Exploring the Synergistic Effects of High-Energy Shockwave Therapy vs. Eccentric Exercise with Kinesiology Taping for Plantar Fasciitis: A Randomized Controlled Trial on Pain Alleviation, Functional Mobility, and Psychological Resilience

Abstract

Background: Plantar fasciitis (PF) is a common cause of chronic heel pain, leading to significant functional limitations. Conventional treatments provide limited long-term relief, prompting investigation into non-invasive alternatives such as High-Energy Shockwave Therapy (HESWT) and Eccentric Exercise with Kinesiology Taping (EEKT). Objective: To compare the effects of HESWT and EEKT on pain alleviation, functional mobility, and psychological resilience in patients with PF. Methods: A randomized controlled trial was conducted involving 70 participants with clinically diagnosed PF, allocated equally to HESWT or EEKT groups. HESWT was administered weekly for four weeks, while EEKT involved thrice-weekly eccentric training with weekly kinesiology taping for eight weeks. Outcomes were measured at baseline, week 4, and week 8 using the Visual Analog Scale (VAS) for pain, Foot Function Index (FFI) for mobility, and Resilience Scale for Adults (RSA) for psychological resilience. Results: Both groups improved significantly across all outcomes. HESWT produced greater short-term pain reduction (VAS 3.0 ± 1.2 vs. 4.0 ± 1.3 at 8 weeks, p = 0.03), while EEKT demonstrated superior functional recovery (FFI 35.5 ± 6.8 vs. 45.0 ± 8.2, p = 0.04). No between-group differences were found in RSA scores. Conclusion: HESWT is effective for rapid pain relief, whereas EEKT yields greater long-term functional improvements. Combining both may optimize PF rehabilitation outcomes.