We have now been treating patients with extracorporeal shockwave
therapy (ESWT) since October 23, 2002. After extensive investigation,
our group decided to utilize the Dornier Epos Ultra, which
is one of two shockwave therapy machines that have been FDA
approved for the treatment of plantar fasciitis. In our opinion,
the advantages of the Dornier machine are clear in terms of
superior technology. With the ability to obtain real time
ultrasound imaging during the course of treatment for appropriate
placement, the treatment can be done under simple local anesthetic.
The utilization of shockwave therapy is reserved for patients
who have had plantar fasciitis for more than six months and
have failed at multiple conservative treatments. Where indicated
these would include stretching, icing, shoe gear modification,
padding, orthotics, taping, NSAID therapy, corticosteroid
injection, night splinting and rest. Multi-center randomized
placebo controlled prospective double masked clinical studies
of patients with plantar fasciitis with at least moderate
pain of at least six months and a history of prior conservative
therapy were involved in the clinical study for FDA approval.
In three months, 61.6% of patients that received the real
treatment had good to excellent results compared to only 39.7%
of the placebo patients. The most common adverse events were
pain during treatment and pain three to five days post treatment.
No long term side effects were noted in the studies reviewed.
Since these trials have been completed, the world literature
has supported the positive findings. Some additional recent
studies performed in the United States as well as an extensive
bibliography have been included below for educational purposes.
Please feel free to contact any of us should you have any
further questions concerning extracorporeal shockwave therapy.
Relevant clinical information will be continually posted at
this site as it becomes available.
Thank you very much for your confidence in our services.
We strive to continue to provide the highest quality foot
and ankle care to your patients.
Doctor, DPM, LLC
Please read the documents below to learn more about ESWT
or the Dornier Epos Ultra shockwave emitter.
Some of the forms on this page are in PDF Format. They
can be viewed using the Free Adobe Acrobat which you can download