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Lowell Weil, DPM

Posted by Ed Davis, DPM on 6/02/04 at 17:03 (151815)

This is from Barry Block's Podiatry Management:

I just got done stating that I did not spend much time with such magazines but this is a good letter from a fairly objective source:

Sent: Fri, 28 May 2004 10:44:02 -0500
Subject: Achilles treatment info

More info off the Barry Block page on Achilles.

RE: Osteotripsy for Posterior Calcaneal Spur and Achilles (Howard
Stone, DPM)
From: Lowell Weil, Jr., DPM, MBA

At the Weil Foot & Ankle Institute, we have performed over 150 ESWT
procedures on Achilles tendonopathy. This includes both insertional
Achilles/retro calcaneal spur pain and fusiform thickening of the
Achilles tendon. Our retrospective results have been promising. I
recently reported our results at the IFAC Meeting in New Orleans the
last weekend of April.

Our results show 87% of patients who have the procedure are pleased
with the results, with an average reduction of their VAS from 7.9 to
3.4. No one has been made worse with the procedure. We are
currently beginning a prospective, randomized, placebo controlled
double blind study to show the efficacy of ESWT for Achilles

I believe it is an excellent choice for this difficult problem. Many
of these patients are obese and/or not willing or able to go through
the immobilization or the recovery associated with surgery. I use
high energy for this treatment with no post procedure
immobilization. I ask patients not to perform high impact
activities like running or jumping for approximately two weeks
following the treatment. I have treated many professional athletes
with this modality including NBA players, NFL layers, professional
baseball players, PGA golfers and two sprinters who hope to compete
in the upcoming Olympics in Athens.

Lowell Weil, Jr., DPM, MBA