“What else can I do for my chronic foot and ankle pain?”

What is Extracorporeal Shock Wave Therapy (ESWT)?

ESWT is a fast and gentle non-surgical method of reducing heel pain. It is derived from lithotripsy, a technique used today to disintegrate kidney stones without the use of invasive surgery. The device delivers pneumatically-generated low or high pressure shock waves that travel through the skin. Inflamed soft tissue and bone calcifications that receive these low or high energy pulses will heal stronger without harm to the surrounding tissues. Electricity is not sent into the body. High energy pulsations of ultrasonic waves stimulate the body’s natural self-healing process.

Who does this treatment benefit?

ESWT is especially beneficial for patients that have chronic heel pain and Achilles tendinitis and have not had much success with traditional therapies such as medications, injections, orthotic therapy or physical therapy. Shock wave therapy may give good outcomes for some tendon problems or chronic degenerative conditions- examples include Achilles tendinitis and plantar fasciitis.

Can anyone receive this treatment?

The doctors at Global Podiatry Partners will determine if you are a candidate for ESWT. It is reserved for special cases where conventional treatments have not provided adequate relief of pain.

Does this treatment involve surgery or medications?

ESWT means that there is no surgery, no anesthesia, no injections and no medication.

What is involved in the treatment?

The procedure is performed in our office. After a thorough evaluation, we will carry out a simple manual examination of the painful area. The trigger point, or sore area over the heel will be located and marked. Ultrasonic transmission gel is applied to the foot. The ESWT hand piece is then positioned to gently and extensively transmit shockwaves over the injured area. The feedback you provide helps to determine the fine positioning of the applicator and the measurement of the impulse frequency. Once you are comfortable at a low level, the energy is gradually increased over several minutes.

How long does the treatment take?

A typical session lasts about 15 minutes.

How soon can I expect results?

Most patients will notice improvement after the first treatment, however, overall healing continues for up to 3 months after the last treatment. Success rates with this advanced treatment is approximately 70-80%. Patients typically bear weight after treatment. Patients are advised to reduce the level of physical activity for 1-2 weeks after treatment.

Are there any side effects with ESWT?

There are virtually no side effects with ESWT since no medication, surgery, injections, or anesthesia is involved. Some patients may experience a short period of slight tingling, warmth or numbness immediately after their treatment.


Is this a substitute for surgery?

Shock wave therapy is a non-invasive treatment that can help avoid surgery. Treatment responses may vary. Success cannot be guaranteed.

Is this covered by insurance?

This depends on your individual insurance policy. Discuss this with your surgeon and contact your insurance carrier before having the procedure. If your insurance does not cover it, you will need to pay out of pocket at a significantly reduced rate.

If I can answer any questions you may have, feel free to reach out by calling (626) 821-9323.

Dr. Charles J. Hastings, DPM, FACFAS, FFPM RCPS(Glasg)


Dr Sung and his staff are personable and consummate professionals. I highly recommend Dr Sung. He’ll take good care of you.

Aileen T.

SO glad I visited Dr. Sung. Visited him for the first time to get another opinion. Based on a different doctor, I absolutely needed surgery. Dr. Sung gave me plenty of options and found alternative ways to both manage the pain and prevent it from getting worse rather than jumping into surgery. Saved me thousands and more importantly, saved me the hassle of being in a boot for 2-3 months. Highly recommend as he is an honest, knowledgeable, polite, kind, and professional doctor.

Katia M.

I had a broken sewing needle tip stuck inside the bottom of my foot and a friend of mine recommended I see Dr. Sung. I was expecting a long sit-down and a talk about where and when to schedule a surgery, but when I met him he just went straight to business and started the small procedure on the spot. He took it out in about 10 minutes (including the wait time for the anesthesia to kick in). He is personable, explains everything, and is fast!

Theo C.

Dr. Sung was very kind and personable. He spent a lot of time explaining possible treatment options . I was definitely impressed by he and his staff. I would absolutely recommend Dr. Sung.

Jennifer H.

Awesome doctor and staff! My daughter went to FOUR other doctors (MD, DO, DPM, DC) and nobody could figure out her pain, stiffness, and cause for her limitations. But, Dr Hastings did in about 10 minutes! MRI confirmed his initial diagnosis and custom rigid inserts got her back to life and soccer. Thank you so much! Highly recommended!!!

May 04, 2019

He is a fantastic Dr. He is extremely knowledgeable. He is more about prevention and treatment and not quick to do surgery. I will recommend him to all my hairdresser friends or anyone that works on their feet for long periods of time!! Thank you Laura for the recommendation.

April 26, 2019

I’ve been going to Dr Hastings for years for my flat feet. He’s been patient and kind and really detailed in always examining my arches, ankles, knees and lower back. Every visit he is thorough! I’ve never been to a better doctor than him. Highly recommended.

December 25, 2018

Dr. Hastings is a very skilled, very knowledgeable practitioner. He also takes the time to answer your questions and explain different treatment options with you. I recommend Dr. Hastings without any reservation!

December 25, 2018

This guy knows his stuff. Got me on the road to recovery and told me exactly what I needed to do and what not to do to finish my treatment. His experience with sports injuries translate into knowing just what to do for an old cogger like me. Back on the golf course in 3 months.

October 31, 2018

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