Given that chronic heel pain is so common and quite debilitating, we have invested in the top-of-the-range, Swiss Dolorclast Shock Wave Therapy (SWT) machine so that we can help our patients to get back to what they love!
The label of heel pain is notoriously broad, having the potential for various treatment modalities. The most appropriate therapy for heel pain is naturally dependent on an accurate diagnosis, which is why all patients are granted an extensive biomechanical examination. Such examinations involve thorough history taking, open and closed kinetic chain assessments of joints and muscles of the lower limb as well as a detailed gait analysis. Patients can expect the initial biomechanical investigation to last 45 to 60 mins, whereas all subsequent consults range from 15 to 30 mins.
Subject to the diagnosis, it may be suitable to alleviate heel pain symptoms with SWT. Particularly when all other treatment options have been exhausted and the pain still persists. Extensive research – which can be provided upon request – has demonstrated reliable and effective relief for symptoms of various soft tissue pathologies including but not limited to plantar fasciopathy, achilles tendinopathy and iliotibial band syndrome. We have been treating these conditions in our clinic for over 12 months and are happy to report a 70-80% success rate. An electrical charge actuates a piston, which delivers a repetitive mechanical force to stimulate an inflammatory healing process in the targeted soft tissue. This treatment modality is most appropriate for soft tissue pathology of chronic nature but is known to provide relief for more acute cases of heel pain as well. Typically, patients undergo 3-5 episodes of SWT scheduled weekly. Contraindications include hypersensitivity or neuropathy, bleeding disorders, anti-coagulant medication, localised wounds or neoplasms and a cortisone injection administered to the same tissue within the last 6 weeks. Due to a lack of studies in these areas, SWT is inappropriate for patients that are pregnant or under the age of 18.
In conjunction with, or as an alternative to SWT, Brindabella Podiatry will consider the possible benefits of orthoses, strapping, FS6 sleeves, musculoskeletal rehabilitation and footwear for each patient presentation. As there is no universal patient, there is no universal therapy. Therefore, each patient attending Brindabella will be assessed without preconception and with the intent to address and resolve the true origin of symptoms with whichever treatment option is most effective for the individual.
If you have any questions, please don’t hesitate to call us to discuss SWT further.