Shock Wave

Are you frustrated with having pain for months?

We can help you.

At Celtic Podiatry we are constantly improving our patient experience with the latest evidence based treatment options.
We are proud to present the SWISS DOLORCLAST® SMART 20 Shockwave Therapy which is quite literally the smart choice in Radial Shockwave Therapy.
A very effective and quick treatment for soft tissue pain.
Shockwaves are movements of extremely high pressure caused by, for example, an explosion, an earthquake or a plane breaking the sound barrier. Extracorporeal Shockwave Therapy (ESWT) is the application of Shockwaves in medicine.
It is clinically proven that pressure waves, when applied to injured tissues, stimulate metabolic reactions:
  • Reduction of pain felt by nerve fibers
  • Increase of blood circulation in surrounding soft tissues
  • Beginning of healing process triggered by stem cells activation
There are many indications for Shockwave Therapy use in the lower limb such as –
  • Plantar Fasciitis,
  • Achilles Tendinopathy,
  • Patella (Knee) Tendinopathy,
  • Medial Tibial Stress Syndrome (Shin splints)
  • Osgood Schlatters (growing pains)
to name a few that can be treated very effectively with shockwave therapy.
Statistics have inferred that 10% of the population will experience plantar heel pain during the course of a lifetime. One of the most diagnosed problems in the foot and ankle that Podiatrists see regularly is known as  Plantar Fasciitis. This painful issue is better characterized as “fasciopathy” than “fasciitis”, resembling an overuse issue not a true inflammation.
Plantar fasciopathy (PF) is an acute or chronic, painful disorder of the bottom of the foot often referred to as the plantar fascia. This thick fibrous fascia is located between the medial calcaneal tubercle (heel) and the proximal phalanges of the toes.
It is the most common cause of plantar heel pain and accounts for approximately 11-15% of foot symptoms. The main clinical symptom is heel pain, particularly in the morning or after a period of rest. Often patients report improvement of pain after walking. Pain is usually located at the origin of the plantar fascia, i.e., at the inside edge of the heel.
Diagnosis is based on the clinical features of the disease. If there is any doubt imaging may be required for diagnosis as there are many other reasons for heel pain. Chronic symptoms have shown association with degenerative changes in the fascia.
Many people of all ages commonly present to Podiatrists with foot pain. The treatment should start with a thorough assessment and history of the symptoms. Palpation of the painful area and surrounding tissue include range of motion of the foot and ankle and muscle testing.
Conservative treatment modalities include mobilisation, acupressure, acupunture, stretching, strength and conditioning exercises, insoles/orthotics, night splints, non-steroidal anti-inflammatory drugs, and local corticosteroid injections. 
Patients not responding to conservative treatment for three to six months (between 10% and 20% of all patients) are considered for radial shock wave therapy (RSWT). Surgery should be considered for recalcitrant cases of PF as a final resort in a small amount of cases.