Over 40 million people suffer heel pain in the United States. 

Fortunately there is something you can do about it. 

You donít have to suffer anymore!

Your feet are your foundation.  When they hurt, everything you do in your life is affected.  Having daily pain is no way to live, especially when the pain is avoidable.  Today as you read this information, we hope you begin to feel excited about how much better you will feel and how much more enjoyable your life will be with one simple procedure.

This information will answer the following questions for you:

        What is ESWT?

        What does the procedure involve, and does it hurt?

        What kind of recovery can I expect?

What is ESWT?

ESWT stands for Extra-corporeal Shock Wave Therapy.  Sounds pretty complicated right?  Well, donít worry.  Itís a big fancy name, and high technology, but to you it is a very simple non-surgical procedure.

Lithotripsy, a similar procedure, is used regularly for breaking up and dispersing kidney stones.  When Urologists reported that patients who had their kidney stones treated with Lithotripsy were presenting increased bone density and new tissue growth, the possibilities of Shock Wave therapy were revisited.  As a result, ESWT was studied for chronic heel pain resulting from plantar fasciitis and heel spurs. An FDA study was performed for patients who suffer chronic plantar fasciitis with or without the presence of a heel spur. The results were an amazing average reduction in pain of 92% with only one treatment. (This data reflects the results of all patients treated in the study one year after receiving one treatment with the Dornier EPOS ESWT machine).

Excellence Shock Wave Therapy is one of the first practices in the United States to become expert and equipped to offer this procedure.  Now the physicians of Excellence Shock Wave Therapy are not only pioneers in the field of ESWT, but also among the most experienced having performed thousands of treatments in the past 15 months. 

Dr. Abrams is a member of this practice, and like the other members, is a Board Certified Podiatric Foot Surgeons who excels in his own practice of podiatry.


What is involved in the procedure and does it hurt?

This is the most exciting part about this new technology.  Itís literally an amazing advance in medical science.  All you do is lie back and relax, your doctor and the staff of Excellence Shock Wave Therapy will do the rest! 

First and most important is to find the root of your pain and determine the best course of action. Your doctor will complete a thorough examination and will inform you of a diagnoses and what treatment is recommended.  If ESWT is right for you, hereís what you can expect:

You lie back in a comfortable chair with your foot resting on a large fluid-filled rubber dome.  The Mobile Centerís staff will make sure you are comfortable throughout the entire procedure.  Though not necessary, to insure patient comfort a local anesthesia is used for the procedure.  The procedure does not hurt.  The equipment has a wide range of settings and penetration depths.  This allows our doctors to fine tune the procedure to your individual diagnoses.  Ultrasound will be used to view and target the damaged location.  During the treatment all you will be aware of is a repetitive clicking sound as the pulses penetrate the center of your pain site at a rapid rate.  Whatís most important is whatís going on inside of your foot.  The shock waves stimulate the diseased tissue activating your bodyís natural healing process.  Blood and oxygen rush to the site activating a metabolic response that:

        Fosters healing by the growth of new connective tissue.  This is what is damaged and torn when you have plantar fascias and/or heel spur pain

        Creates an analgesic effect which helps to reduce your pain immediately after the procedure

        Stops the pain

Those are all really good things to have happen by sitting back in a chair and relaxing!  Whatís more, it only takes about a half hour to complete!

This bears repeating because we know itís important to you.  ESWT DOESNíT HURT.  THIS IS NOT A PAINFUL OR INVASIVE PROCEDURE.   THERE IS NO CUTTING.

What kind of recovery can I expect?

Letís back up and first address what is most important.  Immediate action.  Everything you are about to read regarding recovery is influenced by how long a person has put off having treatment.  In other words, the sooner you get this taken care of the better.  Thatís somewhat common sense, but it truly does apply here.

Since the procedure encourages blood flow to the area, you may experience some mild bruising or soreness.  You may walk out with no pain at all, or you may feel pretty much the same.  Never does your current condition get worse.  That is why this procedure is so wonderful.  If you have any concerns of a long drawn out recovery cramping your style you can forget that.  From the first day improvement is expected.  The only thing that is individualized is how much, how soon.  In some, the majority of the pain relief is immediate.  In others it gradually gets better from day one through the first six weeks.  In others it gradually gets better from day one up to 12 weeks.  But never is there any reason to put it off.  With successful E.S.W.T. Therapy the pain and the causal condition will begin getting better immediately after the treatment.   You do not need to plan time off from work or your life.