Extracorporeal-shockwave-therapy

ESWT-Soundwave Therapy

While surgery is the standard treatment for many foot and ankle pain disorders, surgery can result in undesirable side effects such as scarring, delayed healing, nerve entrapment, and infection as well as several weeks or months of downtime while the patient heals.

Until recently, surgery was the only option to treat certain cases of foot, Achilles, tendon and heel pain.

With the introduction of Combination Focused and Radial ESWT Soundwave Therapy*, patients now have a viable alternative to surgery when treating these disorders.

ESWT-Soundwave Therapy is the most advanced and highly effective non-invasive treatment method for foot and ankle pain cleared by the FDA.

This proprietary technology is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals.

This non-invasive procedure represents a breakthrough treatment option for a broad range of musculoskeletal conditions.

ESWT-Soundwave therapy can treat acute or chronic musculoskeletal pain and/or pain that significantly impairs mobility or quality of life.

This non-invasive treatment has virtually no risks or side effects. The beneficial effects of ESWT-Soundwave Therapy are often experienced after only 3 treatments. Many patients report immediate pain relief after the first treatment, although it can take up to 4 weeks for pain relief to begin. The procedure eliminates pain and restores full mobility, thus improving your quality of life for various disorders including:

Foot and heel pain
Achilles pain
Tendon and/or tendon insertion pain
Neuromas
Trigger points

ESWT-Soundwave therapy has a proven success rate that is equal to or greater than that of traditional treatment methods (including surgery)

Over 90% of patients treated report to be pain free and/or have significant pain reduction.

Foot and heel pain
Achilles pain
Tendon and/or tendon insertion pain
Neuromas
Trigger points

ESWT-Soundwave therapy has a proven success rate that is equal to or greater than that of traditional treatment methods (including surgery)

ESWT-Soundwave Therapy has all of the benefits of traditional procedures without the risks, complications and lengthy recovery time. ESWT-Soundwave Therapy is performed in your physician’s office/clinic, does not require anesthesia, requires a minimal amount of time, patients can immediately bear weight (i.e. walk), and return to normal activity within a few days of the procedure.

Non-invasive
No anesthesia
No risk of infection
No scarring
No downtime

Compare the benefits of ESWT-Soundwave Therapy vs. Surgery with the Table Below

Results	ESWT-Soundwave Therapy	Surgery
Invasiveness	Non-Invasive Technique.	Invasive procedure requires opening of the skin
Anesthesia	No Anesthesia Needed.	Sedation to General Anesthesia is needed and ranges from numbing affected area to rendering patient unconscious for the duration of the procedure.
Risk of Infection	No Risk of Infection	Low to high depending on procedure. With surgery there is always a risk of infection leading to other issues
Scarring	No Scarring	Depending on procedure but there is always signs of surgical scarring
Recovery Time	ZERO: Patient can resume normal activities immediately after treatment	Recovery time ranges from 2 to 6 weeks depending on procedure.
Patient Satisfaction	Over 80%	Varies depending on procedure. For certain procedure can be as low as 10%.

Featured Article
Combined ESWT & RSW Therapy for Achilles Tendinopathy: A Prospective Study

Results of Study: Our results show a significant improvement in outcome measures in patients treated with ESWT and RSW, as compared to other studies. We conclude that the dual treatment method is a safe and improved method of treatment for Achilles tendinopathy compared to isolated use of ESWT or RSWA.

PubMed listed publications

Extracorporeal shockwave therapy in patients with Morton’s Neuroma Hyun Seok , MD, PhD, Sang-Hyun Kim , MD, PhD, Seung Yeol Lee , MD, Sung Won Park , MD Journal of the American Podiatric Medical Association (2016)

Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study Gollwitzer, H; Saxena, A; DiDomenico, LA; Galli, L; Bouché, RT; Caminear, DS; Fullem, B; Vester, JC; Horn, C; Banke, IJ; Burgkart, R; Gerdesmeyer, L. The Journal of Bone and Joint Surgery (2015)

Two emerging technologies for achilles tendinopathy and plantar fasciopathy. Langer PR. Clinics in Podiatric Medicine and Surgery (2015)

Ultrasonographic evaluation of low energy extracorporeal pulse activated therapy (EPAT) for chronic plantar fasciitis. Gordon R, Wong C, Crawford EJ. Foot & Ankle International (2012)

Comparison between extracorporeal shockwave therapy, placebo ESWT and endoscopic plantar fasciotomy for the treatment of chronic plantar heel pain in the athlete. Saxena A, Fournier M, Gerdesmeyer L, Gollwitzer H. Muscles, Ligaments and Tendons Journal (2012)

Successful treatment of chronic plantar fasciitis with two sessions of radial extracorporeal shock wave therapy. Ibrahim Ibrahim M, Donatelli R, Schmitz C, Hellman M, Buxbaum F. Foot & Ankle International (2010)

Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures. Lohrer H, Nauck T, Dorn-Lange NV, Schöll J, Vester JC. Foot Ankle International (2010)

Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study. Gerdesmeyer L, Frey C, Vester J, Maier M, Weil L Jr, Weil L Sr, Russlies M, Stienstra J, Scurran B, Fedder K, Diehl P, Lohrer H, Henne M, Gollwitzer H. American Journal of Sports Medicine (2008)

Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the efficacy of a new electromagnetic shock wave device. Gollwitzer H, Diehl P, von Korff A, Rahlfs VW, Gerdesmeyer L. Journal of Foot Ankle Surgery (2007)

Extracorporeal Shock Wave Therapy for the Treatment of Plantar Fasciitis Theodore GH, Buch M, Amendola A, Bachmann C, Fleming LL, Zingas C. Foot & Ankle International (2004)

Effect of shock-wave therapy on patellar tendinopathy in a rabbit model. Hsu RW, Hsu WH, Tai CL, Lee KF. Journal of Orthopedic Research (2004)

Ultrasonographic evaluation at 6-month follow-up of plantar fasciitis after extracorporeal shock wave therapy. Hammer DS, Adam F, Kreutz A, Rupp S, Kohn D, Seil R. Archives of Orthopaedic and Trauma Surgery (2003)

Shock wave therapy induces neovascularization at the tendon-bone junction: a study in rabbits. Wang CJ, Wang FS, Yang KD, Weng LH, Hsu CC, Huang CS, Yang LC. Journal of Orthopedic Research (2003)

Preliminary Results on the Safety and Efficacy of ESWT for Treatment of Plantar Fasciitis. Alvarez R. Foot & Ankle International (2002)

Achilles

Extracorporeal shock wave therapy improves the walking ability of patients with peripheral artery disease and intermittent claudication. Serizawa F, Ito K, Kawamura K, Tsuchida K, Hamada Y, Zukeran T, Shimizu T, Akamatsu D, Hashimoto M, Goto H, Watanabe T, Sato A, Shimokawa H, Satomi S. Japanese Circulation Journal (2012)

Extra-corporeal pulsed-activated therapy (“EPAT” sound wave) for Achilles tendinopathy: a prospective study. Saxena A, Ramdath S Jr, O’Halloran P, Gerdesmeyer L, Gollwitzer H. The Journal of Foot & Ankle Surgery (2011)

Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a randomized controlled trial. Rompe JD, Furia J, Maffulli N. American Journal of Sports Medicine (2009)

Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy: a randomized, controlled trial. Rompe JD, Furia J, Maffulli N. The Journal of Bone and Joint Surgery (2008)

Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendon Achillis: a randomized controlled trial. Rompe JD, Nafe B, Furia JP, Maffulli N. American Journal of Sports Medicine (2007)

High-energy extracorporeal shock wave therapy as a treatment for insertional Achilles tendinopathy. Furia JP. The American Journal of Sports Medicine (2006)

Shock wave therapy for chronic Achilles tendon pain: a randomized placebo-controlled trial. Costa ML, Shepstone L, Donell ST, Thomas TL. Clinical Orthopedics and Related Research (2005)

Lower Extremity

The effectiveness of extracorporeal shock wave therapy in lower limb tendinopathy: a systematic review. Mani-Babu S, Morrissey D, Waugh C, Screen H, Barton C. American Journal of Sports Medicine (2014)

Vibration and pressure wave therapy for calf strains: a proposed treatment. Saxena A, St Louis M, Fournier M. Muscles, Ligaments and Tendons Journal (2013)

Ultrasonographic evaluation of low energy extracorporeal pulse activated therapy (EPAT) for chronic plantar fasciitis. Gordon R, Wong C, Crawford EJ. (Foot Ankle Int. Mar 2012)

High-energy focused extracorporeal shockwave therapy reduces pain in plantar fibromatosis (Ledderhose’s disease). Knobloch K, Vogt PM. BioMed Central Research Notes (2012)

Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study Moen MH, Rayer S, Schipper M, Schmikli S, Weir A, Tol JL, Backx FJ. British Journal of Sports Medicine (2011)

Shockwave therapy for the treatment of chronic proximal hamstring tendinopathy in professional athletes. Cacchio A, Rompe JD, Furia JP, Susi P, Santilli V, De Paulis F. The American Journal of Sports Medicine (2010)

Low-energy extracorporeal shock wave therapy as a treatment for medial tibial stress syndrome Rompe JD, Cacchio A, Furia JP, Maffulli N. American Journal of Sports Medicine (2009)

Extracorporeal shockwave for chronic patellar tendinopathy. Wang CJ, Ko JY, Chan YS, Weng LH, Hsu SL. The American Journal of Sports Medicine (2007)

Extracorporeal shock wave therapy in the treatment of chronic tendinopathies. Sems A, Dimeff R, Iannotti JP. Journal of the American Academy of Orthopaedic Surgeons (2006)

Effects of shock waves on the microcirculation in critical limb ischemia (CLI) (8-week study). De Sanctis MT1, Belcaro G, Nicolaides AN, Cesarone MR, Incandela L, Marlinghaus E, Griffin M, Capodanno S, Ciccarelli R. Angiology (2000)