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18731 N. Reems Road, Suite 640
Surprise, AZ 85374
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Restorative Foot Surgery™

Heel Pain Treatment

Shock Wave Therapy: The Advanced Treatment for Heel Pain / Plantarfasciitis / Achilles Tendonitis

Extracorporeal Shock Wave Therapy (ESWT) is the latest treatment regimen for non-resolving heel pain and is gaining in popularity since it is completely non-invasive (no incisions) / non-surgical. Developed in Germany over a decade ago, ESWT has been used primarily for the dissolving of kidneys stones (lithotripsy). 6 years ago ESWT for orthopedic use was approved for use in the U.S. Medical research has revealed the effectiveness of ESWT to be as successful as surgery. This new innovation is now the preferred technology for heel pain treatment resistant to conservative methods.

The Answer is Extra Corporeal Shock Wave Therapy (ESWT) Heel Pain Treatment

You've probably heard of the new technology that eliminates kidney stones through the use of soundwaves known as Lithotripsy. Now that same technology can be used to eliminate chronic heel pain (plantarfasciitis).

Our Doctors are pleased to announce that the Dolorclast and EPOS Ultra E.S.W.T. are available in the U.S. to limited areas. Dr. David Lee was the Founder of SoCal ESWT, has performed Shock Wave Therapy since its introduction to the West Coast and has trained many of the surgeons in Southern Calfornia.

  • No incisions.
  • No stitches.
  • No casts.
  • No bone or ligament surgery.
  • No more heel pain.*

This procedure only takes about 20 minutes to perform and involves no surgery. You can return to work the next day!

Extracorporeal Shockwave Therapy or ESWT, as it is commonly referred to, is a noninvasive, non-surgical option for the treatment of intense and relentless heel pain associated with the chronic condition known as Plantar Fasciitis.

The Plantar Fascia is a strong ligament structure (tensile strength of 4000 lb/ sq. inch) that helps to maintain the structure and arch of the foot. It extends from the base of the toes to the heel bone or calcaneus bone.

The Plantar Fascia is almost as wide as the foot and plays an important role in the support of the foot.

Plantar Fasciitis is the condition caused by overuse or injury. When the Plantar Fascia is strained due to overuse, improper shoes, or poor foot structure it gets irritated and tender. The resulting inflammation causes the symptoms of pain that include: a burning sensation on the sole of the foot, and recurring foot pain especially after getting out of bed in the morning or sitting.

Plantar Fasdilis is clinically diagnosed by a physician, based on patient history and examination.

Research in ESWT that began in the 1980's has evolved into a treatment best suited for heel pain sufferers who have been unsuccessful in managing pain through the use of stretching, icing, orthotics, cortisone injections and conventional over-thecounter pain relievers. ESWT using the DolorCiast Method offers a high rate of success.

The treatment releases high intensity sound waves in the tissue being treated around the fascia ner ve, near the heel. The chronic inflammation that was causing the pain becomes an acute inflammation and the body responds by increasing circulation and cellular metabolism around the affected soft tissue.

ESWT instigates the body's own healing processes, by treating the source of the pain. ESWT using the Swiss DolorCiast Method, does more than mask the pain, it offers a successful, long term solution in eliminating the pain.

* FDA studies show that 81% of patients with plantarfasciitis pain treated with ESWT showed a significant improvement within 6-12 weeks of a single treatment. Patients treated with ESWT in the FDA trials had heel pain at least 6 months before ESWT which had not responded to other conservative treatments.

Heel Pain Frequently Asked Questions

There are several common causes of chronic heel pain. They are: inflammation of the plantar fascia (plantarfasciitis), stress fracture of the heel bone, Achilles tendonitis, nerve compression, and inflammation of the small muscles of the foot. Often there are combinations of these areas involved. The exact cause for each person needs to be evaluated by a specialist. The specific cause of heel in each case determines the type of treatment regimen and the prognosis.

What can be done about chronic heel pain?

The initial treatment of chronic heel pain by Dr. Lee may include a combination of stretching exercises, oral anti-inflammatories, arch taping, custom arch supports (orthotics), night splints, and injections.

If after a consistent attempt at these treatments a new "no incision" procedure called E.S.W.T. can be performed. E.S.W.T. is the alternative to incisional surgery based on the technology used in non-invasive kidney stone removal. This 15 minute procedure allows patients to return to work almost immediately, has no incision to heal, and allows walking in regular shoes immediately. E.S.W.T. replaces most of the necessity for "Endoscopic Plantarfasciotomy" (EPF) or Bone Spur Surgery.

I had a friend who had a shot for his heel pain. He said it was extremely painful. Is that true and why?

It is true that most people experience exceptional discomfort while receiving an injection in the heel. The main cause of this is due to pushing in the medicine too quickly (pressure). If the injection is done slowly to allow the pressure in the heel area to dissipate while injecting the amount of pain caused by the shot is decreased by almost 95% . If the doctor is giving you the injection very slowing (over 3-5 minutes) then he is doing a great job because you won't have much discomfort!

Some clinicians contend that the cause of pain is due to the acidity of the medication, however, in my experience I have found the contribution of acidity to pain to be virtually none.

I have sore feet and arches. Do those arch supports or inserts on TV or in the stores really work?

Sometimes. The Over-the-counter pre-made arch supports are designed as a "one size fits fits all" type device so that they can mass produce them for the public. In minor conditions where the problem is only mild these devices can be effective. However, if they do not solve the pain or problem within a few weeks they probably won't work.

The design of these products vary from company to company and sometimes offered with certain gimmicks or "magic" designs. Don't fall for these as a reason to get a better product. One may spend anywhere from $25 to $300 for these pre-made devices.

My advice:

- Do not to pay more than $50 for them. They aren't worth much more than that. - If they don't work the first time, don't go out and try a different one potentially wasting your hard earned money. Rather, see a Podiatrist and have a professional opinion rendered. Often times a custom support (orthotic) needs to be made and most insurances cover them. If you don't have insurance the cost of custom orthotics are between $350 and $500.

I have several pairs of those custom orthotics and they've never worked. Why not?

The effectiveness of an orthotic device depends on three issues:

  1. How were they measured and casted for the initial molding.
  2. The design of the device including special adjustments and materials.
  3. Patient education on the use of the device during the first 2 months.

I heard from my friend that shots in the foot are painful. Is that true?

Unfortunately, most doctors cause severe pain with injections to the foot. This just doesn't have to be. Dr. Lee has perfected a technique that is virtually painless. REALLY! Combined with a gentle touch and a cold spray that numbs the skin thousands of patients have testified that his injections are remarkably painless.

Achilles Tendon Stretches

Achilles Tendon Stretches*
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