Effect of shockwave therapy on plantar fasciitis in postnatal women: a randomized controlled trial

Abstract Background Plantar fasciitis (PF) is a widespread foot issue that can be especially frustrating during pregnancy; it is accompanied by pain in the heel, falling, disability, and reduced quality of life (QoL). This study aimed to explore the efficacy of shockwave therapy (SWT) on PF in postnatal women. Material and methods Forty-four postnatal women with PF were randomly distributed into two groups equal in number. Group (A) was given analgesic drugs (Ibuprofen 200 mg, one tablet/day) and performed plantar fascia-stretching exercises only for 6 weeks, while group (B) followed the same treatment as group (A) plus SWT, twice weekly for 6 weeks. All participating women in both groups were evaluated pre- and post-treatment through the Numeric Pain Rating Scale (NPRS) to evaluate pain intensity levels, the Foot Function Index (FFI) to evaluate foot pain and disability related to PF, and the Six-Minute Walk Test (SMWT) to evaluate the functional exercise capacity and QoL of the affected women. Results Both groups showed significant improvements in all outcomes post-treatment ( p = 0.001). Group B demonstrated superior improvements in NPRS ( p = 0.001), FFI ( p = 0.022), and SMWT ( p = 0.001) compared to group A. Conclusion Shockwave therapy is a beneficial method for reducing pain intensity, enhancing foot functional level, and improving QoL of postpartum women with plantar fasciitis.