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How does this compare to ESWT

Posted by Pauline on 5/23/03 at 16:39 (119767)

Here is a description of a treatment for heel pain that suggests a 92%
success rate. How does this compare to ESWT and how often is it used?

Stereotactic RadioFrequency Thermal Lesioning

This procedure is reserved for only severe and resistant cases of heel pain that will not respond to all conservative treatment. The procedure can be performed on resistant cases of Plantar Fascitiis, Achilles Tendonitis, Neuroma/Neuritis and Tarsal Tunnel Syndrome.

RadioFrequency Lesioning is a minimally invasive procedure. RadioFrequency does not require stitches, skin incisions or bandages. RadioFrequency doesn't disable you and it does not involve an extensive period of healing. It is not associated with the many complications and risks that are associated with surgery. The procedure is done an out patient basis and you can return to shoe gear and work the next day.

Prior to the procedure, the heel is examined and we locate all the very sensitive areas of pain around the heel. There are usually 5-6 areas that are very tender and we call them the 'hot spots'. We treat only those painful areas with RadioFrequency. The RadioFrequency probe, approximately the size of a needle, is placed through the skin into your heel in the area of pain. Wile under IV sedation, the tip of the probe heats up to 87 degrees Celsius. It is kept in the area for 90 seconds. This in essence decrease the deep pain sensation in that area, the size of the probe's tip. The nerve endings are desensitized in these specific locations, thus eliminating the pain. This procedure is then performed on all the painful areas that were identified. Following the procedure, local anesthesia is injected into the treatment sites. Band-Aids are placed over the multiple puncture sites and you are able to return to shoe gear immediately following the procedure.

In most instances, complete resolution of your pain is achieved within 2 weeks following the procedure. In the Journal of Foot and Ankle Surgery, Vol. 86, No. 3 in 1997, a 92% success rate was demonstrated, treating heel pain with RadioFrequency.