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18
HEEL SPUR — PLANTAR FASCIITIS
Use more rather than fewer pulses.
With plantar fasciitis, a second treatment
is given after 6 weeks in about 40% of
the cases to fully revitalize the
degenerative tissue areas. A third
treatment is not often needed.
This the most painful treatment for
patients. Use a local anesthetic such as
lidocaine or a nerve block when it is too
painful.
AFTER THE FIRST TREATMENT: The patient should experience, in about a
week, less morning stiffness as the first sign of improvement. Complaint - free status
comes after 4 to 6 weeks, occasionally longer.
PATIENT INSTRUCTIONS: For the first 4 - 6 weeks after treatment, the patient
should walk a little during the day, maybe doing only half of what they were used to
and trying to build it up slowly—getting rid of crutches, no cast, maybe soft sport
shoes. No walking on bare feet, jumping, standing on one spot for too long, or sports
like tennis, etc.
When the heel is hot, cool it with an icepack for 15 to 20 minutes, resting the foot high
up on a chair.

Typical sufferers are pregnant women, people who are overweight, waiters, fanatic
athletes, those wearing the wrong shoes, e.g., high heels, heavy industrial protective
shoes, etc.
Overall results: About 75% of cases are resolved.
SHOCKHEAD # OF PULSES ENERGY
LEVEL
INTERVAL
BETWEEN
TREATMENTS
NUMBER OF
TREATMENTS
(AVERAGE)
20 mm or
Infinity
1,200 7 6 weeks in
40% of cases
1 to 2