Tucson Podiatrists and Heel Pain

Plantar fasciitis is a problem with inflammation and degeneration of the connective tissue on the surface of the heel. This condition can cause heel pain or burning in the sole of the foot. Previously, surgery was the only treatment option for patients with severe and chronic plantar fasciitis. Now, acoustic shockwave therapy (also known as extracorporeal shockwave treatment) is a non-invasive treatment option for persistent heel pain associated with chronic plantar fasciitis. During acoustic shockwave therapy, focused shockwaves (i.e., pressure or sound waves), are generated by a special device that is placed onto the injured heel. The shockwave device is precisely calibrated so that minimal energy is delivered to the healthy tissue surrounding the heel. Acoustic shockwaves are thought to restore the flow of blood, oxygen, and nutrients to the affected heel in order to stimulate and speed normal tissue healing. In addition, the shockwaves over- stimulate nerves associated with pain signals, which can lead to a reduction in pain.

Prior to the acoustic shockwave treatment, patients receive a local or regional anesthetic (numbing chemical) called a heel block in the affected area. Then, patients are positioned on their back while the physician holds the heel up to the shock generating device. The treatment delivers several thousand shockwaves directly to the damaged heel for the duration of the 20-30 minute session. Acoustic shockwave therapy is performed on an outpatient basis, so an overnight hospital stay is not necessary.

The most common side effects of acoustic shockwave therapy include minor pain or discomfort and minor skin bruising, reddening, or swelling of the treated heel. Side effects typically subside within a few days of treatment. Patients are typically prescribed specific stretching exercises in order to speed the healing and recovery process. In addition, patients are required to avoid running, high impact activities, and heavy housework after surgery. After approximately four weeks, most patients are able to resume normal activities.

The best candidates for acoustic shockwave therapy are adults who have been diagnosed with plantar fasciitis that has lasted for at least six months. This type of therapy should only be considered after other more conservative therapies (such as rest, physical therapy, heel cushions, non-steroidal anti-inflammatory drugs such as ibuprofen and acetaminophen, cortisone injections, taping, orthotics, shoe modifications, or splinting and casting) have failed. Acoustic shockwave therapy is not recommended for patients with pacemakers, or individuals who take medications that affect blood clotting. Children and pregnant women are typically not considered appropriate candidates for this type of treatment.

Head To Toe Healthcare, PLC
7406 N. La Cholla Blvd
Tucson, AZ 85741
Phone: 520-545-0202

www.headtotoehealthcare.org