Medically Reviewed By Mario Starnino, CATA, CTSQ, ACNN
Heel pain is one of the most common complaints among adults, and a significant number of those cases are due to heel spurs—calcium deposits that form on the underside of the heel bone. Two widely used treatments are cortisone injections and Shockwave Therapy for Heel Spurs. But which is more effective, safer, and longer lasting? In this article, we’ll compare cortisone injections vs shockwave therapy for heel spurs, helping you make an informed choice for your recovery.
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Understanding Heel Spurs and Their Causes
Heel spurs are often associated with plantar fasciitis and result from repetitive stress and inflammation in the foot. They are typically diagnosed via X-ray and may cause sharp, stabbing pain when standing or walking.
Most patients begin with conservative treatments like rest, ice, stretching, and orthotics. However, when these don’t bring relief, advanced options like heel spurs cortisone injections or shockwave therapy heel spur treatments are considered.
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What Are Cortisone Injections?
Cortisone injections are anti-inflammatory steroid shots delivered directly into the painful area of the foot. They work quickly by reducing inflammation and alleviating pain, making them a popular option for short-term relief.
However, repeated heel spurs cortisone shots can weaken soft tissue, potentially increasing the risk of rupture in the plantar fascia or Achilles tendon.
“Corticosteroid injections can provide pain relief, but repeated use may weaken fascia and cause tissue degeneration.”
— Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712877/
What Is Shockwave Therapy for Heel Spurs?
Shockwave therapy heel spur treatment uses high-energy sound waves to stimulate healing in the affected area. It encourages the body’s natural regenerative processes, increases blood flow, and reduces inflammation over time.
Unlike cortisone injections, Shockwave Therapy for Heel Spurs addresses the root cause of the issue and promotes long-term healing without invasive procedures.
“Extracorporeal shockwave therapy (ESWT) significantly reduces pain and improves function in chronic heel pain.”
— Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3578420/
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Cortisone Injections vs Shockwave Therapy: Key Differences
Let’s break down the cortisone injections vs shockwave therapy comparison into key factors:
| Factor | Cortisone Injections | Shockwave Therapy Heel Spur |
| Pain Relief | Fast, but short-lived | Gradual, but long-lasting |
| Tissue Health | Risk of tissue damage | Promotes tissue healing |
| Number of Sessions | Often 1-2 injections | 3–5 sessions on average |
| Invasiveness | Mildly invasive | Non-invasive |
| Recurrence Risk | High | Low |
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When Should You Consider Shockwave Therapy?
If you’ve already had heel spurs cortisone injections with little or no relief—or if you’re concerned about the potential long-term risks—Shockwave Therapy for Heel Spurs may be a better alternative. It is especially recommended for chronic cases and for patients who prefer a drug-free, surgery-free approach.
Shockwave therapy works best when combined with physiotherapy, orthotic support, and stretching exercises. At Activ Axion Clinic, we provide comprehensive care tailored to your unique needs.
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Which Treatment Is More Cost-Effective?
While cortisone injections may seem cheaper upfront, their temporary effect often leads to multiple visits and additional treatments. On the other hand, shockwave therapy heel spur offers more sustainable results, reducing the need for long-term pain management costs.
Plus, Activ Axion offers competitive pricing for shockwave therapy in Montreal, making this modern treatment both effective and affordable.
How Safe Are These Treatments?
Cortisone is generally safe in small doses but carries risks when overused, including:
- Tendon rupture
- Skin thinning
- Elevated blood sugar levels
Shockwave Therapy for Heel Spurs, meanwhile, has minimal side effects—typically only mild redness or discomfort after treatment—and does not carry long-term risks. It’s safe for most individuals, including seniors and athletes.
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FAQs
What to do if heel spur cortisone injection didn’t work?
If your heel spurs cortisone injection didn’t relieve your pain, consider switching to shockwave therapy heel spur treatment. It targets the source of the problem by promoting tissue regeneration. Activ Axion in Montreal offers advanced shockwave therapy that may reduce your pain without the risks of additional injections. Learn more here.
Can cortisone help posterior heel spur?
Yes, cortisone injections may temporarily reduce inflammation and pain in posterior heel spurs. However, the effectiveness can vary, and there’s a risk of tendon weakening. If pain returns or persists, shockwave therapy for heel spurs could offer a safer, longer-term solution. Explore options with Activ Axion.
What is the purpose of wearing a boot after a cortisone shot on your heel spur?
Wearing a boot after a heel spurs cortisone shot helps reduce stress on the heel, allowing inflammation to subside and preventing further irritation. However, this is a temporary aid. For ongoing relief, shockwave therapy heel spur treatment may offer more lasting results. Find out more at Activ Axion.
Should you get cortisone shots for heel spurs?
Cortisone injections can be effective for immediate relief of heel spur pain, but they may not address the root cause. If you’re seeking long-term healing with fewer risks, shockwave therapy for heel spurs is often the better option. Contact Activ Axion in Montreal to discuss your best course of treatment. Get started here.