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Extracorporeal Shockwave Therapy

What is Extracorporeal Shockwave Therapy?

It is a medical procedure designed specifically for orthopedic use. It is a treatment option for patients with plantar fascitis. Shockwave therapy uses actual shockwaves (also known as pressure or sound waves) delivered outside the body to trigger an individual's own repair mechanism. Additionally, shockwaves help to over-stimulate pain transmission nerves, which can lead to a reduction in sensitivity and pain.

What Happens During Treatment?

The entire treatment takes approximately a half-hour. Before therapy begins, the patient will be asked to identity the area of the foot with the most pain, of which the physician will take note. An ultrasound image of the foot will be taken as well. The area of the foot will then be numbed, and the patient will be asked to lie or sit down on an exam table or chair. A gel will then be applied to both the foot and the therapy head.

The therapy head (which houses the shockwave source) will then be placed against the foot. Using a hand-held monitor, the doctor will release the shockwaves with the push of a button on a special control panel. The most common patient complaint during therapy is some pain or discomfort during and after the treatment. Other side effects might include minor skin bruising and/or reddening, as well as swelling for a brief period of time.

Who Can Undergo Extracorporeal Shockwave Therapy (ESWT)?

Just about anyone. However, there are some restrictions.  ESWT is not recommended for patients with certain conditions, i.e. patients with pacemakers, patients taking medications that may prolong or interfere with blood clotting - coumadin, pregnant patients, etc. Your health history should be reviewed with your doctor to see if this treatment is appropriate for you.

What Are The Benefits?

Extracorporeal shockwave therapy is considered a safe and effective alternative treatment. Shockwave therapy relieves pain and provides a short recovery period. This therapy may eliminate the need for surgery altogether, which is often expensive and could cause other health problems.