Extra Corporeal Shockwave Therapy for Foot and Ankle Conditions
Extra Corporeal Shockwave Therapy (ESWT) is a non-invasive treatment widely recognized in podiatry. It effectively manages chronic foot and ankle conditions, providing pain relief and promoting healing. Research supports its effectiveness in treating stubborn musculoskeletal issues, including Plantar Fasciitis, Achilles Tendinopathy, and Insertional Achilles Tendinopathy.
What is Extra Corporeal Shockwave Therapy?
ESWT involves the delivery of high-energy acoustic waves to injured tissues. These shockwaves stimulate blood flow, promote cellular repair, and enhances localised anti-inflammatory effects. The therapy is particularly useful for chronic conditions where natural healing has stalled.
Common Foot and Ankle Conditions Treated with ESWT
- Plantar Fasciitis – A leading cause of heel pain, plantar fasciitis results from excessive stress on the plantar fascia. Studies indicate that ESWT can effectively reduce pain and improve function in patients with chronic plantar fasciitis, especially those unresponsive to conventional treatments.
- Achilles Tendinopathy – This condition involves degeneration of the Achilles tendon due to overuse or repetitive strain. Shockwave therapy has been shown to stimulate collagen production and enhance tendon repair, making it an excellent option for long-term sufferers.
- Insertional Achilles Tendinopathy – Unlike mid-portion Achilles tendinopathy, this condition affects the tendon’s attachment to the heel bone. ESWT is particularly beneficial in managing pain and inflammation in these cases by promoting healing in the affected region.
ESWT has also shown promise in treating other conditions beyond plantar fasciitis and Achilles tendinopathy. Midfoot osteoarthritis, a degenerative condition causing stiffness and pain in the midfoot, may benefit from shockwave therapy’s ability to reduce inflammation and stimulate tissue repair.
Medial tibial stress syndrome (shin splints), often seen in runners and athletes, can also respond well to ESWT by promoting healing and reducing pain in the affected area. Additionally, chronic muscle spasticity, a condition associated with neurological disorders such as cerebral palsy, has been studied for its positive response to shockwave therapy, which can help relax tight muscles and improve mobility.
Research Supporting ESWT
Numerous clinical studies support the effectiveness of ESWT in treating musculoskeletal conditions. A systematic review published in the American Journal of Sports Medicine concluded that ESWT significantly reduces pain and improves function in patients with chronic plantar fasciitis and Achilles tendinopathy.
Another study in Foot & Ankle International highlighted ESWT as a superior alternative to corticosteroid injections for long-term relief.
How ESWT Fits into a Comprehensive Treatment Plan
A podiatrist will devise the best individualized treatment plan based on your specific condition and needs. This may include:
- Stretching and Strengthening Exercises to address underlying biomechanical issues.
- Orthotic Therapy to provide structural support and reduce strain on affected tissues.
- Load Management Strategies to prevent overuse injuries.
- Manual Therapy and Dry Needling for additional pain relief and mobility improvements.
Choosing the Right Shockwave Machine
Not all shockwave devices are created equal. High-quality radial and focused shockwave machines, such as those from EMS DolorClast, provide superior outcomes due to their precise energy delivery and consistent performance.
Sports & Spinal has invested in The EMS DolorClast system because it is known for its high-energy output, advanced pneumatic technology, and ability to target deep tissues effectively.
If you suffer from chronic foot pain, ESWT could be a game-changer, offering pain relief, enhanced healing, and improved mobility.
Speak to your local Sports & Spinal Podiatrist today to see if this innovative treatment is right for you!