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Assessment: Before starting shockwave therapy, a thorough assessment of the patient’s condition is conducted. This includes a physical examination and possibly imaging tests (like ultrasound or MRI) to confirm the diagnosis of plantar fasciitis and to rule out other conditions.
Preparation: The patient is positioned comfortably, usually lying down or seated, with the affected foot accessible. The area to be treated is identified, often the point of maximum tenderness near the heel.
Treatment Application: A gel is applied to the treatment area to enhance the transmission of the shockwave energy. The shockwave therapy device, equipped with a probe, is then placed on the gel-covered area. The device emits sound waves (shockwaves) into the tissues.
Session Duration: Each treatment session typically lasts about 5 to 10 minutes. The number of pulses and intensity of the shockwaves can be adjusted based on the patient’s tolerance and therapeutic needs.
Frequency of Sessions: The total number of treatment sessions varies depending on the severity of the condition and the patient’s response to therapy. Commonly, patients may undergo 3 to 5 sessions, usually spaced a week apart.
Mechanism of Action: The exact mechanism by which shockwave therapy aids in the healing of plantar fasciitis is not fully understood. However, it is believed that the shockwaves stimulate blood flow, promote the healing process, and can help to break down fibrous tissue and calcifications. This therapy may also have an analgesic effect by reducing nerve sensitivity.
Post-Treatment: After the treatment, patients can usually return to their normal activities. Some may experience temporary soreness or swelling in the treated area, but serious side effects are rare.
Effectiveness and Considerations: Research has shown that shockwave therapy can be an effective treatment for plantar fasciitis, particularly in chronic cases that have not responded well to more conservative treatments.
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