A closer look at Heel Pain

The most common cause of heel pain is Plantar Fasciitis, also known as heel spur syndrome. Plantar fasciitis is an inflammation of the plantar fascia, which is a tight band of fibrous tissue starting at the heel, traveling across the arch, and fanning toward the toes. Heel spurs generally occur when the inflexible fascia is repeatedly stressed or the tissue is torn causing inflammation. Chronic heel pain is typically the result of an overload of physical activity or exercise causing the plantar to lose its elasticity.

Most sufferers complain of a burning sensation or an aching pain in the heel of the foot, especially in the morning.  The fascia ligaments tighten up at night while we are resting and the pain diminishes. Pressure is placed on the ligaments when we get out of bed causing the excruciating pain to return. The pain decreases throughout the day since the tissue has warmed up, but will come back fairly quickly if standing for long periods of time or heavy physical activity.

Common symptoms of plantar fasciitis are:

    • Pain on the bottom of the heel
    • Increasing pain over a period of several months
    • Pain that worsens upon arising especially after sitting/lying for a long period of time.

ESWT - Extracorporeal Shockwave Therapy in Orthopedics

Since the beginning of the 1990s extracorporeal shockwaves have been successfully used to treat chronic pain conditions. Extracorporeal Shockwave Therapy (ESWT) and Trigger Point Shockwave Therapy (TPST) are highly efficient, non-invasive methods of treating chronic pain in the skeletal musculature. 
ESWT now has a firm place in the conservative treatment spectrum available to physicians through successful application for further indications in the treatment of acute and chronic pain of the musculoskeletal system.


The classic orthopedic indications for shockwave therapy (ESWT) are disorders of the tendon insertions, e.g. changes in the soft tissue of the rotator cuff in the shoulder, tennis or golfer’s elbow, patellar tip syndrome in the knee, or plantar fasciitis with heel pain. In sports medicine, the conditions of insertion tendinitis (enthesiopathies) are one of the standard indications for treatment with focused shockwave therapy. 
Clinical studies assess the effects of ESWT in this area less on the basis of tissue destruction and more on the stimulation or activation of tissue substances which are able to play a role in the process of self-healing.


Medispec’s Orthopedic line of products – the Orthospec ESWT (Extracorporeal Shock Wave Therapy) and the Radialspec RWT (Radial Wave Therapy). ESWT has demonstrated to be an effective treatment for a variety of musculoskeletal injuries and inflammations, managed to treat cases where conventional methods have failed. RWT has demonstrated to be a valuable treatment for a variety of musculoskeletal injuries and manage to treat superficial pathologies.

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