“It’s a sound procedure.”
S.E.T. Footcare, P.C., is pleased to announce that we are now performing the latest high tech, non-surgical treatment for heel pain in our office.
Dr. Jeffrey B. Klein is one of the first and few doctors in the USA to be certified in performing this treatment and the first doctor in Michigan to perform this revolutionary treatment utilizing the Ossatron as well as the Epos Ultra by Dornier.
Shockwave therapy uses high intensity sound waves to rid our patients of severe debilitating heel pain caused by plantar fasciitis and heel spur syndrome.
What is ESW treatment?
Extracorporeal shockwave treatment is an FDA approved procedure used to treat chronic plantar fasciitis and heel spur syndrome. It’s technology is similar to lithotripsy technology used to break up kidney stones without surgery. ESWT uses high intensity sound waves (acoustic) to treat plantar fasciitis and heel spur syndrome. It is a non-surgical high tech method which boasts a tremendous success rate. The Ossatron made by Healthtronics or the Epos Ultra made by Dornier are the high power shockwave generators. The shock waves are created by medical grade spark plugs enclosed in a soft plastic dome filled with water. During ESWT this dome is placed close against the symptomatic heel so the shockwave passes through the dome to the heel.
Who is a candidate for ESWT?
ESWT, used to treat plantar fasciitis and heel spur syndrome, is not the first line of treatment and is only considered after conservative treatment fails. Conservative treatment may include at least two or more of the following: Use of non-steroidal anti-inflammatory drugs such as Motrin or Naprosyn, use of inserts in your shoes, one or multiple injections of the heel spur with an anti-inflammatory agents such as cortisone, a course of physical therapy and/or physical therapy stretches, weight loss, shoe modification or plantar fascial night splints along with rest from excessive or abusive activity and the application of heat or cold.
Who should not have ESWT?
Anyone taking medications that prolong or interfere with blood clots such as Coumadin or Plavix. Anyone with a history of bleed problems, children, pregnant women or anybody with osteoporosis should not have ESWT.
What are the side effects or complications?
ESWT therapy may cause skin reddening, and bruising of the treated foot. This usually clears within a few days. It can cause numbness or tingling. Studies, however, show no significant side effects or complications with use of ESWT.
How successful is ESWT?
Studies have shown a very high success rate, however, some patients did not get better with ESWT and needed to have further treatment or surgery to rid them of the severe pain caused by plantar fasciitis or heel spur syndrome.
Where is ESWT performed?
ESWT is performed in an office setting or in an outpatient surgical setting. The procedure takes approximately 20 or 30 minutes.
How long will it take for the heel pain to go away after ESWT?
It takes one to six weeks for the pain to start to go away and 12 weeks for the pain to be gone. Post treatment you will be asked to rest for that day and for the next four weeks restrict stressful activities such as jogging, running or participating in high impact sports. Gentle heel cord stretches are encouraged daily and wearing walking or running shoes is recommended for at least four weeks with orthotics.