TECHNIQUEShock Wave Therapy for Treatment of Foot and Ankle ConditionsYounger, Alastair MB, ChB, FRCSC Author Information BC's Foot and Ankle Program, Providence Health Care, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada Address correspondence and reprints request to: Alanstair Younger, MB, ChB, FRCSC, Suite 500, 1144 Burrard street, Vancouver BC V5Z 2E8. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: March 2006 - Volume 5 - Issue 1 - p 60-65 Buy Abstract Shock wave therapy is a relatively new treatment of foot and ankle pain. An acoustic sound wave similar to one used for lithotripsy can cause a hyperanalgesia effect reducing pain and can cause breakdown and neovascularization of chronically damaged tissue. Three commercial sources are available for musculoskeletal applications. To date, the treatment seams to be effective for soft tissue pain. Within the United States shock wave therapy has been licensed for plantar fasciitis and has been used outside the United States for other foot and ankle tendonopathies. The pain must be well localized to 1 area for effective treatment. This article reviews the physics, indications, techniques, and documented outcomes to date. © 2006 Lippincott Williams & Wilkins, Inc.