{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:25:40Z","timestamp":1789140340883,"version":"build-2803163510"},"reference-count":41,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T00:00:00Z","timestamp":1669248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Shock wave therapy is one of the modern methods of treatment used to treat diseases of muscles, tendons, and entheses in orthopedics, as well as in sports medicine. The therapy is increasingly used in the treatment of plantar fasciitis\u2014a disease that is very difficult and burdensome to treat. Where basic conservative treatment for heel spurs fails, the only alternative consists of excision of the bone outgrowth, and shock wave therapy: a modern, minimally invasive, and relatively safe method. The aim of the study was to determine the long-term effectiveness of extracorporeal shock wave therapy in the treatment of painful ailments occurring in the course of plantar fasciitis in amateur runners. Materials and methods: The study includes a group of 39 men and women, aged 34\u201364 (mean age 54.05 \u00b1 8.16), suffering from chronic pain in one or both feet, occurring in the course of plantar fasciitis. The patients had to meet five criteria to qualify for the study. The group was divided into two subgroups: those who had not undergone other physiotherapeutic procedures prior to the extracorporeal shock wave therapy (ESWT-alone; 23 people), and those who had received other procedures (ESWT-plus; 16 people). The therapy was performed using extracorporeal shock wave (ESWT). No local anesthesia was used. The effectiveness of the extracorporeal shock wave therapy was evaluated using the visual analogue scale of pain (VAS), Modified Laitinen Pain Index Questionnaire, the AOFAS scale (American Orthopedic Foot and Ankle Society), and a survey questionnaire consisting of 10 questions concerning metrics and subjective assessment of the effects of therapy. The interview was conducted before ESWT, and again five years later. Results: The use of extracorporeal shock wave therapy reduced the intensity and frequency of pain, and improved daily and recreational activity. Moreover, a reduction in the level of pain sensation on the VAS scale and pain symptoms during walking was demonstrated. More favorable results were obtained in the ESWT-plus group; however, the first effects were observed later than in the ESWT-alone group. Conclusions: Extracorporeal shock wave therapy is an effective form of therapy for amateur runners. It reduces pain associated with plantar fasciitis that amateur runners may experience at rest, while walking, and during daily and recreational activity.<\/jats:p>","DOI":"10.3390\/jcm11236926","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T03:24:09Z","timestamp":1669260249000},"page":"6926","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Long Term Effectiveness of ESWT in Plantar Fasciitis in Amateur Runners"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5082-3641","authenticated-orcid":false,"given":"Joanna","family":"Kapusta","sequence":"first","affiliation":[{"name":"Department of Internal Diseases, Rehabilitation and Physical Medicine, Medical University of \u0141\u00f3d\u017a, 70-445 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1915-0773","authenticated-orcid":false,"given":"Marcin","family":"Dom\u017calski","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma, Veteran\u2019s Memorial Hospital, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,24]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Extracorporeal and radial shock waves in orthopedics and physiotherapy","volume":"9","author":"Franek","year":"2009","journal-title":"Physiother. Pol."},{"key":"ref_2","first-page":"32","article-title":"Shock waves in competitive sport","volume":"4","author":"Szczuc","year":"2008","journal-title":"Rehabil. Pract."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/00003086-200106000-00004","article-title":"Application of shock waves in medicine","volume":"387","author":"Thiel","year":"2001","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_4","first-page":"42","article-title":"Extracorporeal shock wave therapy","volume":"1","author":"Gomulec","year":"2011","journal-title":"Rehabil. Pract."},{"key":"ref_5","first-page":"46","article-title":"Experience of everyday work with a shock wave","volume":"5","author":"Agatowski","year":"2011","journal-title":"Rehabil. Pract."},{"key":"ref_6","unstructured":"Dziak, A. (1985). Closed Damage to Soft Tissues of the Musculoskeletal System, PZWL."},{"key":"ref_7","first-page":"656","article-title":"Distortions and diseases of tendons, ligaments and connective tissue","volume":"Volume 2","author":"Dega","year":"1984","journal-title":"Orthopedics and Rehabilitation"},{"key":"ref_8","unstructured":"Zwierzchowski, H. (1995). Diseases from overload. Outline of Orthopedics, Traumatology and Rehabilitation of Motor Organs, Medical Academy."},{"key":"ref_9","unstructured":"Marciniak, W., and Szulc, A. (2004). Wiktora Dega, Orthopedics and Rehabilitation, PZWL."},{"key":"ref_10","first-page":"191","article-title":"Evaluation of the effectiveness of radiotherapy of painful heel spurs","volume":"68","author":"Miszczyk","year":"2003","journal-title":"Musculoskelet. Surg. Orthop. Pol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1191\/0269215504cr762oa","article-title":"Comparison of two ultrasonographic localization techniques for the treatment of lateral epicondylitis with extracorporeal shock wave therapy: A randomised study","volume":"18","author":"Melegati","year":"2004","journal-title":"Clin. Rehabil."},{"key":"ref_12","first-page":"931","article-title":"Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis","volume":"23","author":"Rompe","year":"2005","journal-title":"J. Orthop. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/S0736-0266(02)00013-X","article-title":"Extracorporeal shock wave therapy for lateral epicondylitis\u2014A double blind randomised controlled study","volume":"20","author":"Speed","year":"2002","journal-title":"J. Orthop. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1302\/0301-620X.83B6.0830873","article-title":"Low-energy extracorporeal shock-wave treatment (ESWT) for tendinitis of the supraspinatus: A prospective, randomised study","volume":"83-B","author":"Schmitt","year":"2001","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_15","unstructured":"Gerdesmeyer, L., and Weil, L.W. (2007). Extracorporeal Shock Wave Therapy, Technologies, Basics, Clinical Results, Data Trace Publishing."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1055\/s-2008-1053674","article-title":"Der Einsatz der extrakorporalen Sto\u00dfwellentherapie in der Orthop\u00e4die-eine Metaanalyse","volume":"136","author":"Heller","year":"1998","journal-title":"Zeitschrift f\u00fcr Orthop\u00e4die und ihre Grenzgebiete"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00003086-200106000-00003","article-title":"Principles of shock wave therapy","volume":"387","author":"Ogden","year":"2001","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1053\/j.jfas.2017.02.013","article-title":"Magnetic Resonance Imaging and Clinical Outcomes of Laser Therapy, Ultrasound Therapy, and Extracorporeal Shock Wave Therapy for Treatment of Plantar Fasciitis: A Randomized Controlled Trial","volume":"56","author":"Ulusoy","year":"2017","journal-title":"J. Foot Ankle Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"186","DOI":"10.5606\/ArchRheumatol.2014.3738","article-title":"Comparison of the effectiveness of two different extracorporeal shock wave therapy regimens in the treatment of patients with myofascial pain syndrome","volume":"29","author":"Ali","year":"2014","journal-title":"Arch. Rheumatol."},{"key":"ref_20","first-page":"e11200","article-title":"Enhanced Spinal Therapy: Extracorporeal Shock Wave Therapy for the Spine","volume":"12","author":"Fiani","year":"2020","journal-title":"Cureus"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1177\/0363546505281811","article-title":"Long-term results of extracorporeal shockwave treatment for plantar fasciitis","volume":"34","author":"Wang","year":"2006","journal-title":"Am. J. Sports Med."},{"key":"ref_22","unstructured":"Salvatore, S. (2022, August 12). Mangiafico, 2016, Summary and Analysis of Extension Program Evaluation in R. Available online: https:\/\/rcompanion.org\/handbook\/F_06.html."},{"key":"ref_23","first-page":"1287","article-title":"Effectiveness of Physiotherapy Interventions on Symptom Severity and Hand Function in Patients with Idiopathic CTS","volume":"8","author":"Razali","year":"2022","journal-title":"IJMAES"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"S309","DOI":"10.1016\/j.jcot.2020.02.004","article-title":"Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine","volume":"11","author":"Simplicio","year":"2020","journal-title":"J. Clin. Orthop. Trauma"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.mjafi.2012.01.007","article-title":"Evaluation of therapeutic effects of extracorporeal shock wave therapy in resistant plantar fasciitis patients in a tertiary care setting","volume":"68","author":"Krishnan","year":"2012","journal-title":"Med. J. Armed Forces India"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1136\/ard.60.11.1064","article-title":"Efficacy of Extracorporeal shock wave treatment in calcaneal enthesophytosis","volume":"60","author":"Cosentino","year":"2001","journal-title":"Ann. Rheum. Dis."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"790","DOI":"10.3113\/FAI.2010.0790","article-title":"High-energy Extracorporeal Shock-Wave Therapy (ESWT) for the treatment of chronic plantar fasciitis","volume":"31","author":"Metzner","year":"2010","journal-title":"Foot Ankle Int."},{"key":"ref_28","first-page":"838","article-title":"Efficacy of extracorporeal shock wave therapy in treatment of heel spurs","volume":"49","author":"Koch","year":"2014","journal-title":"Hygeia Public Health"},{"key":"ref_29","unstructured":"Wasilewski, L. (2011). Report on the Treatment of Patients Suffering from Degenerative Changes in the Area of the Heel Bone Tumor\u2014\u201cHeel Spur\u201d with a Shock Wave, Department of Rehabilitation and Physical Therapy, Prague Hospital in Warsaw."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1007\/s00167-005-0025-2","article-title":"Extracorporeal shock wave therapy in runners with a symptomatic heel spur","volume":"14","author":"Moretti","year":"2006","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1177\/107110070302401103","article-title":"Extracorporeal Shock Wave Therapy (ESWT) in Patients with Chronic Proximal Plantar Fasciitis: A 2-Year Follow-up","volume":"24","author":"Hammer","year":"2003","journal-title":"Foot Ankle Int."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"186","DOI":"10.4103\/mmj.mmj_297_18","article-title":"Platelet rich plasma injection versus extracorporeal shock-wave therapy in treatment of plantar fasciitis","volume":"33","author":"Soliman","year":"2020","journal-title":"Menoufia Med. J."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/BF00573445","article-title":"Low-energy extracorporeal shock wave therapy for painful heel: A prospective controlled single-blind study","volume":"115","author":"Rompe","year":"1996","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1001\/jama.288.11.1364","article-title":"Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: A randomized controlled trial","volume":"288","author":"Buchbinder","year":"2002","journal-title":"JAMA"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/1749-799X-7-11","article-title":"Extracorporeal shockwave therapy in musculoskeletal disorders","volume":"7","author":"Wang","year":"2012","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1093\/bmb\/ldm005","article-title":"Shock wave therapy for chronic plantar fasciopathy","volume":"81\u201382","author":"Rompe","year":"2007","journal-title":"Br. Med. Bull."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1097\/PHM.0b013e31828cd42b","article-title":"Effectiveness of extracorporeal shock wave therapy in chronic plantar fasciitis: A meta-analysis","volume":"92","author":"Dizon","year":"2013","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1177\/2374373518786013","article-title":"Impact of Chronic Pain on Patients\u2019 Quality of Life: A Comparative Mixed-Methods Study","volume":"6","author":"Hadi","year":"2019","journal-title":"J. Patient Exp."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11916-022-01003-3","article-title":"A Review of Laser Therapy and Low-Intensity Ultrasound for Chronic Pain States","volume":"26","author":"Chen","year":"2022","journal-title":"Curr. Pain Headache Rep."},{"key":"ref_40","first-page":"372","article-title":"Can combined ultrasound and laser therapy enhance the treatment of symptomatic osteoarthritis? Case report","volume":"7","author":"Jorge","year":"2017","journal-title":"J. Nov. Physiother."},{"key":"ref_41","first-page":"e913","article-title":"A novel and conservative approach to the effective treatment of plantar fasciitis","volume":"8","author":"Assad","year":"2016","journal-title":"Kureusz"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/23\/6926\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:25:46Z","timestamp":1760145946000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/23\/6926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,24]]},"references-count":41,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["jcm11236926"],"URL":"https:\/\/doi.org\/10.3390\/jcm11236926","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,24]]}}}