Click & Book Online Now

Call us now: 023 8025 3317

Shockwave Therapy for Plantar Fasciitis

Posted on 7th October 2020 by

At goPhysio, 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.

What is Plantar Fasciitis?

Plantar Fasciitis Shockwave Therapy

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.

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 the plantar fascia being put under excessive stretch for lengthy periods of time. This can happen for example when your foot arches are too flat, so that as you walk or run, the fascia is 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 have 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 recovery by combining their physical assessment findings with performing a computerised foot screen using our 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 about Shockwave Therapy?

If you’ve already had a diagnosis of Plantar Fasciitis and had treatment and/or tried everything you can, Shockwave Therapy should be a serious consideration. There is strong evidence to support the use of Shockwave Therapy in the effective treatment of stubborn, long term Plantar Fasciitis.

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. If we think Shockwave is the best treatment for you, we can discuss the options and get started there and then!

At goPhysio, we’d always take an approach where alongside tackling the pain, we’d also analyse and address what’s caused your Plantar Fasciitis in the first place. Without doing this, you risk getting it again. So, with our expert guidance and holistic care, we give you the best possible chance of long term, recovery. 

Read more about achilles tendon injuries here.

There are many treatment options when it comes to resolving achilles tendinopathies. These include:

  • A wait & see approach (can just leave it and hope it will get better in time, which many will do within 8 – 12 months, it just depends whether you can live with it).
  • Physiotherapy – including strengthening exercises, stretches, manual treatment techniques and taping.
  • Acupuncture (which many Physio’s will do as part of their treatment).
  • Activity modification – a crucial part of successful treatment.
  • Medication, including pain killers and anti-inflammatories.

These forms of treatment can all be very effective for a mild or fairly recent onset of achilles tendinopathies. .

More invasive treatment options for more long standing or severe cases can include:

  • Corticio-steroid injection.
  • Surgery.

Shockwave Therapy for Achilles Tendinopathies

However, steroid injections and surgery really are a last resort, there is no guarantee of success with either of these treatment options. A very worthwhile alternative for more severe, long-standing cases that may have failed to get better with other treatments is Shockwave Therapy.

With Shockwave Therapy, ‘shock waves’ are passed through the skin to the affected area using a special device. It’s a non-invasive and relatively pain-free treatment. The medical name for this procedure is ‘extracorporeal shockwave therapy for refractory tennis elbow’. ‘Extracorporeal’ means outside the body and ‘refractory’ means that the condition does not respond to conventional treatments. The ‘shock waves’ are inaudible, high-energy sound waves. How many sessions you will need depends on the severity of your pain and how long you’ve had the problem for. However, 4 – 6 are normally recommend.

The National Institute for Health and Care Excellence (NICE) states that shockwave therapy is safe, although it can cause minor side effects, including bruising and reddening of skin in the area being treated.

Research shows that shockwave therapy can help improve the pain of achilles tendinopathies in some cases. However, it may not work in all cases, and further research is needed.

What next?

If you’ve been suffering with achilles tendinopathy and want help, get in touch. You can have a free no obligation phone call to see whether it may help you.

Alternatively, book straight in to see one of our Physiotherapists. They will carry out a full assessment of your elbow and put together a recovery plan for you. If they think shockwave treatment is going to help you, they can get started straight away. Unlike many clinics. we include shockwave therapy in the cost of your appointments, with no additional charges.

Read More

Plantar Fasciitis

NICE Guidelines, using ECSWT to treat plantar fasciitis

How SWT got Mike back running

Hampshire Shockwave Therapy

Shockwave Therapy FAQs

Posted on 7th October 2020 by

Here at goPhysio, we are able to offer and provide Shockwave Therapy (a.k.a. Extracorpeal Shockwave Therapy or ECSWT, ESWT, SWT or Shockwave), as an integral part of your treatment plan.

Many research studies have shown that Shockwave Therapy simulates new healthy tissue growth and is among the most effective treatments available today for stubborn soft tissue injuries like Achilles Tendonopathy, Tennis Elbow and Plantar Fasciitis.

Here we answer some of your most frequently asked questions about SWT.

How does shockwave therapy work?

Shockwave Therapy is a safe, non-invasive procedure that is an effective treatment if you are suffering from tendon, muscle or joint disorders. It’s a genuine alternative to steroid injections or surgery.

The shockwave machine, produces ‘energy waves’ which are targeted to the injured tissues, bringing about it’s beneficial effects. It is a mechanical wave, not an electric one. The mechanical waves kicks off inflammation in the area. In turn, the body responds by increasing blood flow to that area which accelerates the body’s own natural healing process. The shock waves can also break down injured tissue and calcifications.

The shockwave therapy stimulates the body’s natural self-healing process, helping you recover faster. It is particularly effective when used to treat long standing conditions, conditions that continue to re-occur or conditions that have not been successfully managed through traditional treatment methods.

What sort of people can shockwave therapy help?

  • Have you had a stubborn injury like Plantar Fasciitis, Tennis Elbow, Golfer’s Elbow or Achilles Tendonopathy pain for some time?
  • Have you tried lot’s of other things yourself, other treatments, resting or gadgets, but nothing has worked?
  • Is your issue stopping you doing lot’s of the things you’d normally enjoy?
  • Are you facing a steroid injection or maybe even surgery?

If so, shockwave therapy could be for you.

The most recognised conditions that shockwave therapy can help include:

  • Plantar Fasciitis (Read the NICE Guidelines here)
  • Achilles Tendinopathy (Read the NICE Guidelines here)
  • Golfers Elbow (medial Epicondylitis)
  • Tennis Elbow (lateral Epicondylitis) (Read the NICE Guidelines here)
  • Calcific Tendinopathy
  • Trochanteric Bursitis
  • Other tendonopathies, including patellar, biceps and rotator cuff

Is the treatment painful?

You will definitely feel the treatment. Some people experience pain but this is tolerable. Following the treatment, you may experience redness, bruising, swelling and numbness to the area. But this will improve within a few days and these are all normal reactions to the treatment.

How many sessions will I need?

The research backed protocols outline that most conditions will require 3-6 sessions of shockwave therapy. Additional sessions may be required if the condition is very long standing.

You will get most benefit if the sessions are spaced out weekly.

At goPhysio, shockwave treatment is included in your physiotherapy appointment fee (most places charge £100’s extra for this treatment). So, you get the unique benefit of ensuring your recovery is enhanced with the combined approach of SWT and physio.

What happens during a session?

Initially you will have a thorough assessment by one of our Physiotherapists to ascertain if Shockwave Therapy is the most appropriate treatment for your injury. Our unique approach means that we will combine Shockwave with other appropriate treatments to make sure you make a full recovery.

During a Shockwave treatment, your Physiotherapist will find the location of the pain by searching for painful points. Some gel is applied to the skin, which improves the contact between the skin and the hand piece, to allow the shockwaves to penetrate the body properly. 

The Shockwave therapy machine is used to deliver a series of acoustic wave pulsations directly to the site of your injury. The treatment itself can be a little painful, although this is tolerable.

The actual treatment time spent receiving the shockwave therapy is typically less than fifteen minutes. However, your treatment sessions will also include education, advice and an appropriate post treatment plan from our experienced Clinicians to further support your recovery.

Are there any side effects to be aware of?

You need to be aware that there are some potential side effects of Shockwave. You may experience:

  • Pain & discomfort – This can occur during or after treatment & usually subsides within 1-2 days.
  • Transient skin reddening and/or bruising at the treatment site.
  • Transient minor skin irritation or damage at the treatment site.
  • Temporary numbness in the area.

These are all normal reactions that indicate your natural healing process has been stimulated.

Read More

How Shockwave got Mike back running

Shockwave goPhysio

Shockwave Therapy for Achilles Tendinopathies

Posted on 2nd October 2020 by

Achilles tendon injuries or Tendinopathies are typically not related to a specific incident or injury, but instead are a result of overloading or overusing the tendon over a period of time. Your achilles tendon basically is complaining because it can’t cope with the physical demands that are being placed upon it! 

Many people suffer from Achilles Tendinopathies. Symptoms can include waking up with stiffness in your achilles tendon accompanied by difficulty walking downstairs. It often eases with light activity or movement, but gets worse again after high level activity, such as a long walk, running or climbing lots of stairs. Often after sitting or resting it stiffens up again and the pain returns. 

Achilles Tendinopathy

Like with Plantar Fasciitis, people who suffer with Achilles Tendinopathies experience the ‘yo-yoing’ of pain, rest, pain, rest! Before you know it, you’ve limited your activities and sports to avoid the pain. And just like Plantar Fasciitis, identifying the underlying cause is crucial. It could be flattened arches, poor training habits in running, footwear, lack of flexibility in other muscles, weak areas – many issues (or a combination of issues) can lead to Achilles Tendinopathy. 

Mild cases can resolve with rest, but this is rare. Because most people take the ‘wait and see’ approach, Achilles Tendinopathy can be a long standing (chronic) condition, before you seek expert help. If this is the case or if you’ve tried other treatments with no success, SWT can be a very effective treatment to stop your pain and start your recovery.

At goPhysio, we’d always take an approach where alongside tackling the pain, we’d also analyse and address what’s caused your Achilles Tendinopathy in the first place. Without doing this, you risk getting it again. So, with our expert guidance and holistic care, we give you the best possible chance of long term, recovery. 

Read more about achilles tendon injuries here.

There are many treatment options when it comes to resolving achilles tendinopathies. These include:

  • A wait & see approach (can just leave it and hope it will get better in time, which many will do within 8 – 12 months, it just depends whether you can live with it).
  • Physiotherapy – including strengthening exercises, stretches, manual treatment techniques and taping.
  • Acupuncture (which many Physio’s will do as part of their treatment).
  • Activity modification – a crucial part of successful treatment.
  • Medication, including pain killers and anti-inflammatories.

These forms of treatment can all be very effective for a mild or fairly recent onset of achilles tendinopathies. .

More invasive treatment options for more long standing or severe cases can include:

  • Corticio-steroid injection.
  • Surgery.

Shockwave Therapy for Achilles Tendinopathies

However, steroid injections and surgery really are a last resort, there is no guarantee of success with either of these treatment options. A very worthwhile alternative for more severe, long-standing cases that may have failed to get better with other treatments is Shockwave Therapy.

With Shockwave Therapy, ‘shock waves’ are passed through the skin to the affected area using a special device. It’s a non-invasive and relatively pain-free treatment. The medical name for this procedure is ‘extracorporeal shockwave therapy for refractory tennis elbow’. ‘Extracorporeal’ means outside the body and ‘refractory’ means that the condition does not respond to conventional treatments. The ‘shock waves’ are inaudible, high-energy sound waves. How many sessions you will need depends on the severity of your pain and how long you’ve had the problem for. However, 4 – 6 are normally recommend.

The National Institute for Health and Care Excellence (NICE) states that shockwave therapy is safe, although it can cause minor side effects, including bruising and reddening of skin in the area being treated.

Research shows that shockwave therapy can help improve the pain of achilles tendinopathies in some cases. However, it may not work in all cases, and further research is needed.

What next?

If you’ve been suffering with achilles tendinopathy and want help, get in touch. You can have a free no obligation phone call to see whether it may help you.

Alternatively, book straight in to see one of our Physiotherapists. They will carry out a full assessment of your elbow and put together a recovery plan for you. If they think shockwave treatment is going to help you, they can get started straight away. Unlike many clinics. we include shockwave therapy in the cost of your appointments, with no additional charges.

Read More

Achilles Tendon Injuries

Lower Limb Tendon Pain: What shouldn’t you be doing?

Overuse injuries

Hampshire Shockwave Therapy

Shockwave Therapy for Tennis Elbow

Posted on 9th September 2020 by

‘Tennis elbow’ is pain or inflammation on the outside of the elbow. Despite it’s name, it isn’t regularly seen in tennis players but is common in the general population who may use their arms a lot as part of their work or daily activities.

Tennis+elbow+image+.jpg

In addition to pain, other symptoms of tennis elbow can include weakness or stiffness in the arm. It is usually caused by overuse, so repetitive movements in the same area that your body isn’t able to cope with or adapt to.

There are many treatment options when it comes to resolving tennis elbow. These include:

  • A wait & see approach (can just leave it and hope it will get better in time, which many will do within 8 – 12 months, it just depends whether you can live with it).
  • Physiotherapy – including strengthening exercises, stretches, manual treatment techniques and taping.
  • Acupuncture (which many Physio’s will do as part of their treatment).
  • Activity modification – a crucial part of successful treatment.
  • Medication, including pain killers and anti-inflammatories.

These forms of treatment can all be very effective for a mild or fairly recent onset of tennis elbow.

More invasive treatment options for more long standing or severe cases can include:

  • Corticio-steroid injection.
  • Surgery.

Shockwave Therapy for Tennis Elbow

However, steroid injections and surgery really are a last resort, there is no guarantee of success with either of these treatment options. A very worthwhile alternative for more severe, long-standing cases that may have failed to get better with other treatments is Shockwave Therapy.

With Shockwave Therapy, ‘shock waves’ are passed through the skin to the affected area using a special device. It’s a non-invasive and relatively pain-free treatment. The medical name for this procedure is ‘extracorporeal shockwave therapy for refractory tennis elbow’. ‘Extracorporeal’ means outside the body and ‘refractory’ means that the condition does not respond to conventional treatments. The ‘shock waves’ are inaudible, high-energy sound waves. How many sessions you will need depends on the severity of your pain and how long you’ve had the problem for. However, 4 – 6 are normally recommend.

The National Institute for Health and Care Excellence (NICE) states that shockwave therapy is safe, although it can cause minor side effects, including bruising and reddening of skin in the area being treated.

Research shows that shockwave therapy can help improve the pain of tennis elbow in some cases. However, it may not work in all cases, and further research is needed.

What next?

If you’ve been suffering with tennis elbow and want help, get in touch. You can have a free no obligation phone call to see whether it may help you.

Alternatively, book straight in to see one of our Physiotherapists. They will carry out a full assessment of your elbow and put together a recover plan for you. If they think shockwave treatment is going to help you, they can get started straight away. Unlike many clinics. we include shockwave therapy in the cost of your appointments, with no additional charges.

Read More

Why do I have tennis elbow if I’ve never played tennis?

What is tennis elbow?

Hampshire Shockwave Therapy

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.