Shockwave therapy for heel spur
Pain under the heel is most often caused by plantar fasciitis, not the heel spur itself. Shockwave therapy may be considered as an addition when standard treatment has not helped. You can book an appointment without a referral.
See available slotsWhat is a heel spur?
A heel spur is a finding that can be seen on X-ray. It is also found in many people without symptoms, and therefore cannot alone confirm the cause of heel pain.
Pain under the heel is usually caused by plantar fasciitis, an overload of the band of connective tissue under the foot where it attaches to the heel bone. The pain is often strongest during the first steps after rest.
How is the diagnosis made?
The diagnosis is usually made from history and examination. Imaging is normally not necessary when the clinical criteria are met. X-ray can be used to rule out other conditions, and ultrasound can in some cases confirm the diagnosis.
What do the sources say about treatment?
The guideline gives stretching, manual therapy and taping the highest level of evidence. Strength training for the foot and ankle is recommended as part of the programme. On shockwave therapy, NHI writes that it can help some people and is relevant when standard treatment does not help. The guideline gives no recommendation on shockwave.
At Dr.Dropin, load management and exercise usually come first, before shockwave therapy may be added. Treatment is given about one week apart, and the number of treatments varies with the condition.
When should you contact a doctor?
Pain under the heel that does not improve quickly, becomes more widespread or gets worse should be assessed by a doctor. If you have a condition that reduces sensation in the feet, contact a doctor in case of sores or signs of infection.
Frequently asked questions about heel spur
What is the difference between a heel spur and plantar fasciitis?
A heel spur is an X-ray finding that is also found in many people without symptoms. Plantar fasciitis is an overload of the connective tissue band under the foot and causes pain under the heel with load.
Why is it worst in the morning?
The pain is often worst early in the day and during the first steps after rest. It may ease when the foot is warmed up and increase again with a lot of load.
Do I need a referral to book an appointment?
No, you can book an appointment without a referral from a GP.
Further reading
These pages go deeper into the topic:
Clinical responsibility
Daniel Vestøl is clinically and medically responsible at Dr.Dropin Fysikalske. This page gives general information and does not replace an examination by a healthcare professional.