Extracorporeal Shock Wave Therapy (ESWT) to Treat Achilles Tendonitis and Plantar Faciitis

Low energy extracorporeal shock wave therapy (ESWT) is a non-invasive option that can be an effective treatment for plantar fasciitis and Achilles tendonitis when conservative measures such as rest, exercise modification, physical therapy and orthotic inserts have failed to relieve pain.

Shock wave therapy is a technology similar to lithotripsy, used to break up kidney stones. It is readily performed in the office and does not require anesthesia.

Low energy extracorporeal shock wave therapy is performed in the office without anesthesia. A probe is placed against the skin of the foot or ankle and then a series of energy "shocks" are delivered over five to ten minutes. It it thought that this "jump starts" the body's own healing processes in the affected tissues.

When low energy extracorporeal shock wave therapy has been performed for plantar fasciitis or Achillies tendonitis the initial stages of healing begin within four to six weeks, with continued recovery for several months. Most patients note some improvement within the first three months. Occasionally, an additional treatment may be considered depending on the response achieved with the first cycle.

It is important to continue stretching exercises and physical therapy during recovery. Most surgeons recommend the patient avoid the use of anti-inflammatory medicines (NSAIDs, such as Ibuprofen) for at least six weeks so as not to interfere with the healing process.

If the low energy shock wave therapy is not effective, surgery remains a last resort option.

Patients suffering from plantar fasciitis or Achilles tendonitis may be candidates for shock wave therapy if more conservative treatment methods have not been effective in relieving pain.