Factors that contribute to heel spur include:

• Running or walking fast on hard surfaces

• Flat feet or high arches

• Excess weight or obesity

• Wearing inappropriate shoes that put excessive pressure on the foot

• Age-related changes and decreased flexibility of the plantar fascia and thinning of the protective fat layer of the heel

Heel spurs usually cause severe pain in the heel area and typically start with the first steps a person takes in the morning, decreasing in pain intensity after some time, but the pain may return after standing for a while.

Shockwave therapy is one of the best and most essential methods for treating this condition. In this non-invasive procedure, powerful sound waves are applied to the heel area, creating new inflammation that activates the healing process, leading to the repair of the fascia within 3 to 6 treatment sessions with a one-week interval. Shockwaves stimulate the growth of new collagen fibers in the structural components of tendons and ligaments, as well as other connective tissues. This can strengthen the plantar fascia and improve tiny tears contributing to pain. In other words, when sound waves are applied to the heel spur area, they cause microtrauma in that area. Consequently, blood flow to that area increases, and with enhanced blood flow, the concentration of nutrients increases, ultimately leading to the improvement and treatment of the heel spur.

Research has shown that shockwave therapy can be an effective treatment option for alleviating pain caused by heel spurs.

Some results from studies on shockwave therapy for heel spurs are as follows:

1- There is compelling evidence that shockwave therapy can significantly reduce pain associated with plantar fasciitis and heel spurs.

2- Patients treated with this method usually report significant improvements in their ability to walk, stand, and perform daily activities.

3- Compared to surgery, shockwave therapy is a non-invasive and low-risk method that requires little recovery time, allowing patients to quickly return to their normal lives and resume their daily activities post-treatment.

These findings emphasize that shockwave therapy can be a safe and effective treatment method for managing heel pain and help patients improve their quality of life.

Overall, research indicates that heel spur treatment using shockwave therapy is effective, leading to pain improvement in 84% of cases.

It is worth noting that the effects of shockwave therapy for heel spurs are usually accompanied by foot exercises for stretching and strengthening the plantar fascia.

Application of shockwave in treating heel spurs.

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