Meglio tecar laser o onde d'urto per la tallonite o la fascite plantare?

Today I want to answer one of the questions I receive most often, as patients with heel pain or plantar fasciitis, with pain under the foot, often find themselves in serious trouble due to questionable prescriptions. Because, let's face it, none of you are a technician and go to the doctor to find out how to treat foot pain, only to be prescribed treatments that are as expensive as a restaurant menu, treatments that often don't solve the problem. They don't solve the problem because the cause of the problem is simply unclear (said fasciitis means inflammation of the fascia, which is the final effect, just as said heel pain means inflammation of the heel... it doesn't mean anything). You always need to understand which area is dysfunctional, whether it's a problem with the heel itself, a problem with the ankle or knee, or a problem with one or more of the foot bones... and understand if the underlying cause is a postural issue. If you know me, or if you'd like, take a look at my channel and see how many videos I've made on this foot problem. You should know, however, that none of these therapies can solve your problem alone, as 90 out of 100 cases have multiple causes that are causing the problem. However, it's also true that Tecar, laser, or shock waves act differently on biological tissue, determining effects. It's therefore clear that we'll have to work hard to combine these effects and achieve the goal that It will be healing. Tecar therapy is a therapy that's no longer new. It acts primarily on soft tissue and muscles, reducing edema, and increases local heat that brings blood, thus oxygenating the tissue and promoting healing. Laser is a beam of light; there are countless forms of it, and countless machines. I always recommend the Nd:YAG laser, which is certainly more expensive, but is truly effective for reducing tissue inflammation, reducing edema, and treating myofascial trigger points. Shockwaves are the most important therapy, supported by several scientific studies that attest to their effectiveness. We're talking about a therapy that must be performed with special machines (don't be fooled... I often see colleagues with devices that aren't real shockwaves...) that are very painful... but which actually can and must be important for achieving a cavitation effect, capable of stimulating tissue regeneration. The question in the video is: which therapy is best? The answer is all of them! I use them in our practice. Always combined, as each has its own characteristics and a different biological effect. But in addition to these therapies, we absolutely perform manual therapy to mobilize the foot, ankle, and the entire ankle chain. We carefully treat soft tissue, including muscles like the calf or the plantar fascia, which is often stiff, hard, and edematous. And we offer muscle-strengthening exercises, as well as proprioceptive exercises to connect and improve the connection with the brain. So, talking about physical therapies and not a comprehensive approach is very reductive. And, as often happens, it's the reason why people tend not to heal, going from an easily manageable acute condition to a chronic one. Furthermore, perhaps through no fault of the patient, they perform therapies randomly, and almost never integrated. They do five waves, then go back to the doctor and do ten Tecar sessions, and maybe then do a few laser sessions. Clearly, this never cures, and it fails to kick-start that vital healing process. To get back to walking properly. I'm truly saddened when I hear of desperate people, even in other cities, who seem to have entered a spiral from which they can't escape. ----------------------------------------------------------------------------------- ⚠️ *MEDICAL DISCLAIMER:* The information shared on this channel is for informational and educational purposes only and cannot in any way replace a professional medical diagnosis or opinion. The content of the videos does not constitute a prescription for treatment. If you experience pain or health problems, we recommend always consulting your doctor or a qualified physical therapist for a personalized assessment of your case.