01 · Sports medicine first
Focused shockwave therapy
Pulses applied through the skin at the heel or Achilles, with no needles, incisions or anesthesia.
About focused shockwave
Back on the trail, one step at a time.
Heel pain with your first steps in the morning, an ankle that rolls on uneven ground, an arch that aches after a hike. Your exam finds where it starts.
The short answer
Foot and ankle pain often comes from plantar fasciitis, one of the most common causes of pain under the heel. Achilles tendinitis, sprains, arthritis, flat feet and nerve problems are other causes. In Redmond, our foot care follows an exam and may combine stretching and strengthening, focused shockwave and chiropractic care.
Foot pain has a way of showing up in the first steps out of bed, after a long drive, or halfway up a trail. You may start choosing shorter walks and softer shoes without thinking about it.
Your exam looks at the heel, arch, ankle and Achilles, and at how you stand and walk. For a stubborn heel or tendon, focused shockwave for foot and ankle pain is one option your provider may suggest.
What is going on
Foot and ankle pain can start in the plantar fascia, the strong band that supports your arch, or in a tendon, ligament, joint or nerve. Plantar fasciitis brings pain under the heel, worst with the first steps after sleep or a long rest. A tight Achilles tendon can lead to poor foot mechanics.
Each step puts tension on the plantar fascia and the Achilles tendon.
Too much load, poor shoes or a tight calf cause tiny tears and irritation.
Pain changes the way you stand and walk.
If you have diabetes, have any foot pain or sore checked by a medical provider first.
A rehab baseline at your first session lets your provider track how your foot changes over the plan.
Is this what you feel?
Notice where it hurts and when it is worst, and bring that to your visit.
Your list
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Bring your list to the evaluation; it helps us start in the right place.
Book an evaluation
Where it hurts: the foot and ankle
Why it happens
Where it hurts is a strong clue to the cause.
The plantar fascia is the band of tissue under your foot that supports the arch. When it becomes irritated and inflamed, the heel hurts, most of all with the first steps of the day or after sitting a while.
The Achilles tendon joins the calf to the heel. A tight calf or a quick jump in hiking or running mileage can irritate it, with pain at the back of the heel that builds with activity.
A sprain stretches or tears the ligaments that hold the ankle steady, often from a roll on uneven ground or a quick change of direction. Ice and keeping the foot raised help ease the pain and swelling at first.
Shoes that fit poorly or have little cushioning, long hours standing, extra body weight and too much walking or sport too soon all add strain to the foot.
Arthritis can make the joints of the foot and ankle stiff and sore. Nerve damage, including from diabetes, can bring burning, tingling or numbness that needs a medical check.
How we treat it
Foot care at our clinic follows an exam of the heel, arch, ankle and Achilles and of the way you walk. A plan can combine guided rehab, focused shockwave, regenerative care such as PRP and chiropractic adjustments.
01 · Sports medicine first
Pulses applied through the skin at the heel or Achilles, with no needles, incisions or anesthesia.
About focused shockwaveYour own platelet-rich plasma, prepared in the clinic from a single blood draw and placed where your exam points.
Calf and plantar fascia stretching, ankle balance and strength work, coached here and done at home.
Adjustments planned alongside your foot rehab when your exam supports them.
Regenerative therapies are not a cure and results vary. Some biologic products discussed here are not FDA approved for this use. Your provider will review options, risks and costs with you.
What to expect
Heel and tendon pain usually settles over months.
An exam of the foot and ankle, your shoes and the way you stand and walk.
Daily stretching, especially before your first steps in the morning, plus the treatments in your plan.
Coached calf, foot and balance exercises, with a home program between visits.
A gradual return to longer walks and hikes in shoes that fit the activity.
Recovery depends on how long the pain has been there and how steadily you stretch.
Can it wait?
Do not wait
Go to urgent care or an emergency room, or call 911.
While it settles
Contact a provider promptly for any of these. For a sore foot without these signs, book an exam if home care has not helped within one to two weeks.
Cost and payment
Prices are not posted online.
Your cost depends on whether your plan adds shockwave or injections to rehab, and on the number of visits.
How patients rate the clinic
Who you will see
Three licensed providers share each foot and ankle plan: two Doctors of Chiropractic and a family nurse practitioner. Medical assistants coach the stretching and balance work between treatments.
Dr. Kent Rookstool, DC, Doctor of Chiropractic and founder · Dr. Kevin Lewis, DC, Doctor of Chiropractic
Book a visit with our teamGetting here
Smith Rock State Park is about 17 minutes (9.5 miles) from the clinic. From Sunriver, the drive is about 46 to 49 minutes on Highway 97.
1020 SW Indian Ave Ste 100, Redmond, OR 97756 · (541) 923-6024
Mon to Thu 9 AM to 6 PM
Your first visit
Share a brief note about where it hurts, what sets it off and how long it has been going on. We will evaluate your symptoms, discuss your goals, and explain which options may fit.
Call (541) 923-6024. Mornings or afternoons, Monday to Thursday.
We look at how your pain behaves, what movements trigger it, and what tissues may be involved.
We walk you through what we find in plain language and outline next steps that match your goals.
Plantar fasciitis pain is often worst with the first steps out of bed or after a long rest, such as a long car ride. Each step pulls on the irritated plantar fascia. Stretching your calves and the bottom of your foot before you stand helps.
Usually not. Many people with plantar fasciitis have a heel spur on an X-ray, but the spur is not what causes the pain. Treatment aims at the irritated plantar fascia, with stretching, supportive shoes and rest from the activities that make it worse.
Choose shoes that fit well, with good arch support, cushioning and plenty of room around the ball of the foot and the toes. Sneakers are a good choice for walking. Avoid narrow toes and high heels, and replace running shoes often. Pre-made or custom shoe inserts can also help with plantar fasciitis.
Study results are mixed. Your provider explains whether it fits your foot, alongside stretching and the rest of your plan.
Numbness, burning or tingling in the feet can come from nerve damage, including from diabetes. See a provider soon if you notice it, and promptly for any open sore on your foot.
It can help. Sleeping with your feet pointed down relaxes the plantar fascia. A night splint stretches it while you sleep, though it can take some getting used to.
Lean against a wall with one knee straight and that heel on the ground, the other leg in front with the knee bent. Push your hips toward the wall until you feel a strong pull in the calf, hold for 10 seconds and relax. Repeat it 20 times for each foot.
From our team
Sports medicine clinic
Why plantar fasciitis hurts most with your first steps in the morning, what keeps the heel irritated, when to get it checked, and how care can be planned.
Advanced Pain Solutions
Get a plan for the trail ahead, starting with one visit.
Mon to Thu 9 AM to 6 PM · 1020 SW Indian Ave Ste 100, Redmond