A case of focused extracorporeal shock wave therapy in a person with plantar fasciitis and hemophilia A

JOS Case Reports 2026 Open access

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Authors: Takeshi Seki, Toshinori Masaoka, Toshiyuki Tateiwa, Ryui Miyashita, Yushi Chikasawa, Tsunehito Ishida, Kagehiro Amano, Ei Kinai, Kengo Yamamoto
DOI: 10.1016/j.joscr.2026.01.002
Cited by: 0
References: 14

Abstract

People with hemophilia often experience chronic musculoskeletal pain, but invasive treatments are avoided due to bleeding risk. Extracorporeal shock wave therapy (ESWT) is widely used for refractory tendinopathies, yet its application in hemophilia is rarely reported. A 28-year-old man with severe hemophilia A and bilateral plantar fasciitis unresponsive to conservative therapy underwent focused ESWT after factor VIII replacement. Pain markedly improved after the first session and remained lower at 12 months without hemorrhagic complications. Low-to medium-energy ESWT for plantar fasciitis can be safely performed in people with hemophilia when adequate coagulation factor activity is maintained.

Fields of Study & Subjects

Hemophilia Treatment and Research Tendon Structure and Treatment Myofascial pain diagnosis and treatment

Publication details

Journal / source
JOS Case Reports
Volume
5
Issue
2
Pages
40–43
Publication date
14 January 2026
Language
EN