Extra Corporeal Shockwave Therapy

Extra-Corporeal Shockwave Therapy

What is it?
Extra-corporeal shockwave therapy is a form of conservative, non-invasive treatment where low
energy, high frequency shockwave pulses are delivered to an area to stimulate healing, especially in
areas of inflammation. This is an entirely outpatient procedure performed in office.

Does it hurt?
It may be slightly uncomfortable when the shocks are being delivered. If you are unable to tolerate the
treatment, the frequency and intensity of pulses can also be adjusted to minimize discomfort.

What does it do?
The delivery of shocks to the affected area triggers an inflammatory response. Your body then
increases its metabolic activity and blood flow to the inflamed area, stimulating the healing process to
begin. This results in tissue regeneration.

What should I expect in terms of the procedure itself?
Patient will be asked to lie down in the exam chair or on their stomach, depending on each provider’s
preference. Ultrasound gel is applied to the heel area to enhance transmission of the shockwaves.
Using a handheld probe, shockwaves will be delivered to the affected area. Your provider will gradually
increase the intensity of the pulses to your comfort level. You will feel and hear a tapping sound as the
pulses are delivered. Some discomfort is normal. Each session will be approximately 15-20 minutes.
 
There may be some pain following the procedure, as well as minor bruising and swelling. As we want to
allow the inflammatory response to occur, patients should avoid oral anti-inflammatory medications and
ice for 48 hours so as not to disrupt the body’s natural healing process. If pain medication is needed for
post-procedural pain, Tylenol is recommended. In addition, it is advised to refrain from high impact
activities such as running or jumping for at least 48 hours.

What is the cost?
The cost of treatment is $350 for a total of four sessions. Additional treatments can be added on for
$100 per treatment.

Why do it?
Shockwave has been proven in medical research to be highly effective in inflammatory conditions.
There are high success rates in treating plantar fasciitis, Achilles tendinitis, and other tendon
pathologies with shockwave. This may allow patients to avoid surgery as well.

Are there risks?
As with any procedure, there are risks involved with shockwave therapy. These include pain, swelling,
bruising, redness, and numbness to the affected area.