
If you have ongoing pain in your heel and ankle, there is a chance that you have Achilles tendinopathy or Achilles tendinitis. (Tendinitis is acute inflammation of the Achilles tendon, whereas tendinopathy is a broader term that can refer to tendinitis or tendinosis, which is degeneration without inflammation.) Your pain can affect your ability to walk, run, and carry out other basic tasks! The good news is that shockwave therapy might be a viable treatment option. What is shockwave therapy, how does it work, and how many treatment sessions might you need? This blog post provides some valuable information.
An Introduction to Shockwave Therapy
Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT) or extracorporeal pulse activation technology (EPAT), is a non-invasive treatment used for various musculoskeletal conditions, including Achilles tendinopathy. The therapy involves sending acoustic waves into the affected tissue. These waves stimulate the body’s natural healing processes by increasing blood flow, promoting cell regeneration, and reducing pain. Unlike surgical procedures, shockwave therapy is performed externally and does not require any incisions or anesthesia.
Shockwave therapy is commonly used when other conservative measures, such as rest, physical therapy, or medication, have not provided sufficient relief. Studies have shown that it can significantly improve symptoms in many patients suffering from chronic Achilles tendon pain.
What to Expect with Treatment
When you begin shockwave therapy for Achilles tendinopathy, your healthcare provider will evaluate your condition to ensure you are a good candidate. If shockwave therapy is appropriate, you can expect the following:
- The treatment area will be located using palpation or ultrasound.
- A gel may be applied to the skin to help transmit the shockwaves.
- The therapist will use a handheld device to deliver the waves directly over the tendon.
- Each session may last between 10 and 20 minutes.
Most people tolerate the procedure well, although mild discomfort during the session is normal. After treatment, you may experience redness, mild swelling, or soreness around the area. These effects typically resolve within a few days.
How Many Sessions Will You Need?
You may notice an improvement in your symptoms after just one shockwave therapy session. However, in order to optimize your results, you will likely need to visit your care provider for additional sessions. Most protocols recommend between three and six treatments, spaced about one week apart. The exact number of sessions will depend on the severity of your condition and your response to therapy. Your provider will monitor your progress and adjust the plan if necessary.
Shockwave therapy may help your Achilles tendon to heal and result in lasting pain relief! Talk to a qualified physician to learn more about it and the benefits it offers.
Meet the Practice
Dr. James Pinkston, DO, is board-certified in neuromusculoskeletal medicine. He and our team offer a range of non-surgical solutions for many conditions, including those that afflict the Achilles tendon. If you would like to learn more about shockwave therapy or other available services, contact Asheville Non-Surgical Orthopedics at 828-417-9913.