Understanding Shockwave Therapy for Heel Pain & Tennis Elbow

Chronic tendon and connective tissue pain can persist despite rest or activity modification, often interfering with daily activities, exercise, and work. Two common conditions treated in physiotherapy are plantar fasciitis (heel pain) and lateral epicondylitis (tennis elbow), both commonly linked to repetitive strain and tissue overload.

Shockwave Therapy, also known as Extracorporeal Shockwave Therapy (ESWT), is a non-invasive treatment used to help manage persistent tendon-related pain. The treatment uses low-energy sound waves to stimulate the body’s natural healing response, helping improve blood flow, reduce pain sensitivity, and support tissue repair. Treatment is delivered through a handheld device that applies targeted pulses to the affected area and is generally well tolerated with minimal downtime.

Plantar fasciitis occurs when the tissue along the bottom of the foot becomes irritated and overloaded. Common symptoms include sharp pain with the first steps in the morning, heel pain after prolonged standing, discomfort with walking or running, and tightness in the calf or foot.

Tennis elbow involves irritation of the tendons on the outside of the elbow and is often associated with repetitive gripping, lifting, racquet sports, gym training, or desk work. Symptoms commonly include pain on the outside of the elbow, reduced grip strength, and discomfort with lifting or carrying activities.

Shockwave Therapy may be beneficial for chronic cases of both heel pain or tennis elbow that have not fully responded to physiotherapy, exercise, or activity modification alone. It is most effective when combined with a comprehensive rehabilitation program that may include strengthening exercises, mobility work, and gradual return to activity.

If you are experiencing ongoing heel or elbow pain, a physiotherapy assessment can help determine whether Shockwave Therapy may be an appropriate treatment option for you!

By Alexia Lee
Physiotherapist
Treloar Physiotherapy Kerrisdale