ESWT Shockwave Therapy Offers a New Approach

Chronic heel pain can make everyday activities like walking and standing unbearable, and while traditional treatments like stretching, orthotics, or injections might provide some relief, they can sometimes fall short.

Enter ESWT (Extracorporeal Shock Wave Therapy), a non-invasive alternative that’s changing the game for heel pain sufferers! Kentlands Foot & Ankle Center is always at the forefront of innovative, non-invasive options, and for this blog post, we’re going to cover all the ins and outs of this exciting option, including why it might be the right choice for you.

The Limitations of Traditional Approaches

Traditional treatments for heel pain, such as physical therapy and the use of orthotics, can be helpful in the initial stages.

• However, they often provide only temporary relief and may not address the underlying cause of the pain.
• In some cases, these treatments can be time-consuming, require a long recovery period, or have unwanted side effects.

ESWT: A Non-Invasive Solution

ESWT is a treatment that utilizes pressure waves to stimulate healing and reduce pain and inflammation. Unlike traditional surgery, ESWT doesn’t involve incisions, anesthesia, or a lengthy recovery period. It also boasts high success rates that are clinically verified.

How ESWT Works

ESWT targets the affected tissue with high-energy pressure waves, stimulating a healing response and promoting tissue regeneration.

• This can be particularly effective for conditions like plantar fasciitis, where the plantar fascia, the thick band of tissue along the bottom of the foot, becomes inflamed.

Shockwave Therapy vs. Traditional Surgery

• No Cutting: ESWT avoids the need for incisions, reducing the risk of complications associated with surgery.
• Faster Healing: Recovery from ESWT is significantly faster. For example, traditional heel spur surgery might require between six weeks and three months for a full recovery.
• Reduced Risk: ESWT eliminates the risk of permanent nerve or joint damage associated with some surgical procedures.
• Minimal Downtime: Patients can typically return to work and daily activities much sooner after ESWT compared to surgery.
• Less Pain: ESWT generally involves less post-treatment pain than traditional surgery.

Aching and unsure options? Consult with your podiatrist to see if ESWT is right for you!

Interested in learning more? We’re always happy to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To make your appointment, please call our office at 301-825-9697.

5 Common Foot and Ankle Injury Myths in Sports

From little league to professional sports, foot and ankle injuries are some of the most common among athletes. And unfortunately, many misconceptions and myths surround these issues, which can hinder recovery.

In this post, we will debunk these myths to help athletes better address their foot and ankle troubles.

Myth 1: All Ankle Sprains Are the Same.

Fact: Ankle sprains vary in severity, ranging from mild to severe. While most ankle sprains involve the ligaments on the outside of the ankle, some can also affect the ligaments on the inside. That’s why you should seek a medical evaluation to determine the extent of the injury.

Myth 2: You’re Right, Coach. I’ll Rub Some Dirt on It.

Fact: Continuing to play with pain can worsen an injury and delay recovery. If you experience pain in your foot or ankle, it’s important to rest and seek medical attention. Overuse injuries and stress fractures are common for athletes who are too stubborn to stop.

Myth 3: Rest Or Surgery. There’s No In Between.

Fact: While rest is often recommended for minor injuries and surgery is sometimes required for season-ending injuries, there lies a full spectrum of intervention between these two extremes:

1. Physical therapy: Exercises to strengthen the surrounding muscles and improve stability.
2. Corticosteroid injections: These injections can help reduce inflammation and pain in the affected joint.
3. Anti-inflammatory medications: Over-the-counter or prescription medications can help alleviate pain and reduce inflammation.
4. Orthotics: Custom orthotics may be necessary to address underlying foot mechanics.

Myth 4: All Foot Pain is Caused by Plantar Fasciitis.

Fact: While plantar fasciitis is a common cause of foot pain in athletes, it’s not the only possibility. Other conditions, such as Achilles tendonitis, turf toe, neuromas, and others listed above, can cause pain and limit performance.

Myth 5: Once an Injury Heals, You’re Good to Go.

Fact: Even after an injury heals, it’s important to continue rehabilitation exercises to prevent re-injury. Strengthening the surrounding muscles and improving flexibility can help enhance stability and reduce the risk of recurrence.

Want to start taking your foot and ankle health seriously? We’re happy to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To book your appointment, please call our office at 301-825-9697.

5 Ways Physical Therapy Makes For Fitter Feet!

Kentlands Foot & Ankle Center understands the value of conservative treatments and natural remedies; in fact, Dr. Sherman was featured in Business Insider a few months ago discussing just that! It should come as no surprise, then, that our team places such a high value on the power of physical therapy, which can make a difference for a wide range of lower extremity ailments.

This blog will cover five different conditions and circumstances that PT alleviates, improves, or even prevents. Let’s kick things off!

1. Plantar Fasciitis:

This prevalent problem inflicts heel pain due to inflammation of the plantar fascia, the tissue connecting your heel to your toes. Physical therapists can design personalized plantar fasciitis stretches with a custom program that improves flexibility, reduces pain, and prevents future flare-ups.

2. Ankle Sprains:

Rolled ankles are frequent, painful injuries, stretching or tearing the ligaments that stabilize your joints. Physical therapy can provide an ankle sprain recovery regimen and ankle strengthening exercises to help you regain range of motion, strengthen supporting muscles, and improve proprioception (your body’s awareness of joint position). This, in turn, will reduce pain, swelling, and the risk of future sprains.

3. Achilles Tendinitis:

Overuse can inflame the Achilles tendon, causing pain in the back of your heel. Physical therapy focuses on reducing inflammation, improving flexibility, and strengthening the calf muscles to better support the tendon.

4. Arthritis:

Both osteoarthritis and rheumatoid arthritis can affect the foot and ankle joints, leading to pain, stiffness, and reduced mobility. Physical therapists can create an exercise program to maintain joint mobility, strengthening surrounding muscles while improving balance. This helps manage pain, maintain function, and potentially delay the need for surgery.

5. Post-Surgical Recovery:

After foot or ankle surgery, physical therapy is crucial for regaining strength, flexibility, and range of motion. A personalized program helps restore proper gait mechanics and function, ensuring a smooth and successful recovery.

As you can see, physical therapy can do all kinds of good for your feet and ankles, healing them when they’re hurt and maintaining them when they’re fit.

Interested in learning more? We’re always available and happy to help! Schedule a comprehensive foot examination with Kentlands Foot and Ankle Center podiatrist Dr. Jon M. Sherman. To make your appointment, please call our office at 301-330-5666.

Good News for People with Chronic Heel Pain!

A twitch of pain somewhere in your foot is one thing – brief and tolerable. Thank goodness it goes away.

Heel pain that doesn’t go away is an entirely different matter. We’re talking about the heel pain that greets you like a knife when you step out of bed every morning. The kind of intense pain that makes you cry out, perhaps with a few choice words you didn’t mean to say. This kind of pain requires attention from Kentlands Foot and Ankle Center’s board-certified podiatrist, Dr. Jon M. Sherman, because it’s not likely to get better on its own.

Plantar fasciitis, explained!

The medical term for chronic heel pain is plantar fasciitis. Any medical word with the suffix “-itis” means “inflammation.” In this case, it’s the plantar fascia that’s inflamed. The plantar fascia is a large, thick ligament that runs along the bottom of your foot, connecting the calcaneus (heel bone) to your toes. It’s easily inflamed under some circumstances:

• You have a job that requires you to be on your feet for much of the day, such as a waiter, nurse, or urban mail carrier.
• You’re a runner or walker who’s recently increased their mileage, pace, or distance.
• You participate in other athletic activities, such as ballet, that put a lot of stress on your feet.
• You’re carrying some extra pounds, which puts undue stress on your feet.
• You have pre-existing issues with your foot anatomy, such as flatfoot or high arches.
• You’re over 40: The older you are, the more likely you will develop plantar fasciitis.

The pain you don’t have to live with

Fortunately, we have many effective treatments that soothe the pain of plantar fasciitis. Dr. Sherman will likely start with conservative approaches, including taking a break from any activity that hurts, performing stretching exercises, icing, taking anti-inflammatory medications, wearing custom orthotics, and getting steroid injections. Often, the best treatment involves a combination of all these.

Other treatment options include non-invasive shockwave therapy (ESWT, laser light therapy/cold laser, and physical therapy. Surgery for plantar fasciitis is a possibility but not a common one.

The key to successful plantar fasciitis treatment is getting it promptly. Don’t wait. We encourage residents of Montgomery County to consult Dr. Sherman sooner rather than later for a full examination and assessment of their heel pain. Call 301-330-5666 or contact us online for an appointment at our Gaithersburg podiatry office.