This double blinded RCT evaluated the effectiveness of Extracorporeal Shock Wave Therapy (ESWT) in the treatment of persistent plantar heel pain (PHP).

Subjects attended once a week for 3 weeks and were randomized into 2 groups

Group 1: Focused extracorporeal shock wave therapy (0.25 mJ/mm) of 2000 impulses

Group 2: Placebo intervention

Result: Heel pain in the ESWT group reduced by 70% compared to 35% in the placebo group 

Conclusion: ESWT may be effective for PHP

Clinical Relevance: If you have the ESWT machine, then use it. If you don’t, it’s okay as there are other options for treating PHP!


Reference: Gollwitzer H. Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am. 2015 May 6;97(9):701-8.

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