Ashleigh E. Korves, DPMFoot & Ankle CareESCall707-575-6033

Extracorporeal shockwave therapy

A non-invasive option for pain that keeps coming back.

ESWT uses acoustic energy through the skin to treat a painful area without an incision. For selected persistent foot and ankle problems, it may offer a next step when time and initial care have not been enough. Dr. Korves can help you decide whether it fits your condition and movement goals.

Dr. Korves applying extracorporeal shockwave therapy to an anonymous patient’s heel in the real office
A focused step toward easier movementIn-office · Targeted · No incision

Understanding ESWT

The device is only one part of the decision.

Extracorporeal means that treatment is delivered from outside the body. During ESWT, a device passes acoustic energy through the skin to a targeted area. It is not electrical stimulation and it does not involve an incision. Devices, energy delivery, treatment courses, evidence, and expected sensations can vary.

The diagnosis and patient selection matter as much as the technology. Dr. Korves first considers the condition, how it responds to activity, what care has already been tried, and the health factors that may affect treatment. ESWT is one possible part of a plan, not a universal next step or a promise of relief.

See ESWT in action

A closer look at the treatment experience.

This short patient video from Zimmer MedizinSysteme shows how shockwave treatment is delivered with a handpiece and what an in-office session can look like. Your experience and treatment plan may differ.

Watch on Vimeo

What you may notice

Patterns patients often describe.

Persistent heel, tendon, or other musculoskeletal pain that has not settled with time or initial conservative care. The timing and location of symptoms are often as useful as the intensity.

01

Pain keeps returning

A clinically evaluated area remains painful or repeatedly flares despite time and an initial care plan.

02

Loading stays limited

Walking, work, exercise, or another meaningful activity remains difficult because the area does not tolerate demand.

03

Initial care fell short

An appropriate first plan has not created the expected change, so the diagnosis and next steps are being reconsidered.

04

You want to understand options

You want a balanced discussion of ESWT, reasonable alternatives, uncertainty, and how progress would be reviewed.

Dr. Korves positioning the ESWT applicator at an anonymous patient’s heel while supporting the foot
Treatment sensation varies, and Dr. Korves can check in with you throughout the session.

How Dr. Korves may help

Could ESWT be a good fit for you?

You do not need to know the diagnosis or decide on ESWT before you come in. Dr. Korves starts with your symptoms, the activities they interrupt, and what you have already tried. The examination helps her understand whether the painful tissue is the kind of problem ESWT may help.

If it may be appropriate, she will explain what treatment can feel like, how the handpiece is used, and how ESWT could work alongside rehabilitation, footwear, activity changes, or other care. You can ask questions and decide with a clearer picture of the possible benefits, limitations, and next steps.

  1. Your pattern of painShare where it hurts, when it flares, and which work, exercise, or everyday movements have become difficult.
  2. What you have triedBring details about rest, therapy, footwear, supports, injections, or other care and how your symptoms responded.
  3. What matters to youYour goals help shape a practical plan and give you and Dr. Korves meaningful changes to look for.

What treatment can look like

Focused care. Clear next steps.

ESWT is an in-office treatment centered on helping a persistent problem tolerate movement more comfortably. Your plan can combine the treatment itself with practical guidance on activity and rehabilitation, then use follow-up to see whether it is helping.

01

Start with your comfort

Treatment sensation can vary. Dr. Korves can check in with you and adjust the session within the treatment plan.

02

Treat the painful area

The handpiece is positioned over the selected area and moved or held in place as acoustic pulses are delivered.

03

Keep care connected

Activity guidance, footwear, support, or rehabilitation may remain part of the plan so ESWT is not expected to do every job alone.

04

Look for useful change

Follow-up focuses on what matters to you, such as walking, work, exercise, and confidence in movement.

Keeping your options open

ESWT is one option within a broader plan.

If ESWT is not the strongest fit, or does not create the change you and Dr. Korves are looking for, the conversation does not end there. Rehabilitation, footwear or orthotic support, imaging, another procedure, or surgical evaluation may still provide a sensible next step based on the condition.

See other treatment options
Dr. Korves using the ESWT handpiece on an anonymous patient’s heel during treatment

When to ask about ESWT

When persistent pain is still limiting your life.

Call the office when

  • Pain keeps returning or continues to limit walking, work, exercise, or another activity that matters to you.
  • Time, activity changes, rehabilitation, footwear, or other initial care have not helped enough.
  • You want to understand whether a non-invasive treatment could be a reasonable next step.
  • You have questions about treatment sensation, activity guidance, or how progress would be reviewed.

Do not wait on urgent signs

An acute injury, visible deformity, rapidly worsening symptoms, signs of infection, or an open wound needs timely evaluation rather than self-selecting ESWT.

New circulation or sensation changes and an inability to bear weight should be assessed promptly through an appropriate medical service.

For your appointment

Good questions lead to a clearer plan.

  1. 01

    What could ESWT help me get back to doing?

  2. 02

    What does treatment usually feel like?

  3. 03

    How could ESWT work with my current rehabilitation or activity plan?

  4. 04

    How will we know whether it is helping?

See whether ESWT may fit

Ready to move beyond pain that keeps returning?

Call the office to talk about what has been limiting you and the care you have already tried. An evaluation can clarify whether ESWT belongs in your next step.