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My Heel Hurts Every Morning by Christina Teimouri, DPM


Do you suffer with nagging pain in your heel in the morning or in your elbow after playing tennis or working outside? Well you are not alone! Many people suffer with the condition known as plantar fasciitis or lateral


   Another option available at our office is Extracorporeal Shock Wave Therapy, or ESWT. FDA approved, it is a non-surgical approach to pain relief that is regularly used to cure common problems like heel pain, plantar fasciitis, Achilles tendonitis, tennis elbow, shoulder tendonitis, lateral epicondylitis, and more.

  epicondylitis (tennis elbow). Plantar Fasciitis or Heel Spur Syndrome is characterized by a sharp stabbing pain in the heel - usually with your first steps right out of bed in the morning - and anytime after standing from a seated position. Unfortunately, it is very common.  

 Many people have the misconception that they have a heel spur, but that may or may not be the case; plantar fasciitis can occur with or without a heel spur.


   The plantar fascia is the connective tissue that goes from the heel to the toes. It becomes contracted when pressure is off the feet, such as when sleeping or sitting down. Upon standing it

Do you suffer with nagging pain in your heel in the morning
  The therapy works by targeting shock waves directly to the painful area. This noninvasive procedure typically lasts less than 30 minutes. Extracorporeal Shockwave Therapy is for those who have had pain for at least six months and have tried conservative therapy with no results.  

How it Works


   ESWT breaks up the scar tissue in the plantar fascia with sound waves. In breaking up the scar tissue, the plantar fascia is enabled to stretch normally again. Healing is usually complete in 2-12 weeks. We see an amazing 90 percent

  must stretch out again; that is when micro tears occur.  

Treatment Options


   Conservative treatment may consist of a shot of cortisone into the inflamed area accompanied by stretching exercises and the use of firm arch supports. Ice should also be applied to decrease inflammation at the end of the day.

  success rate in our office.  

   Surgery to treat such painful heel or elbow conditions is only 50 percent successful. Highly invasive, surgery is not only risky, but the recovery time can be substantial.


   So instead of hobbling out of bed with pain every morning, do yourself a favor and call to make an appointment today. Your feet will thank you for it.


     What is tennis elbow? by Christina Teimouri, DPM

Extracorporeal Shock Wave Therapy, or ESWT, was first developed 20 years ago as a treatment for kidney stones. Now researchers have found this treatment effective in treating tennis elbow.


   When physical therapy, NSAIDS, or rest and ice fail to alleviate this painful condition, doctors have typically used surgery as the next option. However, with ESWT, treatment is applied in only one session, in the doctor’s office, lasting only twenty minutes.


   Lateral epicondylitis, or “tennis elbow,” is a result of repetitive movements of the forearm muscles. You don’t need to be a tennis player to suffer from it; tennis elbow is a common workplace or athletic injury.


   The primary symptom is pain on the outside of the elbow caused by inflammation of ligaments and degeneration of tissue around the joint. This makes twisting movements and lifting objects particularly painful.


   Tennis elbow usually starts out mild and worsens over time. Chronic sufferers can have disabling pain that rarely relents. Reaching and gripping motions, such as in


shaking hands or opening jars, is especially painful. Lifting and carrying even a cup of coffee or gallon of milk are also painful for the person affected with this condition.


Signs and symptoms that your pain may be tennis elbow:

  • Inability to extend the forearm fully without discomfort.

  • Pain caused by lifting, bending the arm or grasping even light objects.

  • Trigger point elbow tenderness.
  • Recurring pain on the outside of the upper forearm just below the bend of the elbow.

  • Pain that radiates down the arm toward the wrist.

  • Pain when shaking hands, turning door knobs, or lifting a grocery bag.

  • Muscle weakness in shoulder, forearm, and wrist.

  • Occasional muscle spasms in lower arm.

What is tennis elbow? by Christina Teimouri, DPM


Treatment with ESWT


   During the session, you comfortably recline while the elbow is placed on a warm water bubble and covered with gel. The injured area is viewed with diagnostic ultrasound. We then deliver tiny pressure waves or “shockwaves” to the injured area. Healing occurs gradually over the next 6-12 weeks.


   We are happy to be able to offer you this treatment, which has been approved by the  National Institute for Clinical Excellence for use on tennis elbow. Call our office today to begin experiencing the relief this treatment offers in one short session.

  For Info Call Rich @  
  Sound Medical Technologies  
  724.991.0116 •  

LivingBody BEAUTIFUL | Your Tri-County Resource Guide to Health and Beauty | Magazine Six     33      


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