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Let’s Talk About Extracorporeal Shock Wave Therapy

(And Why It May Not Be Right For Everyone)

Doctor performing Extracorporeal Shock Wave Therapy (ESWT)
Monday, 30 September 2024

Many patients with chronic foot or ankle pain search for noninvasive treatment options to avoid surgery. One treatment that's become popular in recent years is Extracorporeal Shock Wave Therapy (ESWT). This method uses acoustic energy pulses to promote tissue healing, particularly in injuries that have been slow to recover.

How Does Extracorporeal Shock Wave Therapy Work?

During an ESWT session, a handheld device sends acoustic pulses through the skin to targeted areas of damaged tissue. These pulses create what's known as "microtrauma." This controlled microtrauma helps stimulate your body's natural healing processes. Increased blood flow to the area improves circulation and metabolism, prompting the production of new cells. Over time, the treatment can reduce pain and inflammation.

Shockwave therapy is frequently used to treat foot and ankle conditions like plantar fasciitis and Achilles tendinopathy, both of which can cause significant discomfort and mobility issues if left untreated. Because ESWT is noninvasive and typically has minimal side effects, it appeals to many patients who are looking for an alternative to surgical intervention.

Potential Benefits of Shock Wave Therapy

Shockwave therapy is praised for being a non-invasive option with minimal side effects. Treatments are usually quick, lasting just a few minutes, and are typically performed once a week over the course of several weeks, depending on the injury's severity.

Patients often seek this therapy as an alternative to surgery for conditions like tennis elbow, shoulder pain, and heel issues. It promotes natural tissue regeneration and provides long-term relief. Since there's no need for anesthesia and recovery times are minimal, it's often considered a safe, low-risk alternative.

Downsides to Consider

Despite its potential benefits, ESWT has drawbacks, and it's important to be informed before considering this treatment option.

  • Multiple Sessions Required: To see noticeable results, most patients need around 12 sessions of shockwave therapy. While each session might be short, the treatment commitment can be time-consuming and, for some, may become costly. This repeated treatment regimen can add up, especially if insurance doesn't cover the procedure.
  • Pain and Discomfort: While ESWT is non-invasive, it can still be uncomfortable. In particular, high-intensity versions of the treatment are known to cause discomfort. Some patients report significant pain during the procedure, which may deter them from completing the full treatment plan. It's important to weigh whether short-term discomfort is worth the potential long-term relief.
  • Limited Suitability: Shockwave therapy isn't suitable for everyone. Pregnant women, people with heart conditions, those on anticoagulants, or individuals with nerve disorders like neuropathy should avoid this treatment. These restrictions make it less accessible for certain patient groups, especially those with complex medical histories.
  • Variable Effectiveness: While some patients see great improvement, others experience little to no relief from ESWT. Conditions like cellulite, for example, often require the therapy to be combined with other treatments to be fully effective. For those seeking results for issues beyond chronic pain (like cosmetic concerns), the therapy may not be the standalone solution they hope for.

Why We Don’t Offer Shockwave Therapy

At Arbor-Ypsi Foot & Ankle Centers, while we understand the growing interest in shockwave therapy, we believe in offering treatments that are best suited to our patients' specific needs and conditions. We do not provide ESWT as part of our treatment offerings. Instead, we focus on a range of other highly effective and proven treatments. Whether you're dealing with heel pain, bunions, or conditions requiring advanced solutions like foot and ankle reconstructive surgery or custom orthotics, our team is here to help you find the right path to recovery.

We prioritize personalized care and work with each patient to create an individualized treatment plan tailored to your specific condition. If you're struggling with foot or ankle pain, schedule a consultation with our experts today to explore the best treatment options available for your unique situation.

What We Offer Instead

Instead of shockwave therapy, we provide a wide range of services that address the root causes of foot and ankle pain, including:

  • Custom Orthotics: For those experiencing chronic pain due to flat feet, high arches, or other structural issues, custom orthotics can provide the support you need. Unlike over-the-counter options, our orthotics are designed specifically for your foot's anatomy, alleviating pain and improving mobility.
  • Minimally Invasive Surgery: We understand that surgery can be daunting, but when necessary, we offer minimally invasive procedures that reduce recovery time and scarring. For conditions like bunions or hammertoes, these surgical interventions can provide long-term relief with less downtime.
  • Foot and Ankle Reconstructive Surgery: For more severe conditions or injuries, reconstructive surgery might be the best option. Using advanced techniques like 3D-printed implants, we ensure that your surgery is precise and personalized.
  • Comprehensive Diabetic Foot Care: Patients with diabetes often face additional risks when it comes to foot health. We provide a full range of services, from preventive care to wound management, to help ensure your feet stay healthy and strong.

Schedule a Consultation Today

If you're struggling with foot or ankle pain, we encourage you to reach out and schedule a consultation with our expert team. We provide a full suite of effective, evidence-based treatments designed to get you back on your feet—pain-free. Take the first step toward relief by contacting Arbor-Ypsi Foot & Ankle Centers today.

Get relief today at Arbor - Ypsi Foot & Ankle Centers

At Arbor - Ypsi Foot & Ankle Centers in Ann Arbor, Michigan, we identify your unique foot and ankle needs and develop a highly effective and individualized treatment plan to resolve them. Our experts will work relentlessly to make you feel better and put your best foot forward.

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