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Patient Stories #1 How Shockwave got Mike back running

Posted on 18th January 2019 by

Today, local runner, Personal Trainer & Running Coach, Mike, shares with us his story of recovery from Plantar Fasciitis.

As a bit of a brief background, Mike developed plantar fasciitis in both of his feet, after a period of increasing his running mileage 14 months ago. The painful condition affected him so much that he had to stop doing what he loved – run. When he finally came to see us, he hadn’t run for over a year. Having tried many other treatments and ways to tackle his plantar fasciitis, Mike wanted to give Shockwave Therapy a go. Both he and we are delighted with the progress that he made and within 6 weeks or so, he was back competing in his first 10k in over a year, pain free!

We asked Mike to share more about his experience and how Shockwave Therapy helped him finally recover from his plantar fasciitis.

Tell us more about your injury Mike?

In October 2017 I started to increase my weekly running miles as part of my winter training. I was focused on attending the World Masters Athletics championships in 2018. My weekly volume was 45 miles per week and I was running both cross-country and half marathon events. Since the summer of 2017 I had been experiencing post training calf tightness and this increasingly manifested in painful heels in the morning when getting up or after period of rest.

For some time I didn’t really address this as was still managing to train but by December 2017 the pain in the morning and calf tightness when running was so much that I had to stop running completely. 

From seeing a physio I was told I was experiencing bilateral (both feet) plantar fasciitis.

How was it affecting your life? 

Unable to train to my previous volume and intensity for months, it became clear I would not be able to compete at the World Master Championships in the Summer of 2018. In fact, the pain was so much that I didn’t compete in any races throughout 2018. This was very difficult to accept and greatly affected my mental wellbeing. Running is important to me for fitness but always plays a huge part of in my wellbeing. I am also a running coach and personal trainer and was increasingly unable to run with clients and the athletes I train. The injury was also therefore affecting my professional career.

What treatment had you tried before Shockwave? 

During the first months of the symptoms I had regular sports massage and also used a foam roller at home. I had sessions of acupuncture and dry needling. Whilst all these treatments relieved symptoms in the immediate term, none seemed to ultimately reduce the discomfort once I increased my training volume.

What did the Shockwave treatment feel like?

ECSWT Plantar Fasciitis

Shockwave treatment was certainly not as uncomfortable as I had feared! I guess it is like deep tissue massage. There were times when this can be uncomfortable, but only for short periods, and has a similar ‘good pain’ feel to it. 

There were post treatment symptoms where my heels would feel sore for a number of days after but this soon reduced. Gradually through the course of treatment it was clear the symptoms of plantar fasciitis were reducing the consequently the discomfort of the actual treatment also reduced. 

Where are you now with your injury?

Plantar Fasciitis Shockwave Treatment

I have finished the treatment and I am now starting to increase my running volume again. Last week I competed in the Stubbington 10k. The first time I have been able to compete in a race since October 2017! Whilst no where near my previous form I was delighted to run the 10k in 40:51 which is very encouraging for 2019. 

I now need to be sensible with small weekly increases of mileage and continue with strengthening exercises to my feet and calves and regular stretching and sports massage. But overall I am so pleased with the treatment and the effect it is had on my symptoms. 

Do you have any advice for anyone considering Shockwave?

Do your own background reading to make sure you understand what the treatment does. Try to address your symptoms through other options first. But if you have a chronic and stubborn injury, Shockwave treatment should certainly be a serious option to explore. The goPhysio team will explain the whole process, and potential outcomes. 


The entire team at goPhysio is highly professional and genuinely cares and is committed to getting you pain free and getting you back to doing what you love. I would encourage anyone to get in touch for a consultation and know you will be in first class hands.shockwave

Mike Chambers
Hampshire Shockwave Therapy

Hampshire Shockwave Therapy is brought to you by goPhysio. It is a highly effective treatment for helping long standing, stubborn conditions that have failed respond to other treatments. These include plantar fasciitis, achilles tendinopathy, tennis and golfers elbow and patella tendinopathy, amongst others. It is a genuine and successful alternative to steroid injections and even surgery for many conditions.

If your life is being affected by a long term injury and you’d like to find out whether Shockwave Therapy could help you like it did Mike, complete this brief questionnaire and we’ll be in touch. You can also give us a call on 023 8025 3317 to find out more.



Foot Pain: Could It Be Plantar Fasciitis?

Posted on 8th October 2016 by

We are seeing and hearing from an increasing number of people who are suffering with quite debilitating pain on the sole of their foot. This common complaint is often the result of a condition known as Plantar Fasciitis.

Interestingly, over the last week I’ve met 8 people hobbling about with this painful foot condition and not one of these people were aware of what physio could do for plantar fasciitis.

So today’s blog is to educate you about plantar fasciitis and help you banish it for good.

What is Plantar Fasciitis?

Fascia is connective tissue which is found all over the body in various forms for different functions. It’s most common forms are sheaths surrounding muscles and ligaments to compartmentalise and  protect these tissues or thickened fascial bands or sheets in certain areas of the body.Plantat Fasciitis

The plantar fascia is a thickened sheet of fascia on the sole of the feet, running from the inside base of the heel bone and fanning out into the base of the toes. It’s elasticity gives us a spring in our step when walking or running.

Plantar fasciitis is an overuse injury to the fascial sheet on the sole of the foot.

Causes of Plantar Fasciitis

The main cause of plantar fasciitis is caused by

the plantar fascia being put under excessive stretch for prolonged periods of time. This can happen for example when your foot arches are too flat, so that as you push off when you’re walking or running the fascia excessively overloaded and stretched. Over time microtrauma, injury and pain result.

The foot can also be termed the “rubbish bin” of the body, where asymmetries further up the body can result in compensations in the foot. The body will compensate up to a point, but due to the excessive forces during the propulsion as you move that go through your feet, the foot may adapt by stiffening up and thickening of the plantar fascia. So sometimes, it can be something going on further up the body that may put too much stress on your foot, that will in turn cause this problem.

Symptoms

Plantar fasciitis is normally felt as a pain on the bottom of your foot, sometimes going into your heel.

Unfortunately plantar fasciitis is often confused with another foot problem called calcaneal bursitis heel pain). Without a thorough examination, most plantar foot problems are diagnosed as plantar fasciitis.

So a quick test you can do yourself to indicate whether your foot pain is plantar fasciitis or not is to see which is more painful; walking on your tip toes or your heels.

If it is painful to walk a few steps on your heels, you may have an element of calcanea bursitis. If it’s more painful too walk on tip toes (stretching plantar fascia), it’s likely you havre plantar fasciitis.

Why is it so painful 1st thing in the morning or after I’ve been sat for a while and then get up?

Plantar fasciitis is usually painful after a period of rest. The reason being is that when you’re sat for a while or asleep in bed, the fascia is off loaded and re-tightens. When you get back up on your feet, you are re-stretching the tight, painful fascia. It may ease a little as you start to move around as it effectively ‘warms up’ and stretches.

What can affect recovery?

There are many factors that will affect the speed of recovery. Seeing an expert Physiotherapist who has a wide range of experience treating lower limb overuse injuries is vital to identify all the factors and work towards removing or modifying the triggers unique to you.

The most common triggers for foot problems such as plantar fasciitis are:

Biomechanics It’s crucial to assess whether your foot and leg biomechanics (e.g. flattened arches, knocked knees etc.) are contributing to your injury and may need correcting. Here at goPhysio, our Physio’s can do this quite easily as part of your initial session by combining their physical assessment findings with performing a computerised foot screen using our cutting edge Gaitscan system.

Training Patterns and Intensity If a runner or keen walker has the condition, it’s vital to look at the historical loading of the fascia and modify their training schedule to a level that allows the condition to heal. Without breaking the cycle, the tissues won’t be able to recover. However, we like to keep people doing what they love, so rather than advise complete rest, we try wherever possible, to modify your activity or suggest alternatives in the short term that will promote recovery.

Lower Limb Stability Often muscle imbalances further up your body in your knee, hip or pelvis, will have an impact on the foot. As part of your recovery we will always address these elements too to help prevent re-occurrences.

Age Research suggests that older people experience more severe and more prolonged episodes of inflammation and pain. So, if you’re 40 years plus and enjoy an active lifestyle, your pain is unlikely to settle with just rest. It will be easily aggravated when you resume normal activities, as the cause and actual injury hasn’t been addressed.

Footwear Unsupportive, flat, old, worn out shoes or trainers can both contribute to causing plantar fasciitis and will inevitably prolong the condition.

Physiotherapy

At goPhysio, with a condition like plantar fasciitis, we always treat the condition as part of the bigger picture. Not only will we treat your foot itself, but we will look from the foot upwards and from the hip downwards, ensuring we leave you with no issues that will contribute to a re-occurrence.

Having identified all the factors unique to your condition, we will then address and correct them in parallel with hands-on physiotherapy treatments and education. It’s crucial to manually release the tight thickened plantar fascia with a variety of release techniques. You will also be provided with a bespoke home exercise programme for you to self treat at home and speed up your recovery in-between physio sessions.

We can also asses you to find out if you’d benefit from orthotics. In most cases of plantar fasciitis there is a biomechanics component that needs addressing. This can be achieved with orthotics. As outlined above, fattened arches will lower your body’s ability to cope with loading either from day-to-day actives or sport. At goPhysio we use a technologically advanced system called Gaitscan, which uses computer scanning to analyse your moving foot Combined with a physical assessment, the physio can identify if you’d benefit from wearing orthotics and subsequently discuss the range of options available to you to get you back on your feet a quickly.

What next?

If you think you may be suffering with plantar fasciitis or you have foot pain and aren’t sure what exactly it is, just give us a call on 023 8025 3317 or book an initial physiotherapy appointment online.

We can also offer you a free computerised foot analysis to see whether you’d benefit from orthotics. These analyses are completely free with no obligation. Call and quote Free Gaitscan to take advantage of this offer and find out whether orthotics could help you.


What are orthotics?

Posted on 30th August 2016 by

What are orthotics?

Orthotics, orthoses, shoe inserts, insoles……whatever name they are known by, are foot supports which fit in your shoes to help your feet move more efficiently. They are made of moulded pieces of rubber, leather, plastic, or other synthetic material that are inserted into a shoe. The aim of orthotics is to balance the foot in a neutral position and cushion the foot from too much pounding.

There are 2 types of orthoses, over the counter (OTC) orthotics and custom orthotics.

OTC or ‘Off the Shelf’ Orthotics

These give arch support to your foot. However, they are made in a generic shape and may not be suited to all. They may match some people’s arches, but for others the arch support may be too high, too low, or too far back or too far forward. OTC orthotics can work really well in some people, particularly if they already fit your foot well and any issues you may have are very minor. Prices of OTC orthotics can vary massively. Like most things, you get what you pay for. A very cheap orthotic will wear down very quickly and not provide support for any length of time, rendering it pointless! At goPhysio, if you’re not sure about whether orthotics are for you, we can often recommend OTC orthotics to give it a try. We also advise certain OTC orthotics for more minor issues. Our OTC orthotics are priced at around £65.

Custom Orthotics

These orthotics on the other hand are designed to specifically fit your feet and work more efficiently than OTC supports. They are designed specifically for an individual to balance the biomechanical inadequacies of your feet and legs. Here at goPhysio we use a Gaitscan system to measure and analyse how your foot works alongside the skill of your Physiotherapist. They will look at your feet and legs, analyse your movement, measure your foot position and put all this together in the bigger picture with your symptoms & lifestyle. This hug amount of information will enable them to prescribe the best custom orthotic for you and your lifestyle.

Here’s a little bit more about the custom made orthotics we prescribe.


Both types of inserts aim to improve foot efficiency, helping improve lower limb alignment and reduce stress on the problem area, resulting in pain relief. If you think you could benefit from orthotics or would just like a no obligation consultation to fine out more, we offer free foot assessments at our clinic in Chandlers Ford.

Just give us a call to book your free consultation on 023 8025 3317.