Category: Our Services

Shockwave Therapy For Injury Recovery & Pain Relief

Shockwave therapy is a gold standard treatment used to help achieve the best clinical outcomes for musculoskeletal injuries and pain – and we’re very proud to now offer it to our patients here at Perform Podiatry. Shockwave has strong clinical evidence and proven efficacy across a range of pains and problems, from knee osteoarthritis to plantar fasciitis, Achilles tendinopathy, and much more. Here’s what you should know.

What Is Shockwave?

You may already know that there’s a great demand for shockwave therapy in Auckland at present due to the benefits it offers – but it’s actually not a “new” treatment. Shockwave has been used in medicine since back in the 1980’s, where it was used to break down kidney stones in the body. In the 1990’s, it started being used for musculoskeletal problems – in a similar way to how we use it today. Except, the shockwave machines have definitely become a lot more accessible, versatile and affordable.

Referred to as extracorporeal shockwave therapy (ESWT) in the studies (with ‘extracorporeal’ simply meaning ‘situated outside of the body’), shockwave treatment works by directing specifically calibrated, high-energy acoustic (sound) waves at a site of musculoskeletal injury, by applying the shockwave handpiece (pictured) over the damaged area, such as the heel bone or the shins. These sound waves then stimulate the body’s natural healing process in the area by increasing the blood flow locally, and stimulating the production of growth factors and stem cells that support the growth of new blood vessels and tissues to help repair the damage. Shockwave also works to reduce the inflammation markers in the targeted area, which means less pain for our clients – many of whom can feel a reduction in their symptoms after their first appointment, almost like an analgesic effect.

Our particular form of shockwave therapy is radial pressure waves (as opposed to focused waves) meaning that the radial waves spread to treat larger areas, allowing us to move the handpiece over a wider injury site instead of having to focus in on very specific locations to get the desired effects.

What Are The Benefits Of Shockwave?

The benefits of shockwave include:

  • Its non-invasive approach, meaning that shockwave does not require surgery or any incisions to be made in the skin to achieve long-lasting results. It also does not require any medicines to be consumed or anaesthetic to be administered.
  • A fast recovery time following the treatment, with most patients experiencing little discomfort and no downtime required following the treatment session, meaning they can return to their daily activities immediately.
  • Its high success rate in treating a range of musculoskeletal conditions
  • Long-term mechanism of action, meaning that instead of acting like a ‘band aid’ for temporary symptom relief for example, it promotes healing and recovery for long-term repair and symptom relief.
  • Many people experience improvements in function and mobility by reducing pain and inflammation.
  • Shockwave has few complications or adverse effects reported. Any side effects are fairly mild, such as redness at the treatment site, bruising, short-lived discomfort during the treatment, tingling or numbness in the area, or a temporary increase in symptoms immediately following the treatment.

What Injuries Or Problems Can Shockwave Help With?

Based on the growing body of high level evidence that supports shockwave, it is currently being used extensively worldwide in the management of:

  • Plantar fasciitis heel pain
  • Achilles tendinopathy (both insertional and mid-portion)
  • Knee osteoarthritis
  • Patellofemoral pain syndrome
  • Shin splints (medial tibial stress syndrome)
  • Myofascial trigger points
  • Muscle stiffness (spasticity)

What Will Happen When I Come In For Shockwave?

Before shockwave can be booked for you, your podiatrist will need to have completed an assessment so that we understand what your diagnosis is, the cause of your pain or injury, and whether or not shockwave can actually help you in your circumstances – or if there’s another treatment pathway that will be more effective in helping you get the results you want. Once we have confirmed your suitability for shockwave (and made a plan for your overall management and recovery), your shockwave session may look like:

  • We’ll examine the target (injured) area, identify our key spots to focus the shockwave on, and then we’ll apply the ultrasound gel.
  • We select the appropriate settings on the RM Shock machine based on your injury, circumstances and clinical recommendations. We maintain full control over the device throughout the entire treatment.
  • Compressed air moves through the handpiece which moves a bean-like piece within the shockwave handle at a rapid rate. This causes the shockwaves to radiate out of the handpiece, through the gel and into the targeted area.
  • One round of shockwave lasts for approximately 60-120 seconds, and we may complete 2-3 rounds per treatment area, all depending on your unique circumstances.
  • After your shockwave session, we will complete any complementary therapies as per your management plan, such as dry needling or strapping.
  • We’ll let you know when to return for your next round of shockwave. The number of sessions required will vary from person to person, and we expect to see notable improvements in your symptoms each week.

Is Shockwave Painful?

Despite the name ‘shockwave’ making it sound like a painful course of treatment, shockwave sessions are generally well tolerated by our patients. Any discomfort or pain tends to arise from the shockwave handpiece being positioned directly over your existing injury, which is already tender. Once the acoustic waves are administered (over several ‘rounds’ at just a few minutes per round), the reparative and pain-relieving benefits begin – and being able to experience these benefits over the coming weeks is likely why our patients keep coming back, being able to see and feel their recovery process accelerated – and for many, seeing progress and results in longstanding injuries where nothing else that they have tried has really worked. 


Learn more about shockwave and how it can help you here. To book an appointment, call us on (09) 523 2333 or book online here.

Podiatry Tips For Protecting Your Feet This Winter

With winter well and truly here, we find ourselves bidding farewell to sandals and embracing cosy merino socks. However, for podiatrists like us, the arrival of winter also means an increase in patients seeking help for specific foot problems that arise due to the colder temperatures. To help, here are our valuable podiatry insights into the top five winter-specific foot problems we often encounter, along with practical tips to keep your feet safe and protected.  

Raynaud’s Phenomenon

The first condition we tend to see is called “Raynaud’s phenomenon” or syndrome. Raynaud’s affects both the feet and hands, and it is triggered by cool temperatures. If you experience Raynaud’s, you’ll notice that certain parts of your feet, particularly the toes, turn stark white, resulting in patchy discolouration. Other areas may turn red or blue or purple, and you may also feel extreme coldness and numbness in your feet. Raynaud’s occurs when the blood vessels in your feet constrict, limiting blood flow. Interestingly, stress can also contribute to the onset of Raynaud’s symptoms. As normal blood flow returns, you may experience sensations of heat, tingling, throbbing, or swelling in your feet. What can you do? The key is to keep your feet warm and dry. When your feet are warm, the blood vessels widen, promoting circulation and preventing episodes of Raynaud’s.  

Dry, Cracked Skin

Did you know that the soles of your feet lack oil glands? This means that they are prone to drying out, especially in colder temperatures. Dry skin reduces sensitivity in our feet and makes us more susceptible to calluses and cracks, particularly on the heels. What can you do? The solution is simple: moisturise daily. Regularly applying moisturiser is crucial since your feet cannot naturally keep the skin moist. You don’t need expensive skincare products; your regular moisturiser will suffice to keep your skin smooth, supple, and healthy. If you notice a significant callus build-up, consider having it reduced by your podiatrist. The same applies to any cracks that form in the heels.  

Fungal Nail And Skin Infections

Fungus thrives in warm, moist, and dark environments—just like the conditions found in our enclosed winter shoes and warmer socks. Spending all day in these environments, combined with increased rainfall and foot sweating, creates the perfect breeding ground for fungal infections. However, fungal infections don’t simply materialise; you must come into contact with fungal spores. Whether it’s at a friend’s house, your local gym, or a swimming pool, if you pick up the infection, there’s a higher chance it will spread faster than in summer when going barefoot or wearing sandals allows your feet to dry out. What can you do? After every shower or when removing your shoes, thoroughly dry your feet. If your shoes get wet, let them dry completely before wearing them again, and ensure your feet are dry too. Wash and dry your socks thoroughly, paying attention to the spaces between your toes. Consider using sprays or powders on your feet or in your shoes to maintain a dry environment and discourage fungal growth. If you notice signs of a fungal nail infection (discoloration or patches on your toenails) or athlete’s foot (bubbles in the skin, dryness, itchiness, or redness), seek treatment from a podiatrist who can provide the appropriate antifungal care. The earlier you address a fungal infection, the easier it is to treat and eliminate.  

Ingrown Toenails

Colder temperatures often mean thicker socks, which, combined with snug-fitting shoes, leave less room for your feet. As your toenails grow, they may press against the skin due to the restricted space, significantly increasing the risk of developing ingrown toenails. What can you do? Keep your nails trimmed straight across the nail, avoiding cutting into the sides. If your toes feel uncomfortable and cramped in thick socks, opt for thinner socks made from warm and durable materials like merino.  

Amplified Effects Of Diabetes On The Feet (Sensation And Blood Flow)

For individuals with diabetes, the impact on nerves and blood vessels gradually diminishes sensation and circulation in the feet. Colder temperatures can amplify these effects, similar to what occurs in Raynaud’s phenomenon. Consequently, it is crucial to diligently monitor your feet during this time, ensuring you don’t sustain any unnoticed cuts or wounds that could lead to infection. What can you do? Make it a habit to check your feet daily, examining both the top and bottom. If necessary, use a mirror to inspect the bottom of your feet. Keep your feet protected and warm at all times, even indoors by wearing socks and slippers. Avoid exposing your feet to direct heat, such as open fires or hot water bottles, as decreased sensation may prevent you from feeling potential burns. Regularly moisturise your feet to maximise your sensation. Additionally, ensure you have your annual diabetic foot health check to stay informed about your foot health status and understand the specific precautions you should take.  

Need Help Caring For Your Feet?

Our experienced podiatry team is here to help, and leave you feeling great on your feet. Book your appointment online here or call us on 09 523 2333