Actilife Physiotherapy

Shockwave Therapy vs Steroid Injections for Plantar Fasciitis

Shockwave Therapy

Non-invasive treatment using acoustic waves to stimulate healing in the plantar fascia tissue.

Pros

  • Treats the underlying pathology
  • No risk of tissue atrophy or rupture
  • Single session or 3 sessions protocol
  • Cumulative benefit over time
  • Very low risk profile
  • No medication involved

Cons

  • Moderate discomfort during treatment
  • Not immediately effective (2-4 weeks for results)
  • Higher upfront cost per session
  • May require multiple sessions
  • Not suitable for everyone

Steroid Injections

Corticosteroid injection directly into the painful area of the plantar fascia to reduce inflammation rapidly.

Pros

  • Rapid pain relief (24-72 hours)
  • Single procedure
  • Relatively low cost per injection
  • Widely available (GPs can administer)
  • Can help break acute pain cycle

Cons

  • Does not address underlying cause
  • Risk of plantar fascia rupture (2-4%)
  • Fat atrophy at injection site
  • Effectiveness decreases with repeat use
  • Maximum 3 injections per year
  • May weaken tissue long-term

Plantar fasciitis affects millions, and when conservative treatments fail, two common interventions are shockwave therapy and steroid injections. Here's how they compare.

Not Sure Which Is Right for You?

Our physiotherapists can help you choose the best treatment based on your condition.