Extracorporeal Shockwave Therapy (ESWT) in Valhalla, NY
Extracorporeal shockwave therapy (ESWT) is a noninvasive treatment that delivers acoustic energy to affected tissues. It may help selected patients with persistent plantar fasciitis or Achilles tendinopathy when initial treatments have not provided sufficient relief. Dr. Fred DeLucia, DPM, FACFAS, FACPM, is a dual board-certified foot and ankle specialist. At Ankle and Foot Surgical Specialists in Valhalla, NY, he provides personalized assessment to help patients explore appropriate treatment options for ongoing foot and ankle pain.
Extracorporeal Shock Wave Therapy (ESWT)
Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive (no cutting of skin and no introduction of any medical device in the body) method of treating soft tissue injuries. Extracorporeal means outside the body. Shock wave is a short energy wave with high intensity, traveling faster than sound. ESWT does not disintegrate tissue; rather it causes biological effects that help in tissue regeneration. ESWT reduces pain and sensitivity immediately by over-stimulating pain transmission nerves. It triggers the repair mechanism of the body by the formation of new blood vessels. The shock wave stimulates osteoblasts (bone cells) in the body and promotes bone healing and new bone production.
Indication
ESWT is used to treat many musculoskeletal conditions such as attachment points for ligaments and bones. A very common indication for ESWT is heel spurs. Some of the other indications include tennis elbow, golfer’s elbow, jumper’s knee, shoulder injury, Achilles tendon injury, connective tissue pain and degeneration, muscle pain and injuries. ESWT is also used for bone healing conditions like stress fractures, avascular necrosis (a dead portion of bone), non-healing bone or slow healing bone. Peyronie’s disease, a urological condition is also treated by ESWT.
Pre-treatment Care
The ESWT treatment course involves two outpatient sessions. The duration of the sessions is 1 week. You should not consume heavy meals before the session and you will be asked to wear loose fitting clothes.
Treatment
During the session, you will be sitting comfortably on a table. A scanner will be used to guide the shock wave emitter exactly to the site of injury. Around 2000 shock waves will be fired and a tapping sensation will be followed with each shock wave. Duration of each session is about 30 minutes.
Post-treatment Care
You can continue with your regular daily activities immediately after each session. In cases of heel spurs, running should be avoided for a week or more after the second session of ESWT.
Risks and Complications
ESWT has no major risks. The most commonly observed minor risks are:
- Pain (energy levels of shock waves can be adjusted to an individual’s tolerance levels).
- ESWT is not preferred if you have bone tumors, metabolic bone conditions, and nerve or circulation disorders.
- It is not recommended for pregnant women, areas of infection, locations where gas is present in the body and on locations where the bone is still growing.
ESWT is considered a safe and effective treatment option for soft tissue injuries.
Why Choose Dr. DeLucia for Extracorporeal Shockwave Therapy (ESWT) in Valhalla, NY?
- Dual Board Certification: Certified by the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine.
- Foot and Ankle Expertise: Specializes in complex adult and pediatric foot and ankle reconstruction and trauma surgery.
- Professional Fellowships: Fellow of the American College of Foot and Ankle Surgeons and the American College of Podiatric Medicine.
- Personalized Treatment Assessment: Care focused on each patient’s symptoms, functional needs, and activity goals.
- Convenient Valhalla Location: Foot and ankle consultations for patients in Westchester County.
What foot and ankle conditions may benefit from ESWT?
ESWT may be considered for persistent plantar fasciitis and selected cases of Achilles tendinopathy. Suitability depends on the diagnosis, symptom duration, and response to other treatments.
When is ESWT considered?
It is generally considered when measures such as activity modification, supportive footwear, orthotics, and rehabilitation have not adequately improved symptoms. It is not appropriate for every cause of heel or tendon pain.
Is shockwave therapy painful?
Treatment can cause a tapping sensation or discomfort. The clinician may adjust the intensity to your tolerance. Temporary soreness, redness, or bruising may occur afterward.
How many ESWT sessions will I need?
The number and spacing of sessions depend on the condition, device, and treatment protocol. A course often involves several appointments rather than a single session. Your clinician will explain the recommended schedule.
How quickly does ESWT relieve pain?
Improvement may develop gradually over several weeks or months. Results vary, and some patients do not benefit. ESWT is often combined with rehabilitation and appropriate activity changes.
Can I exercise after ESWT?
Daily activities may be possible, but running, jumping, or other strenuous exercise may need to be limited temporarily. Follow the treating clinician’s instructions before resuming higher-impact activity.
Schedule a Consultation for ESWT in Valhalla, NY
If persistent heel or Achilles tendon pain is affecting your daily activities, contact Ankle and Foot Surgical Specialists in Valhalla, NY, to schedule a consultation with Dr. Fred DeLucia. Discuss your symptoms, ask about ESWT availability, and explore whether shockwave therapy or another treatment is appropriate for you.