Extracorporeal shock wave therapy is a surgical procedure using shock wave instead of an incision to physically irritate a chronically non-healing plantar fascia. When applied it causes bleeding and acute injury to the tissue thereby converting a chronically non-healing tissue to an acute, actively healing tissue. The procedure takes approximately 1/2 hour. Regional anesthesia is necessary with posterior tibial and sural nerve injections. The heel will by numb when shock waves are applied. Following treatment the foot has to be protected from walking and injury just as if it had open surgery. Crutches or cast walker boot may be used for one or more weeks. Minor pain and/or bruising are sometimes experienced post-operatively. Patient was informed that most patients take several months to loose all residual pain after shock wave therapy, protective devices like orthotics are still necessary, and that a possible complication of the treatment is heel fracture. Should it occur, cast immobilization would be required.

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