How to Use a Radial Shockwave Device for Plantar Fasciitis

Quick answer

To treat plantar fasciitis with a radial shockwave device, position the handpiece at the medial calcaneal tubercle, deliver 2000 pulses at a medium energy level, and repeat weekly for three sessions.

Step-by-Step Protocol for Plantar Fasciitis

1. 1. Locate the Treatment Point: Palpate the medial calcaneal tubercle — the bony spot on the inside of your heel where the plantar fascia attaches. This is the primary target for radial shockwave therapy. Common mistake: treating the arch instead of the insertion point reduces effectiveness.
2. 2. Apply Coupling Gel: Apply a generous layer of ultrasound gel to the treatment area. The gel ensures the shockwave energy transfers from the handpiece into the tissue without air gaps. Checkpoint: reapply gel if the skin feels dry or the handpiece loses contact during treatment.
3. 3. Set Energy Level and Pulse Count: Start at a low energy level (1–2 on most devices) and increase gradually based on patient tolerance. Deliver 2000 pulses per session at a frequency of 8–10 Hz. Common mistake: using too high an energy level initially can cause bruising or increased pain.
4. 4. Position and Treat: Place the handpiece applicator firmly against the gel-covered heel. Press the trigger and move the handpiece in slow, overlapping circles over the insertion point for the duration of the pulses. Checkpoint: maintain steady contact — lifting the handpiece mid-pulse can cause inconsistent energy delivery.
5. 5. Post-Treatment Care: Wipe off excess gel and apply an ice pack for 10 minutes if needed. Avoid high-impact activities for 48 hours. Mild soreness is normal for 24–72 hours. Common mistake: resuming running or jumping too soon can delay healing.
6. 6. Repeat Weekly: Schedule three sessions at one-week intervals. Most patients notice improvement after the second or third treatment. If no change occurs after three sessions, reassess the diagnosis or technique. Checkpoint: do not exceed three sessions without re-evaluation — overuse of shockwave on the same area can cause tissue damage.

Recommended Device

• TheraTouch SW1 Portable Radial Shockwave Device: The TheraTouch SW1 Portable Radial Shockwave Device features a touchscreen interface, ergonomic handpiece, and rechargeable battery for clinical or portable use. Its compact design and adjustable energy settings make it suitable for repeated plantar fasciitis treatments in a clinic or mobile setting.