Feeling stuck with chronic tendon, muscle, or foot pain despite trying other treatments? Extracorporeal Shockwave Therapy (ESWT), also known as Extracorporeal Pulse Activation Technology (EPAT®), offers a highly effective, evidence-based, non-invasive solution at our Los Angeles Medical Clinic. Dr. Zev Nevo utilizes this advanced technology to stimulate deep tissue healing, break down scar tissue, and reduce pain at the source. We understand the frustration and loss of autonomy persistent pain causes and provide empathetic care alongside ESWT/EPAT in Los Angeles to help you break through limitations and return to your activities.

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What Conditions Can Shockwave Therapy Treat?

ESWT/EPAT has shown significant success in treating a variety of acute and chronic musculoskeletal conditions that impair mobility and quality of life. Based on extensive clinical evidence, including conditions cleared by the FDA for certain devices (like Plantar Fasciitis and Tennis Elbow) and many other widely accepted applications, Dr. Nevo commonly uses ESWT/EPAT in Los Angeles for:

Foot & Ankle Pain:

  • Plantar Fasciitis (with or without Heel Spurs)
  • Achilles Tendinopathy (Mid-portion or Insertional)
  • Morton’s Neuroma

Leg & Knee Pain:

  • Patellar Tendinopathy (Jumper’s Knee)
  • Medial Tibial Stress Syndrome (Shin Splints)
  • Hamstring Tendinopathy

Hip & Pelvis Pain:

  • Greater Trochanteric Pain Syndrome (Hip Bursitis / Gluteal Tendinopathy)
  • Specific Myofascial Trigger Points contributing to Chronic Pelvic Pain or as part of our Dysmenorrhea Protocol

Elbow Pain:

  • Tennis Elbow (Lateral Epicondylitis / Epicondylopathy)
  • Golfer’s Elbow (Medial Epicondylitis / Epicondylopathy)
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Shoulder Pain:

  • Rotator Cuff Tendinopathy (with or without Calcification / Calcific Tendonitis)

Myofascial Pain & Other:

  • Myofascial Trigger Points throughout the body (e.g., contributing to chronic back pain, neck pain)
  • Potential applications in delayed bone healing or stress fractures (evaluated on a case-by-case basis).

How Does ESWT/EPAT Work?

This non-invasive technology uses focused acoustic pressure waves delivered to the targeted painful area. These pulses stimulate the body’s natural healing processes by:

  • Increasing metabolism and blood circulation in the treated tissue.
  • Stimulating cellular repair and regeneration (activating fibroblasts and stem cells).
  • Breaking down scar tissue and calcifications.
  • Reducing pain by decreasing nerve sensitivity and substance P levels.

The Body and Mind Pain Center Difference:

We utilize state-of-the-art ESWT/EPAT technology, but our Los Angeles patients benefit most from our integrative, patient-first philosophy within the Medical Clinic. Rooted in evidence-based principles, Dr. Nevo ensures ESWT is recommended appropriately based on your diagnosis and goals.

We partner with you in a safe, supportive environment, ensuring you are informed about all suitable approaches. Shockwave therapy is often synergistically combined with Osteopathic Manipulative Treatment to address underlying biomechanics, targeted exercises, and mind-body strategies, reflecting a patient-centered commitment to comprehensive recovery. This integrated care may also involve support from our Wellness Clinic for optimal results.

Frequently Asked Questions:

What does shockwave therapy feel like? Is it painful?

You will typically feel strong pulses or tapping sensations during the treatment. The intensity is adjusted based on your tolerance and the area being treated. It can be uncomfortable, particularly over sensitive spots, but the treatment itself is usually brief (5-15 minutes). Most patients tolerate it well.

How long is a session?

The actual application of the shockwaves is relatively short, usually taking about 5-15 minutes per treatment area.

How many sessions are needed?

A typical course of treatment involves 3 to 5 sessions, scheduled about one week apart. Dr. Nevo will recommend a specific protocol based on your condition and response.

Are there side effects?

Side effects are generally minor and temporary. You might experience some localized soreness, redness, slight bruising, or temporary numbness at the treatment site for a day or two. Significant complications are rare when performed by a trained professional.

When will I see results?

Some patients report immediate pain reduction after a session, while others notice gradual improvement over several weeks as the tissue heals. The full benefits often become apparent 4-8 weeks after the final treatment session.

Does insurance cover ESWT/EPAT in Los Angeles?

Insurance coverage varies widely. While FDA-cleared for conditions like Plantar Fasciitis and Tennis Elbow, many plans may still consider it experimental for certain indications or have specific coverage limitations. We recommend checking directly with your insurance provider. ESWT/EPAT is often an out-of-pocket expense, and we provide transparent pricing.

How is it different from therapeutic ultrasound?

Therapeutic ultrasound uses continuous sound waves primarily to generate heat in tissues. ESWT/EPAT uses higher-energy acoustic pulses (shock waves) to create mechanical effects within the tissue, stimulating biological repair processes rather than just heating.

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