Extracorporeal Shockwave Treatment
Extracorporeal shockwave treatment is an advanced modality to treat soft tissue, bone and joint disorders. This technology has many orthopedic applications and is used for the treatment of plantar fasciitis, achilles’ tendonitis and shin splints by Dr. Nodelman.
Typically, with chronic pain and tendon issues, the body’s healing process shuts down. Shockwave treatment sends ballistic soundwaves of energy into the diseased tissues causing microtrauma and a desirable inflammatory response to restart the healing process. With this inflammatory response there is an increase in blood flow and release of growth factors that induce healing of the tissues.
The benefit of shockwave treatment is that it is non-invasive. Some discomfort can be experienced during the 5-minute procedure, most patients will tolerate this well with no need for local anesthesia. Additionally, depending on the extent of injury/pathology, there is typically no downtime and patients can carry on with regular activities including athletics as tolerated.
Extracorporeal shockwave is complementary to other treatments such as orthoses, muscle strengthening, stretching and physical therapy.
We offer both radial and focused shockwave at our clinic. There are benefits to both options. Radial does not penetrate as deep but is an excellent option for soft tissue disorders like plantar fasciitis. Focused shockwave is a more powerful unit and can penetrate deeper and is a better options for bone pathology (like insertional achilles tendonitis with a bone spur), bone marrow edema syndrome, bone delayed/non-unions and avascular necrosis.
Typically 4 treatments are prescribed for maximal benefit but improvement in your condition does typically occur over the next 2-3 months following the last treatment.
Meet the Doctor
Lonny Nodelman
DPM, FACFAS
Dr. Lonny Nodelman is originally from Ottawa, Canada and moved to the USA after completion of his undergraduate studies at the University of Ottawa. He attained his medical training at the New York College of Podiatric Medicine where he graduated in the top 4 of his class. He underwent residency training at Cambridge Health Alliance, where he was a fellow in surgery at Harvard Medical School. Along the way, he met his beautiful wife, who is originally from the Northern Virginia area and they relocated back to NOVA and call it their home.
Foot and Ankle Care that Puts You First
We advocate for regenerative therapies as a means to diminish the need for surgery, yet remain fully prepared for surgical procedures if required
Don’t Let Foot Pain Rule Your Life…
Foot and ankle problems like heel pain, achilles tendonitis and other sports injuries are common and can significantly impact a person’s life, often bringing frustration, fear, and a sense of missing out on favorite activities. Each of these conditions not only affects the physical well-being but also carries an emotional burden. You often experience a sense of loss – missing out on sports, hobbies, or simple daily tasks becomes a source of frustration and sadness. The journey to recovery is not just about healing physically but also about overcoming these emotional challenges.
Find the Perfect Solution for Your Foot or Ankle Concern
Our practice is dedicated to helping patients overcome their foot and ankle pain through personalized treatment plans that cater to each individual’s unique needs. Here’s how we approach this:
