Effect of shock wave therapy on pain and daily functioning in patients with heel spurs





shock wave, pain, heel spur


Introduction: One of the more common foot dysfunctions is a heel spur, which is a bony growth on the base of the heel bone. It is accompanied by pain. Extracorporeal shock wave therapy becomes an increasingly common, effective and non-invasive method of the heel spur treatment. The objective of this study is to assess the effect of shock wave therapy on pain and daily functioning in patients with the heel spurs.
Material and method: The study group consisted of 73 people with diagnosed the heel spurs and suffering from pain associated with this condition. Each participant underwent a series of 5 shock wave treatments with 7-day intervals. The treatments were conducted using an apparatus: BTL-5000 SWT POWER + HIGH INTENSITY LASER 12. This author’s questionnaire and a Numeric Rating Scale (NRS) for pain were also used in this research.
Results: After applying the therapy, it was observed that there is a statistically significant decrease in the intensity of pain experienced by patients during the day (from 5.28±1.46 to 1.1±1.03) and at night (from 1.65±1.84 to 0.17±0.58). The statistical analysis also showed a significant decrease in the frequency of pain during the day and at night after applying shock wave. Before the therapy, the majority of patients indicated, that pain affected their professional activity rarely, often or very often. However, after the therapy, the majority of participants felt that pain does not affect their work. Similar results were obtained in relation to the question regarding the influence of pain on the performance of daily activities.
Conclusions: Shock wave treatments had the effect of reducing both the frequency and severity of pain. The treatments also reduced the negative impact of pain on professional and daily activities in the participants.


Download data is not yet available.

Szczygieł E, Piotrowski K, Golec J, et al. Head position influence on stabilographic variables. Acta Bioeng Biomech. 2016;18(4):49-54. doi: 10.5277/ABB-00433-2015-02.   Google Scholar

Bac A, Woźniacka R, Szporów T. The amount and kind of feet defects with relation to normal feet in kindergarten and primary school children. Fam Med Prim Care Rev. 2008;10(4):1278-1282.   Google Scholar

Prichasuk S, Subhadrabandhu T. The relationship of pes planus and calcaneal spur to plantar heel pain. Clin Orthop Relat R. 1994;306:192-196.   Google Scholar

Woźniacka R, Bac A, Kowal M, et al. Differences in the prevalence of overweight and obesity in 5 to 14 year old children in Krakow, Poland, using three national BMI cut-offs. J Biosoc Sci. 2018; 50(3): 365-379. doi: 10.1017/S0021932017000426. DOI: https://doi.org/10.1017/S0021932017000426   Google Scholar

Brent-Brotzman S, Wilk KE, Dziak A. Rehabilitacja ortopedyczna. Vol. 2. Wrocław: Elsevier Urban & Partner; 2008.   Google Scholar

Król P, Franek A, Zinka W, et al. Zogniskowana i radialna fala uderzeniowa w ortopedii i fizjoterapii. Fizjoter Pol. 2009;9(1):9-20.   Google Scholar

Pisula-Lewandowska A. Terapia falami uderzeniowymi: nowe w fizykoterapii. Prakt Fizjoter Rehabil. 2010;7-8:70-72.   Google Scholar

Hołubowicz D. Terapia falą uderzeniową. Rehabil Prakt. 2008;3:26-27.   Google Scholar

Nawrocka-Bogusz H, Majchrzycki M, Łańczak-Trzaskowska M, et al. Ocena skuteczności terapii ESWT w wybranych jednostkach chorobowych – opis przypadków. Now Lek. 2010;79:228-234.   Google Scholar

Stokłosa K. Fala uderzeniowa – podstawy teoretyczne i zastosowanie kliniczne. Rehabil Prakt. 2009;1:35-37.   Google Scholar

Samborski W. Niefarmakologiczne metody leczenia bólu w reumatologii. Przew Lek. 2007;3:55-59.   Google Scholar

Agatowski K. Doświadczenia codziennej pracy z falą uderzeniową. Rehabil Prakt. 2011;5:46-49.   Google Scholar

Gomulec G. Terapia pozaustrojową falą uderzeniową. Rehabil Prakt. 2011;1:42-45.   Google Scholar

Rompe JD, Hopf C, Nafe B, et al. Low-energy extracorporeal shock wave therapy for painful heel: a prospective controlled single-blind study. Arch Orthop Trauma Surg. 1996;115:75-79. doi: 10.1007/BF00573445. DOI: https://doi.org/10.1007/BF00573445   Google Scholar

Przedborska A, Kikowski Ł, Kawczyński M, et al. Wykorzystanie pozaustrojowej fali uderzeniowej w leczeniu entezopatii w obrębie pięty. Doniesienia wstępne. Kwart Ortop. 2012;3:295-304.   Google Scholar

Franek A, Kusz D, Durmała J, et al. Próba wykorzystania zogniskowanej fali uderzeniowej w leczeniu wybranych schorzeń ortopedycznych – doniesienie wstępne. Fizjoter Pol. 2012;12:147-158. DOI: https://doi.org/10.5604/16420136.1005536   Google Scholar

Lorkowski J, Hładki W, Galicka-Latała D, et al. Rozkład nacisków na podeszwowej stronie stóp u kobiet z otyłością i zapaleniem rozcięgna podeszwowego. Prz Lek. 2009;3:513-518.   Google Scholar

Król P, Franek A, Dolibog P, et al. Zogniskowana i radialna fala uderzeniowa w leczeniu objawowej ostrogi piętowej. Fizjoter Pol. 2012;12:341-354. DOI: https://doi.org/10.5604/16420136.1036647   Google Scholar

Thomas JL, Christensen JC, Kravitz SR, et al. The diagnosis and treatment of heel pain: A clinical practice guideline-revision 2010. J Foot Ankle Surg. 2010; 49:1-19. doi: 10.1053/j.jfas.2010.01.001. DOI: https://doi.org/10.1053/j.jfas.2010.01.001   Google Scholar

Rompe JD, Furia J, Weil L, et al. Shock wave therapy for chronic plantar fasciopathy. Br Med Bull. 2007;81-82:183-208. doi: 10.1093/bmb/ldm00. DOI: https://doi.org/10.1093/bmb/ldm005   Google Scholar

Czyrny Z. Sonographic and histological appearance of heel enthesopathy, what the “heel spurs” really are and what are their consequences. J Orthop Trauma Surg Rel Res. 2010;18:23-30.   Google Scholar

Walasik M, Gałęcki S, Dudkiewicz Z. Efektywność zabiegów z wykorzystaniem pozaustrojowej fali uderzeniowej (ESWT) u pacjentów z ostrogami piętowymi. Kwart Ortop. 2013;2:205-212.   Google Scholar




How to Cite

Aleksander-Szymanowicz, P., Oleś, I., Filar-Mierzwa, K., Grapa, J., & Bac, A. . (2022). Effect of shock wave therapy on pain and daily functioning in patients with heel spurs. Health Promotion & Physical Activity, 18(1), 24–31. https://doi.org/10.55225/hppa.386



Original article

Most read articles by the same author(s)