Over 40 million people suffer heel pain in the United States. Fortunately there is something that can be done about it. You don't have to suffer anymore! Your feet are your foundation. When they hurt, everything you do in your life is affected. Having daily pain is no way to live, especially when the pain is avoidable. Today as you read this information, we hope you begin to feel excited about how much better you will feel and how much more enjoyable your life will be with one simple procedure, ESWT.

ESWT stands for Extra-corporeal Shock Wave Therapy. Sounds pretty complicated right? Well, don't worry. It's a big fancy name, and high technology, but to you it is a very simple non-surgical procedure. Lithotripsy, a similar procedure, is used regularly for breaking up and dispersing kidney stones. When Urologists reported that patients who had their kidney stones treated with Lithotripsy were presenting increased bone density and new tissue growth, the possibilities of Shock Wave therapy were revisited. As a result, the FDA cleared a device for chronic heel pain management resulting from plantar fasciitis, Achilles tendonitis, and heel spurs. An amazing 80% of patients with bone, tendon, and soft tissue injuries were reported to be healed or substantially improved following ESWT.

Excellence Shock Wave Therapy is one of the first practices in the United States to become expert and equipped to offer this procedure. Now the physicians of Excellence Shock Wave Therapy are not only pioneers in the field of ESWT, but also among the most experienced having performed thousands of treatments in the past few years.

All of our physician members, like Dr. Barry Klein, are Board certified Podiatric Foot Surgeons and excel in their own practice of podiatry. You can be assured of a high level of experience and expertise with any of our group members as your physician.

What is involved in the procedure and does it hurt?
What kind of recovery can I expect?
I've tried other things but they didn't help. How do I know this will?
Ask yourself, "What do I have to lose? What do I have to gain?"
Signs & Symptons That Your Heel Pain May Be Plantar Fasciitis
Signs & Symptons That Your Heel Pain May Be Achilles Tendonitis
Diagnostic Testing & Conservative Therapy
Why doesn't my orthopedic surgeon, or podiatrist do this procedure?
I have had this problem for a long time. Is it too late for me?

What is involved in the procedure and does it hurt?
This is the most exciting part about this new technology. It's literally an amazing advance in medical science. All you do is lie back and relax, your doctor and the staff of Excellence Shock Wave Therapy will do the rest!

First and most important is to find the root of your pain and determine the best course of action. Your doctor will complete a thorough examination and will inform you of a diagnoses and what treatment is recommended. If ESWT is right for you, here's what you can expect:

You lie back in a comfortable chair with your foot resting on the Shock Wave unit. The Mobile Center's staff will make sure you are comfortable throughout the entire procedure. Due to the natural numbing effects of ESWT waves you will need minimal local anesthesia. The procedure does not hurt. NO PAIN! The equipment has a wide range of settings and penetration depths. This allows our doctors to fine tune the procedure to your individual diagnoses. All you will be aware of is a repetitive clicking sound as the pulses penetrate the center of your pain site at a rate of 2 pulses per second. What's most important is what's going on inside of your foot. The shock waves stimulate the diseased tissue activating your body's natural healing process. Blood and oxygen rush to the site activating a metabolic response that:

• Fosters healing by the growth of new connective tissue. This is what is damaged and torn when you have plantar fascias and/or heel spur pain
• Creates an analgesic effect which helps to reduce your pain immediately after the procedure
• Stops the pain

Those are all really good things to have happen by sitting back in a chair and relaxing! What's more, it only takes about a half hour to complete!

This bears repeating because we know it's important to you. ESWT DOESN'T HURT. THIS IS NOT A PAINFUL OR INVASIVE PROCEDURE. THERE IS NO CUTTING.

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What kind of recovery can I expect?
Let's back up and first address what is most important. Immediate action. Everything you are about to read regarding recovery is influenced by how long a person has put off having treatment. In other words, the sooner you get this taken care of the better. That's somewhat common sense, but it truly does apply here.

Since the procedure encourages blood flow to the area, you may experience some mild bruising or soreness. You may walk out with no pain at all, or you may feel pretty much the same. Never does your current condition get worse. That is why this procedure is so wonderful. If you have any concerns of a long drawn out recovery cramping your style you can forget that. From the first day improvement is expected. The only thing that is individualized is how much, how soon. In some, the majority of the pain relief is immediate. In others it gradually gets better from day one through the first six weeks. In others it gradually gets better from day one up to 12 weeks. But never is there any reason to put it off. With successful E.S.W.T. Therapy the pain and the causal condition will begin getting better immediately after the treatment. You do not need to plan time off from work or your life! It's natural to want to put it off, but that is not a good idea for heel pain conditions.

What is concerning is the risk of putting off treatment. Heel problems are nasty because you can't really avoid your feet. You can be unknowingly causing yourself more harm everyday. You see, every time that you feel pain when you place weight on your heel and foot it's because you are pulling and ripping the tendon fibers possibly creating more damage. This is why some people are left with no alternative but invasive surgery. Something we, and you, truly want to avoid in your case.

Unfortunately, it doesn't stop at your feet. When you are in pain you will naturally compensate to protect yourself from it. You will change your walking gait, you will stand differently and you will limp. All of these abnormal movements will, in time, cause undue strain to your knees, hips and lower back. You don't need new painful conditions in your life.

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I've tried other things but they didn't help. How do I know this will?
Extracorporeal Shock Wave Treament (we call it ESWT for short) solves chronic heel spur pain in most patients. However, you are not those other patients. The doctor will not just recommend this procedure without a thorough evaluation. Your specific condition and history will all be taken into consideration and your doctor will make the proper recommendations for proper treatment for your individual case.

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Ask yourself, "What do I have to lose? What do I have to gain?"
Please don't be among those people suffering needlessly. We would like to offer you a complimentary examination to see if ESWT can benefit your heel pain condition.

You have nothing to lose. Our doctors are willing to waive their customary examination fee to help you find your answers about your condition and ESWT. To make an appointment, or even to just ask questions about the doctor in your area or the procedure, give us a call and we will take care of you. You can call anytime. We look forward to helping you find your freedom from pain!

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Signs & Symptons That Your Heel Pain May Be Plantar Fasciitis
• Foot pain that is very bad in the morning
• Foot pain that gets sore after sitting
• Foot pain that keeps you from doing the things you love.
• Burning in the sole of the foot.
• Tired, achy feet that you blame on shoes
• Tired, achy feet you blame on "being on your feet too much"
• Foot pain or heel spurs "run in the family"
• Heel pain after starting a new running, walking or exercise routine

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Signs & Symptons That Your Heel Pain May Be Achilles Tendonitis
• First steps in the morning are very painful along the back of the heel
• First steps after rest or sitting are very painful along the back of the heel
• Pain can subside and then return after rest or athletic activities
• Common in athletes and runners who experienced pain but ran "through it."
• Pain can be a persistent ache, a shooting pain, a burning pain, or even severe piercing pain.

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Diagnostic Testing & Conservative Therapy
Your Certified Excellence Shock Wave Therapy practitioner will perform a thorough examination and order any necessary diagnostic tests to determine your best course of treatment for your condition. Though this report focuses on ESWT it is the goal of every Doctor in the Excellence Shock Wave Therapy Group to provide the best possible treatment for your pain. The doctor may recommend ESWT or another course of treatment. Rest assured you will be seen by a physician who will inform you of all your treatment options and make a complete diagnoses and treatment plan. You will not have to guess if ESWT is right for you. The Doctor can help you make your treatment decisions based on your individual condition.

If ESWT is right for you we do not need to delay. We know you are in pain and will make every effort to schedule your treatment quickly and at a time convenient to your schedule. The sooner you receive treatment, the sooner you are enjoying your hobbies and active lifestyle again! Evaluate ESWT Before Surgery!

Our doctors have all performed heel spur surgery for many years. They were all selected as highly skilled surgeons who are very knowledgeable in the treatment of heel pain. However, that being said, surgery is still surgery and with surgery there are sometimes complications. Some are serious, some take a long time to go away, and some are permanent. With E.S.W.T, there are no complications. In fact, because ESWT is non-invasive and totally safe the American College of Foot Surgeons now considers it standard treatment before electing to undergo any foot surgery.

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Why doesn't my orthopedic surgeon, or podiatrist do this procedure?
There are several reasons. This procedure is fairly new to the United States. It has been available in Canada and Europe for over 10 years but has only been in the United States for a little over a year. The physicians who practice ESWT in the United States are truly state of the art practitioners. You may find many physicians are not even familiar with this treatment. You are more than welcome to share this report with your physician and have him or her contact us for further physician-oriented information. We welcome this communication!

Additionally, this technology costs hundreds of thousands of dollars to offer in a practice. Many doctors can not afford this type of investment. Due to our doctors' reputation in the field of podiatric and orthopedic foot surgery they were invited to practice E.S.W.T. with Excellence Shock Wave Therapy. For a surgeon to offer this treatment demonstrates the belief in trying to avoid surgery and to avoid hospitalization for their patients.

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I have had this problem for a long time. Is it too late for me?
No! The chronic sufferer has new hope with ESWT. Long term sufferers finally have a non-surgical treatment option. If you have "tried everything" don't be discouraged, this is a new weapon against your pain!


Education & Reference: 
What Is Podiatry? | Common Problems
Terms & Treatments | Diabetic Foot Care | ESWT - Shockwave Therapy

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