Medical Solutions

New Shock Wave Therapy for Heel Pain

The Feet For Life Centers own more Extracorporeal Shock Wave Therapy (ESWT) machines than any other facility in the world and Dr. Horwitz is leading the country in ESWT research. Many problems commonly treated with surgery can now be treated effectively with ESWT, which is similar to the shock wave treatment that has been used for years to break up kidney stones (lithotripsy).

In fact, heel pain treatment without surgery is a reality and ESWT is far preferable to surgical treatments for Plantar Fasciitis and Dr. Horwitz is certified to deliver this treatment. He is Board Certified in foot Surgery by the American Board of Podiatric Surgery and a member of the American college of Foot and Ankle Surgeons.

Two of the machines used by Dr. Horwitz are the Dornier Epos Ultra, manufactured in Germany, and the Medispec ESWT, from Israel.  Both devices represent the latest in FDA approved non-surgical options for treating plantar fasciitis in adults who have been treated by other methods, but have had little or no relief.

The new Shock Wave Therapy is an alternative treatment for plantar fasciitis before resorting to surgery, which has a lengthy recovery time and carries the risk of complications.  The Podiatric Physicians at The Heel Pain Center like the fact that the treatment is low risk and noninvasive. In studies in Europe, when shock wave has been administered for over 10 years, patients with chronic plantar fasciitis rated a 80% successful outcome with just one treatment. More recent studies show an even higher success rate. Currently, the Epos Ultra and Medispec provide a treatment modality that is more accurate and cost effective than competitive machines.

During the treatment, shock waves are focused on the point of maximal tenderness on the heel as it is bombarded with high intensity sound waves. The ultrasound imaging system provides a live 'picture' of the inside of your foot to indicate the exact treatment site where shock waves are being delivered.

Patients do not feel any pain because the area is anesthetized with local anesthesia. The theory is that the sound waves break up the scar tissue and inflammation, which allows normal healing tissue to repair the injury and alleviate the pain.

The Doctors at The Heel Pain Center are among the handful of Podiatric Surgeons in Missouri who are trained to perform this innovative new procedure. Patients resume normal activity and wear regular shoes the day after the procedure.

Shock wave therapy is not for everyone and should not be used on people with bleeding problems, those taking medication that interfere with blood clotting, or for children or pregnant women. The therapy cost is covered by many of the major insurance companies.

Since not all patients have insurance coverage, we offer the most competitive prices in the country for treatment of plantar fasciitis with the Epos Ultra.

Contact Details

University City/Clayton: 8637 Delmar Blvd. St. Louis, MO 63124

Chesterfield: 17201 Chesterfield Airport Rd. Chesterfield, MO 63005


Phone: 314-983-0303

FAX: 314-983-2777

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