EXTRACORPOREAL SHOCK WAVE THERAPY IN PLANTAR FASCIITIS

Abstract

Introduction: Walking is essential for both physical and mental health, but conditions such as plantar fasciitis can impair this ability, significantly affecting quality of life. Plantar fasciitis is an inflammation of the plantar fascia, causing heel pain that may radiate along the arch of the foot or even to the medial region of the sole, limiting daily activities. Treatments often include orthotics, anti-inflammatory medications, physical therapy, proper footwear, behavioral modifications, active rest, and extracorporeal shock wave therapy (ESWT), which has gained prominence due to its effectiveness. ESWT promotes tissue regeneration and pain relief through acoustic waves that stimulate neovascularization and modulate pain perception. Despite its benefits, further studies are needed to refine treatment protocols and assess long-term outcomes. Objective: To comprehensively understand the short- and long-term effects of ESWT and to identify the most effective treatment protocols for plantar fasciitis. Methods: This study is a literature review that explores the use of extracorporeal shock wave therapy (ESWT) in the treatment of plantar fasciitis. Articles published between 2015 and 2025 were selected from online databases, including SciELO, BVS, Portal Capes, and MedLine/PubMed. The selection of articles followed established inclusion and exclusion criteria. The selected studies were organized into a table to facilitate reading and interpretation, allowing for a more dynamic and detailed analysis of the efficacy and treatment protocols of ESWT in plantar fasciitis cases. Results: After evaluating and analyzing the literature, a total of 11 relevant studies were included. These studies provide valuable insights into the clinical outcomes of ESWT for plantar fasciitis. Conclusion: Extracorporeal Shock Wave Therapy (ESWT) has proven to be an effective treatment for plantar fasciitis, providing significant pain reduction and functional improvement in patients. Compared to conventional methods such as laser therapy and conservative treatments, ESWT has shown superior results, particularly in chronic cases, offering faster and longer-lasting symptom relief. It became evident that ESWT not only reduces pain but also improves mobility and quality of life, enabling patients to resume daily activities with greater independence.