Achilles tendinitis, a common injury among athletes and active individuals, can be debilitating if left untreated. But fear not, as extracorporeal shockwave therapy (ESWT) offers new hope in the realm of non-invasive treatments.

Understanding Achilles Tendinitis:

Before delving into ESWT, let’s grasp the basics of Achilles tendinitis. This condition occurs when the Achilles tendon, the band of tissue connecting the calf muscles to the heel bone, becomes inflamed or irritated due to overuse. Over time, the tendon can become thickened, a condition called tendinosis, and may lead to the development of a bone spur on the back of the heel. Common symptoms include pain and stiffness along the back of the heel, especially in the morning when getting out of bed. Pain is often felt as sharp or severe. The pain may be constant, or come and go with increased activity. Achilles tendinitis often worsens with exercise, and can be debilitating enough to prevent a patient from running and jumping. 


Traditional Treatments vs. ESWT:

Traditionally, Achilles tendinitis has been managed through conservative measures such as rest, ice, physical therapy and stretching, night splints, and orthotic devices. While these methods often provide relief for some patients, others may require more intensive interventions like platelet-rich plasma (PRP) injections or even surgery. However, these approaches come with their own set of risks and limitations. 

Enter ESWT, a cutting-edge treatment that has been gaining traction in the field of podiatry. This non-invasive procedure utilizes high-energy soundwaves to stimulate the body’s natural healing processes and promote tissue regeneration. Unlike surgery or injections, ESWT targets the root cause of Achilles tendinitis pain without the associated risks. Extracorporeal shockwave therapy has been shown to improve blood flow, improve collagen production, and reduce inflammation leading to the development of pain.  


How Does ESWT Work?

During an ESWT session, a specialized device delivers acoustic shockwaves to the affected area, penetrating deep into the Achilles tendon. These shockwaves trigger microtrauma within the tissue, prompting the release of growth factors and enhancing blood flow to the area. Over time, this process stimulates collagen production and promotes the repair of damaged tendon fibers. Patients will experience a noticeable improvement in their pain, often after the first few sessions. 


Benefits of Extracorporeal Shockwave Therapy:

  1. Non-invasive: Unlike surgery, ESWT does not require incisions or anesthesia, minimizing the risk of complications and reducing downtime.
  2. Effective: Clinical studies have shown promising results with ESWT, with many patients experiencing significant pain relief and improvement in function.
  3. Fast recovery: Most patients can resume normal activities shortly after undergoing ESWT, making it an attractive option for those with busy lifestyles and for runners.
  4. Long-lasting relief: ESWT not only addresses the symptoms of Achilles tendinitis but also targets the underlying cause, reducing the likelihood of recurrence.


Is ESWT Right for You?

While ESWT holds great promise as a treatment for Achilles tendinitis, it may not be suitable for everyone. Factors such as the severity of your condition, medical history, and overall health will determine whether ESWT is the right choice for you. Moreover, shockwave must be combined with consistent calf stretching and strengthening exercises to reach its full potential. It’s essential to consult with a qualified podiatrist who can assess your individual needs and recommend the most appropriate course of action.

Extracorporeal shockwave is not routinely covered by commercial insurance. Please reference the table below for the cost of the treatment:

1 Session ESWT, single anatomical site$125
6 sessions ESWT, single anatomical site$625



Extracorporeal shockwave therapy represents a paradigm shift in the management of Achilles tendinitis, offering a safe, effective, and minimally invasive alternative to traditional treatments. If you’re struggling with Achilles tendinitis and seeking relief without surgery or prolonged downtime, ESWT may be the solution you’ve been searching for. Don’t let foot pain hold you back – take the first step towards recovery with ESWT today!




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