Extracorporeal Shockwave Therapy

Extracorporeal Shockwave Therapy (ESWT) is a non-invasive treatment for plantar fasciitis (heel pain) and lateral epicondylitis (tennis elbow.) It works by delivering sound waves to the painful area, thereby causing microtrauma, revascularization and the triggering of the body’s own natural healing and repair mechanisms. ESWT has a success rate of 80% or more.

ESWT is used after conservative options, including rest, non-steroidal anti-inflammatory medications, steroid injections, over the counter pain relievers, physical therapy and, for heel pain, shoe inserts.

If the pain from plantar fasciitis or lateral epicondylitis persists after 6 months, ESWT is a valuable and useful therapy.

Treatments last 20-30 minutes and are performed on an outpatient basis. Most patients prefer sedation.

After the procedure, you may have some discomfort in the treated area. Some bruising, swelling and temporary numbness is normal. Treatment consists of rest, ice, compression and elevation. Discomfort should subside after 1-2 weeks. You should avoid jogging, heavy house or yard work and the like for 4 weeks after the procedure. Heel pain patients should avoid sandals or slippers.

Healing is generally complete in about 12 weeks.