throbbing. By chance i found out the podiatrist has a machine like this. I go there every 6 weeks and get this pulse therapy on the inside of my heels. I dont get the servere burning feeling anymore. After the treatment my heels feel great..but shortly after an itchyness comes back and some discomfort.

[@AlignTherapyUtah]

Thanks for sharing

[@faymoosa5064]

I have a heel spur n plantar fasciatis. Going for this treatment next week ❤

[@AlignTherapyUtah]

Good luck!

[@REALcatmom]

How did it go?

[@DrewWilson192]

Yes, how did it go?

[@daisybrown362]

I have the same problem..I will try that one.

[@joyking2231]

Hi Daisy, you may want to read a comment that I just posted. It got rid of my husbands pf. Much Love and Light to you, Joy in Texas.

[@AlignTherapyUtah]

Good luck!

[@AlignTherapyUtah]

Thanks Joy

[@MyYumanyi]

Would you recommend this therapy in neuropathy of the calcaneal branch (baxter)? It is a stabbing pain in the calcaneal nerve in the center of the heel. the infiltration did not work

[@AlignTherapyUtah]

It could. It depends how long it has been going on. There are other things I would normally do for a Baxters. Nerve glides....etc

[@jodytfishing]

Currently doing research on this treatment. I need it done in both feet. My travel schedule for work is fairly intense and I am considering doing both at the same time to reduce my overall "down" time and recovery time. As a practitioner, would you recommend against doing both at the same time, or do you think it would be ok?

[@AlignTherapyUtah]

@@jodytfishing i think it would be ok as long as you realize it is not going to be comfortable and might limit your walking a few days after. I dont think it is a bad idea. Just go into it knowing there might be more discomfort.

[@1785Kristy]

If she's had plantar fasciitis for years, why didn't she get this therapy a while ago? Im about to start PT. I hope they have this

[@AlignTherapyUtah]

We didn't have this until now. It has been a game changer with plantar fasciitis!

[@modernmanualtherapy]

Glad your wife got some help. Have you checked out the Strassburg Sock? One of my fellowship mentees invented it and it’s the simplest way to treat plantarfasciopathy. Fixed mine in a week!

[@AlignTherapyUtah]

That is a great suggestion. Thanks!

[@gregdavidson5898]

I'm a practitioner. I have not purchased one yet. You are using a Radial model, yes? Have you used their Focused type yet? I know it sells for about twice the price. TIA

[@AlignTherapyUtah]

I have not used the focus type. Yes, I use the radial model

[@stephenbianco2146]

@@AlignTherapyUtah We just bought a machine which is on it's way to use for my wife's PF, it has both the focused & radial to use. I read that you use the focused probes for plantar fasciitis. The two small diameter working heads are described as focused, which may be more suitable for treating this condition?

[@raphaelulrich862]

How do you know what intensity you need?

[@AlignTherapyUtah]

@@raphaelulrich862 pain level of 4/10 ish

[@SarkisKlinik]

is the shockwave used to treat shoulder bursitis and is it effective for that?

[@AlignTherapyUtah]

Possibly.

[@WiseOneSun]

I wanna start this shockwave therapy immediately after seeing this video. I'm here in los angeles,where are you? and what kind of rates should I expect a therapist to charge for these sessions? thank you!.

[@AlignTherapyUtah]

I am in utah. Probably $100 to $150 a session

[@wendyhale2189]

Also in LA. $250 per session.

[@SarkisKlinik]

what if the patient has knee or shoulder osteoarthritis and you hit that area with shockwave as well? will that damage the osteoarthritis and what damage it may cause? Thanks

[@AlignTherapyUtah]

I wouldn't do it on a degenerative joint. You could work around it though.

[@isaiahmacadam]

Did she make a full recovery?

[@AlignTherapyUtah]

She has done great! 90%

[@natashacornish5882]

I start tomorrow after reading comments I am hopeful.

[@AlignTherapyUtah]

@@natashacornish5882 good luck!

[@rizzletron]

What frequency and power is that machine running at?

[@AlignTherapyUtah]

@@rizzletron sorry, I dont recall. Everyone is a little different though.

[@rizzletron]

@@AlignTherapyUtah no worries. Every individual is different or each machine is?

[@SarkisKlinik]

when a tear happens in the tendons of the knee or shoulder , is shock wave therapy useful or effective or harmful? Due to repetitive percussion, Can the tear worsen on shockwave therapy?

[@AlignTherapyUtah]

If it is a significant tear, you would want to look into stabilizing the tear first. This can help small tears.

[@SarkisKlinik]

Can we use it on foot nerve problems?

[@AlignTherapyUtah]

I have used it on nerve problems. Sometimes it is very effective and sometimes it irritates the nerve. You can definitely try it though.

[@PC-zz9cy]

Have you found it works for Ledderhose?

[@AlignTherapyUtah]

I haven't used it for that personally, but I would think you could find some benefit with reducing the fibrous tissue. You may want to look into it more because I am not sure what the response of the tissue is in Ledderhose. We don't want the body to build more of it.

[@BerthaMoloi]

Eswt is painfully or not and how long does it takes for her to do the second session

[@AlignTherapyUtah]

@@BerthaMoloi it is not comfortable. It take about 20 min.

[@payambreaker]

Hi Doctor, I want to buy a SW Therapy Device. What kind of specs in terms of power and other things do I need to look out for in a device?

[@AlignTherapyUtah]

I would stay away from the cheap home units. You just don't get good quality usually.

[@alexivanov7532]

Hello! What frequency hz should I use for heel spurs and the duration of one session?

[@AlignTherapyUtah]

It depends on the machine. I would check your manual.

[@MsFaith1009]

1.6 is what they use on me.

[@SarkisKlinik]

Can we use for acute severe muscle or tendon pain?I agree,ultrasound is not so effective.

[@AlignTherapyUtah]

I don't use shockwave on acute tendon injuries. It is more for chronic issues.

[@SarkisKlinik]

@@AlignTherapyUtah Thanks. Which cases or timeframe is considered chronic? For example if a tendon problem exists for one month , do we consider it chronic?

[@SarkisKlinik]

For bone spur ,can we use shock wave?

[@AlignTherapyUtah]

Yes you can!

[@laylabono4035]

Does work for hamstring Enjury ? Thank you.

[@AlignTherapyUtah]

Yes! Definitely

[@ultralex22]

Hi & Thanks for your video ! I want to ask what’s the optimal range of Bar , HZ and Number of hit counts for plantar fasciitis ?

[@AlignTherapyUtah]

I would consult the manual for your machine. They are all a little different and it also really depends on the patient.

[@ultralex22]

@@AlignTherapyUtah Understood , Thanks for your reply !

[@AlignTherapyUtah]

@@ultralex22 no problem!

[@tlbunn]

I bought a SW device for the knee. Hope it works. For PF I've had success rolling my feet firmly over a golf ball (racquet ball didn't work). May try the SW device too. Thx for the video.

[@AlignTherapyUtah]

Best of luck!

[@dula4552]

Thanks for the video! Does the end of the shock-wave wand move at all whilst the piston is hitting it? Similar to a massage gun, but obviously not to that degree?

[@AlignTherapyUtah]

It doesn't move. Internally it has a "bullet" that hits the end piece but it doesn't move.

[@dula4552]

@@AlignTherapyUtah Awesome, thanks for the reply! Much appreciated!

[@AlignTherapyUtah]

@@dula4552 you are welcome

[@SarkisKlinik]

Can we hit the spinal hernia with this?

[@AlignTherapyUtah]

I don't think doing this on a spinal hernia would be a good idea.

[@SarkisKlinik]

@@AlignTherapyUtah why?

[@ahamedazam3168]

Hi doctor, I am having an injury on my plantar for last 1.5 months. my therapist suggested me some exercises which did not help much, then he did the shockwave 1 week ago. I play badmnton every week and now i feel the heel pain is worse after the treatment! I am upset if the treatment made the pain worse? would appreciate if you have any opinion?

[@AlignTherapyUtah]

@@ahamedazam3168 it can increase the pain since we are trying to get the inflammatory process going. It takes 3 treatments to see results and you have to be consistent with it.

[@jakiraismail5102]

Hello doc Im undergoing SWT for my hill spur , for me its very disscomforting like i cant take up with intensity of shock. Now i saw ur processes the difference my therapist do is she work on my spur directly with intensive shockwave without any warm-up to that feet, she treats only herl area for 5-6min n i cant take up with pain . Im so traumatised that want to leave my treatment halfway..plz suggest what should i do ...

[@AlignTherapyUtah]

I agree. It should go more gradual. I would suggest that to her.

[@SLCSStrengthCoach]

Also EPAT treatment is better used on chronic, less irritable tissues

[@EF-yp9ui]

What probé would you use for plantar fasciitis, flat, concave or convex? 36mm, 25mm15mm or 8mm?

[@AlignTherapyUtah]

We use mostly flat and go from larger head to smaller to isolate to the area of the problem.

[@Trebronus]

What frequency and energy/power output would you recommend starting treatment at?

[@AlignTherapyUtah]

It is pretty individual. We start where they can tolerate

[@ShinStriderHiryu]

I got a " burning " nerve sensation in the middle of my right feet, everytime i walk mote then 5 minutes its start to burn and the feeling is like a sting everytime i step, can it be treated ?

[@AlignTherapyUtah]

Definitely. Maybe not with shockwave, but it after evaluating it i bet you could figure it out.

[@Fab-wd4qq]

Sounds like gout

[@darraghkane18]

would this work if my Plantar Facitis is caused by an autoimune disease. I have it for 2 years now. I have had injections, I was on methotrexate and now I am on a biological. Will the shockwave work if I am taking an inhibitor.

[@AlignTherapyUtah]

I haven't done it on someone on an inhibitor, but I think it would still work.

[@darraghkane18]

@@AlignTherapyUtah A physio told me it wouldn't as the shockwave damages tissue and then the immune system kicks in and heels the damaged tissue. The meds stop this process. Is that logic true. Thank you for your response.

[@AlignTherapyUtah]

@@darraghkane18 i would be curious how it works. I haven't used it on someone on those. I think the body would still have some healing process going. Dont know how much though.

[@anitasunger3486]

What’s recovery like? I have a standing job

[@AlignTherapyUtah]

Sore the next day but then not too bad.

[@gregorylose8835]

Ive had 4 treatments with no success 😢.

[@AlignTherapyUtah]

Sorry to hear that. Sometimes it can be what type of machine they are using but it also needs to be combined with figuring out why it came on in the first place. Good luck!

[@MrFalcon58199]

Can shockwave therapy be used for plantar fasciitis which has been present for less than 3 months?

[@AlignTherapyUtah]

Yes

[@chitchatandcrochetwithtooc3332]

Do I see a chiropractor or physical therapist for this kind of treatment? I’ve been diagnosed with plantar fasciitis really bad in both feet and can’t walk. I will start physical therapy soon.

[@AlignTherapyUtah]

I suggest a physical therapist

[@annschwankhaus3735]

Also try cold laser therapy. It helped me.

[@natalie306642]

PT for sure. My Chiro just moved my foot around a little. I do that at home?? I def suggest this. I am slowllllyyy getting better, had it for 3 years. Ive done a LOT of therapy on my own. Stretches are important, but dont tear anything, just do them to warm up the foot, especially before getting out of bed. Its habit for me now. BUT, building your toe strength is VERY important. They hold that arch & take the pressure off of that faciia. There's videos on that. I do not use the towel on the floor method.

[@Fab-wd4qq]

Purchase a MOBO board! Trust me!

[@ThaoLe-gp9oj]

Can shockwave therapy treat fat pad syndrome? Thank you!

[@AlignTherapyUtah]

I haven't used it for that but the principles are similar. Not acute though.

[@dhirajjha8470]

Is ESWT treatment for heel pain, safe during pregnancy?

[@AlignTherapyUtah]

Great question. I wouldn't do this in late pregnancy, but early it should be ok.

[@akleo78]

I have had pain in bottom of my left foot for three years. One doctor run a nerve study and diagnosed me with Tarsal Tunnel. He thinks thats what causing my foot pain. I have no numbness, tingling and no heel pain. Pain is in the arch area. Another doctors thinks it is Plantar Fasciatist. Can shockwave treat or help tarsal tunnel if thats what's causing my pain? I have donr many PTs and three injections and it never completely goes away. Thanks in advance.

[@alexleyva3751]

I have a plantar fibroma on my right heel. My podiatrist put a couple of cortisone shots on two different visits within a month. None of the cortisone shots worked. He did shock therapy on my heel and the plantar fascia. It worked right away. If I were you I’d do shock wave therapy before surgery. Good luck to you !!

[@akleo78]

@@alexleyva3751 thank you for sharing your experience. I have an appointment for shockwave therapy this week. Hope it helps with my condition

[@alexleyva3751]

@@akleo78 that’s awesome.

[@chasreed7462]

What I thought was tarsal tunnel was actually neuropathy coming from a herniated disc. Once the back started getting better so did the neuropathy. Took some months though

[@AlignTherapyUtah]

Since shockwave is for chronic tendon issues, our muscle, it is not specifically designed for nerves. It may irritate the nerve, but it might also loosen the surrounding tissue up. I think it is worth a try.

[@JigDPT]

Hey, what year is your mp 100 machine? I have one that's from 2021 and it's no where nearly as loud, it'very quiet.

[@AlignTherapyUtah]

This is 2021

[@fatmaay3760]

Verdiğiniz bilgiler için çok teşekkür ederim.Kızımın skolyozu boyun kısmı 25 derece kîzım 16 yaşında boyundaki skolyozun ilerlememesi için ne gibi egzersiz yapsın. bel kısmındakı derece 28, Sırt kısmı ise 35 derece,boyun 25 derece yardımcı olursanız mutlu olurum.

[@AlignTherapyUtah]

Not sure on this....language?

[@mddruns]

can you run after treatment?

[@AlignTherapyUtah]

Usually that is fine.

[@bjminoo3571]

Where are you located ؟

[@AlignTherapyUtah]

Lehi, Utah

[@Froggy-jn9mu]

The calf is 90% of the treatment. Tight calves cause most plantar fasciitis.

[@AlignTherapyUtah]

Agreed

[@leila_75]

Could You please answer my question?

[@raymonkravagna278]

They never answer questions

[@AlignTherapyUtah]

I didn't see the question you posted. Sorry! Could you reply with it?

[@ambrosialovly3676]

What r u not getting it's going to be stubborn as long as you're stubborn you seem like you're pretty smart people the herbs castor oil the way for advanced than this if you would have been using the the herbs

[@AlignTherapyUtah]

I haven't seen any research on castor oil and plantar fasciitis. If you have some i would love to see it!

[@natalie306642]

@@AlignTherapyUtah I'm still trying to figure out what they are talking about. Did they leave out words, it makes no sense! What Herbs?

[@AlignTherapyUtah]

@@natalie306642 i am also not sure. :)

[@ambrosialovly3676]

I say do it all

[@AlignTherapyUtah]

@@ambrosialovly3676 thanks

[@1Humanoid]

Massage gun

[@AlignTherapyUtah]

Not really. Much more intense

[@ambrosialovly3676]

What r u not getting it's going to be stubborn as long as you're stubborn you seem like you're pretty smart people the herbs castor oil the way for advanced than this if you would have been using the the herbs

[@AlignTherapyUtah]

@@ambrosialovly3676 i haven't seen any research on castor oil but thanks for sharing!

[@natalie306642]

What you wrote doesn't make any sense. HUH?? @Ambrosia, Ive used Castor Oil on mine for 2 years & that hasnt helped.