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Once anesthesia has been administered, high viscosity ultrasound gel is applied to the area experiencing pain (target tissue). The gel promotes shock wave conductance, enhancing treatment effectiveness. The Ossatron Application Technician then activates the shock wave via the shock wave release hand piece on the console. [1]
Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the arch of the foot. [2] It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow [9], [10] [11] shoulder rotator cuff pain, [12] [13] Achilles tendinitis, [14] [15] plantar fasciitis, [16] [17] and greater trochanteric pain syndrome. [18] ESWT is also used to promote bone healing and treat bone necrosis. [19]
Conditions for which ultrasound may be used for treatment include the following examples: ligament sprains, muscle strains, tendonitis, joint inflammation, plantar fasciitis, metatarsalgia, facet irritation, impingement syndrome, bursitis, rheumatoid arthritis, osteoarthritis, and scar tissue adhesion.
If you have plantar fasciitis, Dr. Sutera recommends shoes that offer cushion, arch support and a deep-seated heel cup. (Even having cushioned slippers at home can help.)
When stress is put on the plantar fascia ligament, it does not cause only plantar fasciitis, but causes a heel spur where the plantar fascia attaches to the heel bone. [5] The considerations that affect plantar heel pain are the alignment of the foot with lower leg, foot and ankle mobility, strength and endurance of muscle.