The treatment results are affected by the overall health of the patient, the size of the spur, the level of damage to the fasciae and tissue surrounding the calcaneus. Usually one procedure is not enough to treat heel spurs. Alongside orthotripsy, the doctor may prescribe medication therapy, stretching, custom insoles or silicone heel inserts. The number of orthotripsies needed depends on all the changes of the calcaneus and surrounding tissue listed above. For a greater effect, a follow-up procedure is recommended after 14 days. The patient’s health and indications for the procedure are evaluated prior to the procedure, painful spots are evaluated and localized through palpation, the parameters for the therapy are selected, some gel is applied onto the patient’s skin and then the shockwave therapy begins. If the desired result is not reached in 2-3 orthotripsies, other treatment methods – corticosteroid injections, surgery – are recommended. If it is not the heel that is sore but the middle or the back of the foot, the patient is advised to have the injection treatment from the very beginning.