Shockwave Therapy vs PRP for Persistent Plantar Fasciitis

Both shockwave and platelet-rich plasma are used when heel pain won't quit. Here's how they compare and what to ask before choosing.

Short answer: shockwave therapy is non-invasive and delivered over several sessions; PRP is an injection of your own concentrated platelets, usually given once or a few times. Both have research for chronic plantar fasciitis, head-to-head evidence is limited, and costs and recovery differ.

How They Differ

• Shockwave: no needles, no downtime, multiple short sessions
• PRP: blood draw and injection, possible post-injection soreness and activity limits

The AAOS explains how PRP is prepared and where evidence is still developing.

What the Evidence Shows

Comparisons have been published — search PubMed for current trials. Findings vary with protocol and follow-up length.

Questions to Ask

• What's the evidence for my diagnosis and duration of symptoms?
• What's the total cost and expected recovery time?
• What happens if it doesn't help?

The Mayo Clinic also overviews PRP risks.

See our plantar fasciitis page and cost page. Contact us with questions.