In the world of foot and ankle care, finding effective treatments for various conditions is crucial. LMD Podiatry, a leading practice led by board-certified Dr. Lauren Dabakaroff, offers advanced solutions to address these concerns. With a background in Mount Sinai training, Dr. Dabakaroff specializes in both surgical and non-surgical interventions, catering to issues ranging from pediatric and diabetic care to conditions such as Achilles Tendonitis and bunions. What sets LMD Podiatry apart is their commitment to providing state-of-the-art diagnostics and same-day appointments, ensuring that your foot health remains a top priority. To receive expert consultation and personalized care, don’t hesitate to reach us at 954-680-7133.

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What is Shock Wave Treatment?


Shock wave treatment, also known as extracorporeal shock wave therapy (ESWT), is a non-invasive medical procedure used to treat various foot and ankle conditions. It involves the use of high-energy acoustic waves to stimulate the body’s natural healing process and promote tissue regeneration. These shock waves are applied to the affected area, penetrating deep into the tissue, causing microtrauma, and initiating the body’s healing response.

How it works

Shock wave treatment works by delivering high-energy acoustic waves to the affected area, targeting the injured tissue. These shock waves create controlled microtrauma, promoting the release of growth factors and increasing blood flow to the area. This increased blood flow brings essential nutrients and oxygen to the damaged tissue, accelerating the healing process. Additionally, shock wave treatment helps to break up scar tissue and stimulate the production of new collagen, enhancing tissue regeneration and improving overall function.

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Benefits of Shock Wave Treatment for Foot and Ankle Conditions


One of the key advantages of shock wave treatment is that it is a non-invasive procedure. It does not require any incisions or sutures, minimizing the risk of complications and reducing recovery time. This makes it a viable treatment option for individuals who prefer non-surgical intervention or who may not be suitable candidates for surgery due to underlying medical conditions.

Pain reduction

Shock wave treatment has been shown to effectively reduce pain associated with foot and ankle conditions. The high-energy acoustic waves target the source of the pain, stimulating the release of endorphins, which are the body’s natural painkillers. This can provide relief for individuals experiencing chronic pain, allowing them to resume regular activities and improve their quality of life.

Faster healing

By promoting increased blood flow and stimulating the body’s natural healing response, shock wave treatment can significantly accelerate the healing process. This is particularly beneficial for individuals with slow-healing or stubborn injuries that have not responded well to other treatments. With faster healing, patients can expect to return to their normal activities sooner.

Improved mobility

Foot and ankle conditions can often limit a person’s mobility and hinder their ability to perform daily activities. Shock wave treatment can help improve mobility by reducing pain, promoting tissue healing, and enhancing overall function. By addressing the root cause of the condition and promoting tissue regeneration, individuals may experience improved range of motion and increased mobility in the affected area.

Conditions Treated with Shock Wave Treatment

Plantar Fasciitis

Plantar fasciitis is a common condition characterized by inflammation and pain in the heel and sole of the foot. Shock wave treatment is an effective non-invasive option for treating plantar fasciitis by stimulating tissue regeneration and reducing inflammation.

Achilles Tendonitis

Achilles tendonitis is the inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. Shock wave treatment can help stimulate healing, reduce pain, and improve the strength and flexibility of the Achilles tendon.

Heel Spurs

Heel spurs are bony growths that develop on the heel bone. They can cause severe pain and discomfort, especially with weight-bearing activities. Shock wave treatment can break up the calcium deposits and promote healing, reducing the symptoms associated with heel spurs.

Morton’s Neuroma

Morton’s neuroma is a painful condition that affects the nerves in the ball of the foot, often causing tingling, numbness, and a burning sensation. Shock wave treatment can help alleviate the symptoms by reducing nerve inflammation and promoting tissue regeneration.

Stress Fractures

Stress fractures are small cracks or breaks in the bones caused by repetitive stress or excessive force on the foot or ankle. Shock wave treatment can promote the healing process by increasing blood flow to the affected area and accelerating bone regeneration.

Procedure of Shock Wave Treatment

Patient evaluation

Before undergoing shock wave treatment, a thorough evaluation of the patient’s condition is necessary. This may involve a physical examination, medical history review, and possibly diagnostic imaging, such as X-rays or MRI scans. This evaluation helps determine if the patient is a suitable candidate for shock wave treatment and allows the healthcare provider to develop an individualized treatment plan.

Preparing for the treatment

In preparation for shock wave treatment, the patient may be advised to refrain from taking certain medications, such as blood thinners, that could interfere with the procedure. They may also be instructed to avoid eating or drinking for a specific period before the treatment to minimize the risk of any gastrointestinal discomfort.

The treatment process

During the shock wave treatment, the patient will be positioned comfortably, and a gel or oil will be applied to the treatment area to aid in the transmission of the shock waves. The healthcare provider will then use a specialized device to deliver the shock waves to the targeted area. The entire process typically takes about 15 to 30 minutes, depending on the specific condition being treated and the extent of the injury.

Recovery and Post-Treatment Care

Expected recovery time

Following shock wave treatment, the recovery time can vary depending on the individual and the specific condition being treated. In general, patients can expect to experience some mild discomfort or soreness in the treated area for a few days following the procedure. Most individuals can resume their regular activities within a few days to a week, with gradual improvement in symptoms over time.

Pain management

To alleviate any discomfort or pain during the recovery period, over-the-counter pain relievers may be recommended by the healthcare provider. Applying ice packs to the treated area can also help reduce swelling and alleviate pain. It is important to follow the healthcare provider’s instructions regarding pain management and use any prescribed medications as directed.

Physical therapy and exercises

In some cases, the healthcare provider may recommend physical therapy or specific exercises to help optimize the outcome of shock wave treatment. These exercises can help improve flexibility, strength, and overall function in the treated area. It is crucial to comply with any prescribed physical therapy or exercise regimen to achieve the best results.

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Effectiveness and Success Rate of Shock Wave Treatment

Clinical studies and research

Numerous clinical studies have demonstrated the effectiveness of shock wave treatment for various foot and ankle conditions. Research has shown that shock wave treatment can significantly reduce pain, improve function, and promote tissue healing in a substantial number of patients. However, individual results may vary, and it is important to consult with a qualified healthcare provider to determine the potential benefits and risks of shock wave treatment for a specific condition.

Patient testimonials

Many patients who have undergone shock wave treatment for foot and ankle conditions have reported positive outcomes and a reduction in pain. Patient testimonials often highlight the improved quality of life, increased mobility, and faster recovery experienced after undergoing shock wave treatment. It is essential to consider both clinical studies and patient testimonials when evaluating the effectiveness and success rate of shock wave treatment.

Comparison with Other Treatment Options


While surgery may be necessary for certain foot and ankle conditions, shock wave treatment offers a non-invasive alternative for individuals who prefer to avoid surgical intervention. Compared to surgery, shock wave treatment typically involves fewer risks, a shorter recovery period, and fewer complications. However, the healthcare provider will assess the severity of the condition and the individual’s specific needs to determine the most appropriate treatment approach.

Corticosteroid injections

Corticosteroid injections are commonly used to alleviate pain and reduce inflammation in foot and ankle conditions. While these injections can provide temporary relief, they may not address the underlying cause of the condition or promote long-term healing. Shock wave treatment, on the other hand, stimulates tissue regeneration and promotes healing, which may lead to more sustained pain relief and improved function.

Physical therapy

Physical therapy is often recommended as part of the treatment plan for foot and ankle conditions. It focuses on strengthening muscles, improving flexibility, and enhancing overall function. Shock wave treatment can be used in conjunction with physical therapy to further optimize the healing process and enhance the outcomes of rehabilitation efforts.

Risks and Side Effects of Shock Wave Treatment

Mild discomfort

Following shock wave treatment, some individuals may experience mild discomfort or soreness in the treated area. This discomfort is typically temporary and should subside within a few days.


In rare cases, bruising may occur at the treatment site. This is usually a temporary side effect and will resolve over time.


Localized swelling may occur after shock wave treatment. Applying ice packs and elevating the treated area can help alleviate swelling and promote faster recovery.

Rare complications

While rare, there is a small risk of complications associated with shock wave treatment. These can include skin redness, numbness, or infection at the treatment site. It is important to consult with a qualified healthcare provider who can evaluate the individual’s specific condition and discuss the potential risks and benefits of shock wave treatment.

Finding a Qualified Shock Wave Treatment Provider

Researching local providers

When seeking out a qualified shock wave treatment provider, it is essential to conduct thorough research. Look for healthcare providers who specialize in foot and ankle care and have experience in administering shock wave treatment. Online reviews and recommendations from trusted sources can also help guide the decision-making process.

Consultation and evaluation

Once potential providers have been identified, schedule a consultation to discuss the specific foot or ankle condition and determine if shock wave treatment is a suitable option. During the consultation, the healthcare provider will evaluate the individual’s condition, medical history, and any relevant diagnostic imaging. They will also address any questions or concerns the individual may have, providing personalized recommendations and treatment plans.

Cost of Shock Wave Treatment

Insurance coverage

It is important to check with the individual’s insurance provider to determine if shock wave treatment is covered under their policy. Some insurance plans may cover a portion or all of the cost of shock wave treatment, depending on the specific plan and the medical necessity of the procedure.

Out-of-pocket expenses

For individuals without insurance coverage or who have high deductibles or co-pays, there may be out-of-pocket expenses associated with shock wave treatment. The cost can vary depending on the provider, geographic location, and the specific foot or ankle condition being treated. It is advisable to obtain cost estimates and explore financing options, if available, to ensure that the individual can receive the necessary treatment without undue financial burden.

In conclusion, shock wave treatment is a non-invasive and effective option for treating various foot and ankle conditions. Its benefits include pain reduction, faster healing, improved mobility, and a non-invasive approach. By targeting and promoting tissue regeneration, shock wave treatment can provide long-term relief and improve the quality of life for individuals experiencing foot and ankle pain. However, it is important to consult with a qualified healthcare provider and carefully consider the potential risks, benefits, and costs associated with shock wave treatment before proceeding with the procedure.

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