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Chiropractic care for Wellness

Plantar Fasciitis in Novato

Plantar Fasciitis in Novato CA

We use a type of ESWT called Extracorporeal Pulse Activation Technology or EPAT®, which has recently been shown to be quite effective when used in Plantar Fascitis conditions or Morton’s neuroma.

Extracorporeal Pulse Activation Technology uses high frequency sound waves that are directed at the neuroma to promote healing.

The exact therapeutic mechanism of shock wave therapy still remains a topic of speculation despite extensive research. It is thought that sound waves damage tissues to induce micro-trauma, which stimulates the healing process by attracting blood vessels and nutrients to the neuroma. The sound waves also inhibit pain receptors.

Usage in Plantar Fascitis/Morton’s neuroma: We use EPAT in conjunction with a low level laser therapy, and PEMF therapy for  Plantar Fascitis conditions or Morton’s neuroma and in certain patients with complex histories.

EPAT helps to break down scar tissue and promote blood vessel growth. We do not use EPAT as a primary course of treatment for Plantar Fascitis conditions or Morton’s neuroma.

Side effects are rare especially when procedure is performed in expert hands. Side effects may include: bruising, post-procedure inflammation, discomfort, pain, swelling and tenderness (all of which usually resolve spontaneously.) Contraindications to EPAT include: a history of hemophilia or other coagulopathies; malignancy; and open bone growth plates (physes.)

Relief: EPAT has a cumulative effect so repeating the procedure can be beneficial. The full effect each treatment may take up to 6 weeks.


References:

  1. Seok H, Kim SH, Lee SY, Park SW., Extracorporeal Shockwave Therapy in Patients with Morton’s Neuroma A Randomized, Placebo-Controlled Trial.; J Am Podiatr Med Assoc. 2016 Mar;106(2):93-9. doi: 10.7547/14-131; https://www.ncbi.nlm.nih.gov/pubmed/27031544
  2. Fridman R1, Cain JD, Weil L Jr., Extracorporeal shockwave therapy for interdigital neuroma: a randomized, placebo-controlled, double-blind trial.; J Am Podiatr Med Assoc. 2009 May-Jun;99(3):191-3; https://www.ncbi.nlm.nih.gov/pubmed/19448168
  3. https://www.practicalpainmanagement.com/pain/other/neuroma-pain-foot-successfully-managed-laser-therapy

Monday
8:30am - 12:00pm
2:30pm - 6:00pm


Tuesday
2:00pm - 6:00pm


Wednesday
8:30am - 12:00pm
2:30pm - 6:00pm


Thursday
8:30am - 12:00pm
2:30pm - 6:00pm


Friday
By Appointment


Saturday
Closed

DeSalvo Chiropractic
7595 Redwood Boulevard #108
Novato, CA 94945
(415) 898-6888

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