What to expect from shockwave therapy for heel spur

The clinician examines the heel and identifies the most tender point before applying gel. A handheld applicator sends pulses through the skin, often near the underside or back of the heel depending on the pain source. The sensation may be tapping, pressure, or discomfort that changes as the device moves. A heel spur is a bony finding and may not be the only cause of pain, so treatment is directed at the irritated nearby tissues rather than promising to remove the bone.

Wear shoes that allow easy access to the heel and tell the clinician about altered sensation, bleeding problems, blood-thinning medicine, or a recent injection. Soreness or mild bruising can follow a session. Keep walking within the advised limit, avoid impact activity if it aggravates symptoms, and complete the calf, foot, or loading exercises prescribed for you. Cushioned footwear and pacing may make daily steps more comfortable while the response develops.

Contact the service if pain escalates instead of settling, swelling is substantial, or the skin becomes increasingly red and hot. Seek urgent assessment after sudden loss of weight-bearing ability, new numbness or weakness, fever, or a wound that does not look like a routine treatment reaction.

Ask whether the spur or another structure is causing your pain, what footwear and exercises are suitable, and how much walking is sensible after treatment. Ask when to review progress and what other options exist if heel pain continues.