Extracorporeal Shock Wave Therapy for Plantar Fasciitis, Pittsburgh
ESWT: An OverviewThe benefits of extracorporeal shock wave treatment (ESWT) for plantar fasciitis are broad and profound. ESWT can be effectively used in conjunction with other therapies to address acute and chronic soft tissue wounds as well. ESWT seems to work along many different pathways to facilitate healthy and complete healing. Among the benefits of ESWT are:
- an increase in blood flow perfusion
- epithelialization (reepithelialization) – covering the injury with new skin and mucous membranes
- facilitation of wound closure
- improved angiogenesis – formation of new blood vessels and capillaries
- improved tissue granulation – the filling of the wounds
- reduced necrotic fibrin tissue – dead tissue
- reduction in duration of healing
- reduction in the need for antibiotic use
Orthopedics TreatmentMusculoskeletal injuries are among the most common reasons for visiting a physician in the United States. More than 25% of Americans suffer from one kind of musculoskeletal impairment or another. This accounts for over 130 million doctor’s visits and $850 billion yearly. There is research currently underway examining the effectiveness of ESWT on these types of injuries. If successful, shock wave therapy could be added to the arsenal of effective, non-invasive treatments at physican’s disposal. ESWT, Extracorporeal ShockWave Therapy, Shockwave therapy or lithotripsy, was originally developed by Dornier MedTech to break up kidney stones in the body. The therapy was approved by the FDA in the early 1980s and today is the standard treatment of choice for urinary stones. Because it’s delivered outside the body (extracorporeally), many of the risks associated with surgery are eliminated. In fact in ESWT or orthotripsy, the shock waves actually stimulate the body’s own repair mechanisms.
About the TreatmentThe 1/2 hour visit starts with the area of pain being identified by the patient and usually confirmed with ultrasound imaging. That affected area is then lightly numbed and the patient is asked to sit on a exam table or chair. After a gel is applied to the foot and therapy head, the head’s water-filled cushion is placed against the foot. Shock waves are released from the device as Dr. Christina positions the foot. Shock wave therapy relieves pain and provides a short recovery period, with very few risks or side effects. Most patients are able to resume normal activity the next day.
What is extracorporeal shock wave therapy and how does it work?Extracorporeal Shock Wave Therapy, also referred to as ESWT philladelphia , is a nonsurgical method that delivers high-energy acoustic (sound) waves to a targeted area in order to to treat various musculoskeletal conditions, including plantar fasciitis. ESWT NYC works in 3 ways:
- Desensitization. Local anesthesia is administered prior to the procedure. However, the ESWT is a very powerful machine, and the targeted area will become increasingly desensitized throughout the procedure.
- It changes a chronic injury into an acute injury. Chronic injuries occur from overuse of an area of the body over an extended period of time. Plantar fasciitis is an example of chronic injury.
- Vascularization. During the ESWT procedure, microscopic and controlled injuries are induced. These injuries “jump start” the overall healing process by promoting the growth of new blood vessels in the achilles tendon (vascularization), and giving your body the tools that it needs to heal itself naturally.
Benefits of ESWT vs. Surgery
ESWT is a non-invasive procedure requiring only local anesthesia to the targeted treatment area.
- Surgery is an invasive procedure where you will need to be placed completely under general anesthesia.
ESWT has little to no downtime, other than not participating in overly strenuous activities for 2-8 weeks following the procedure.
- Following plantar fasciitis surgery, patients will be required to wear a protective boot and/or use crutches. The healing time following surgery is a minimum of 3 weeks +.
Physical therapy is not needed following the ESWT for plantar fasciitis
- Several months of physical therapy is often required and needed following surgical correction.
While ESWT is not covered by most insurance companies, it is cost effective.
- Surgical procedures can be very expensive, especially if a patient has a high deductible or poor health care coverage.
High Intensity Shockwave Machine, Pittsburgh PA
What is Plantar Fasciitis?Plantar Fasciitis (often referred to as a “heel spur”) is a common cause of heel pain and affects about 2.5 million people each year in the U.S. Historically, surgery was the only alternative when conservative treatments like ice, orthotics, physical therapy, medication and cortisone failed. Today, with Extracorporeal Shock Wave Therapy (ESWT), that pain can be relieved with a gentle 18 minute treatment done right in the podiatrist’s office.
ESWT to treat Plantar FasciitisThe muscle that stretches along the bottom of the foot (the plantar fascia) is responsible for maintaining the arch of your foot. This is the muscle that becomes inflamed or irritated.
What causes plantar fasciitis?
- Common sports injuries
- Overweight people (stand or walk frequently)
- Flat or high-arched feet
- Improper shoes
- Frequent running on sand
- Increasing age
Frequently Asked Questions
What is causing my Plantar Fasciitis heel pain in New York City?Plantar fasciitis, affecting around 10% of people, is one of the most common causes of heel pain in New York City. Several factors contribute to a person developing plantar fasciitis. Overuse is the main cause. Overusing the tendon by repeatedly overstretching causes tiny, microscopic tears in the tendon. These microscopic tears lead to inflammation in the plantar fascia, hence appropriately named plantar fasciitis (-itis means inflammation). Other factors include obesity, age and foot mechanics (such as having flat feet or high arches).
Picture of Plantar Fasciitis
How can I tell if my heel pain in Baltimore is from plantar fasciitis?Several symptoms distinguish plantar fasciitis from other foot injuries or ailments. Common symptoms of plantar fasciitis in Baltimore include:
- Shooting or stabbing pain in the heel or arch of the foot
- Pain that is often worse with your first few steps in the morning or after long periods of inactivity
- Pain following exercise, not typically during exercise
Why is my Plantar Fasciitis heel pain worse in the morning?Plantar fasciitis is often the most painful in the morning because the plantar fascia, the tendon that runs along the bottom of your foot, contracts and tightens when it is not being used. When you step out of bed in the morning, the tightened tendon is overstretched. This overstretching causes microtears in the tendon, in turn causing inflammation and the pain that you are experiencing.
What should I try before ESWT in Long Island?You should try and fail 3 conservative treatments including ice, stretching, cortisone injections, night splint, rest and physical therapy. If this doesn’t work, then ESWT in Long Island is an excellent safe and effective alternative to plantar fascia surgery.
I saw an advertisement for ESWT in Pittsburgh and am wondering, what is the effectiveness of ESWT for plantar fasciitis?In the experience of Pittsburgh podiatrists performing ESWT, there is an 88% success rate after 3 months following ESWT for plantar fasciitis. It is very unlikely that you would need to have a 2nd procedure done. Please take into account that ESWT in Pittsburgh is not a “cure all” and should not be used as the only means of healing. ESWT will give your body the tools it needs to effectively heal. However, you must help the healing process by continuing to stretch daily, icing in the evenings (after 3 months), and wearing supportive orthotics in your shoes.
At Sound Medical, we follow the precise FDA protocol and guidelines to treat Plantar Fasciitis and heel pain.
Many patients have suffered for years and have Heel Spur Syndrome in Philadelphia, to Pittsburgh that has impacted their life to the extent that they can not enjoy their everyday lives and activities. Sound Medical has the answer to heel pain in New York. ESWT can help with one 20 minute treatment! Sound Medical Technologies, Inc. offers several ESWT– related services. We provide trained staff and certified technicians to operate the equipment during ESWT procedures. Physician certifications, recommendations, and our clinical applications specialist can answer all your questions. We also have certified Physicians for alternative treatments like PRP and stem Cells to treat Plantar Fasciitis. Call Sound Medical Technologies to learn how you can have this technology available on a case-by-case basis, without purchase or lease. We deliver and set up the machine and provide you with educational materials for patients. You provide the procedure. You maintain control of the patient relationship. You receive the reimbursement into your practice.
Have questions or would like to schedule SMT to come to your office?
Contact us at 724.991.0116 or Email Us