Novato/North Bay
(415) 898-9818

San Francisco
(415) 984-2700

Sacramento
(916) 452-2005

Novato/North Bay
(415) 898-9818

San Francisco
(415) 984-2700

Sacramento
(916) 452-2005

ESWT Shockwave Therapy

Extracorporeal Shock Wave Therapy (ESWT) 

Extracorporeal shock wave therapy (ESWT) is a safe and effective non-invasive modality for the treatment of orthopedic musculoskeletal disorders. This treatment has been safely used for over twenty years, and more literature continues to surface regarding the effectiveness of this treatment for various conditions. 

Shock wave therapy is commonly used for the treatment of plantar fasciitis which typically presents with symptoms on the bottom of the heel, as well as Achilles tendinopathy which causes pain on the back of the heel. 

Plantar fasciitis is a common condition that involves the fascia on the bottom of the foot that often causes heel pain, especially with first steps in the morning or walking after a period of rest. Because there are a vast number of conditions that can cause heel pain, it is very important to see your foot and ankle specialist for appropriate diagnosis of the condition. Treatments for plantar fasciitis may include stretching, icing, physical therapy, custom orthotics, night splints, corticosteroid injections, or taping and strapping. In addition, shock wave therapy has been shown in the medical literature to provide excellent pain relief for plantar fasciitis. Previously, the medical community considered shock wave therapy as a last-resort treatment option for plantar fasciitis, however it is transitioning to be a front-line therapy due to its significant effectiveness. 

Achilles pathology can include acute painful inflammation to the tendon or long-term chronic changes to the tendon or heel bone. All of these conditions can become and remain painful without the appropriate diagnosis and treatment. Treatment options may include physical therapy, heel lifts, or surgical intervention. However, shock wave therapy is emerging as an effective treatment modality that decreases the need for surgery.  

As with any medical condition, evaluation by a foot and ankle specialist is important as it requires appropriate diagnosis. Your podiatrist will determine if shock wave therapy is an appropriate treatment option for your condition. 

As it may cause temporary discomfort, local anesthetic may be administered prior to the treatment. In most cases, one treatment session is adequate, although people experience pain relief at different times. Some may experience relief immediately or may take up to four weeks.  

Schedule your consultation today to determine if this is the appropriate treatment for you!