Extracorporeal shock wave therapy (ESWT) or Extracorporeal pulse activated therapy (EPAT) is a non-invasive evidence-base treatment option for patients suffering from acute or chronic musculoskeletal injuries. It uses low energy sound waves on target tissue. This leads to an increase in blood flow which in turn increases the migration of growth factors promoting healing. 

Common conditions it is used for:

  • Plantar fasciitis

  • Achilles tendonitis

  • Plantar plate injuries

  • Posterior tibial tendonitis

  • Stress fractures

  • Acute muscle injuries

  • Sesamoiditis 

  • Medial tibial stress syndrome (shin splints) 

What to Expect: This is a non-invasive treatment that takes less than 20 minutes in the office. It requires no anesthesia. The area of pain is desensitized with some introductory shocks at a very low energy. The energy is then gradually increased to create mild tenderness at the site. This is well tolerated by most people. Patient is given a total of 2000 shocks a session. Patients may require anywhere between 3-6 sessions. These are performed once a week. It can take 6-12 weeks before one feels the full effects of treatment. Patients may find that they have some mild tenderness at the site with redness. We encourage continued calf stretching and icing after therapy.