Extracorporeal Shockwave Therapy (ESWT) In Beverly Hills, CA

Advanced, non-invasive healing for chronic pain and soft tissue injuries by Dr. Solomon

At Solomon Aesthetic Podiatry in Beverly Hills, we offer state-of-the-art Extracorporeal Shockwave Therapy (ESWT) as part of our comprehensive approach to foot and ankle care. ESWT is a powerful, non-surgical treatment that uses acoustic pressure waves to stimulate healing in damaged tissues, ideal for patients suffering from persistent heel pain, tendonitis, or sports-related injuries who want to avoid surgery.

Dr. Nathan S. Solomon, DPM, is a podiatric surgeon trained in cosmetic and reconstructive foot and ankle care. He utilizes ESWT as part of an evidence-based, non invasive treatment pathway for patients seeking faster recovery and long-lasting pain relief.

What Is Shockwave Therapy?

Shockwave therapy delivers high-energy sound waves into injured soft tissues such as tendons, ligaments, and fascia. These waves cause controlled microtrauma, which:

  • Increases blood flow to the area
  • Stimulates the regeneration of cells
  • Triggers the body’s natural repair processes
  • Breaks up scar tissue and calcification

ESWT is FDA-cleared and supported by strong clinical research for use in both acute and chronic musculoskeletal conditions. It is widely used in sports medicine, podiatry, and orthopedics.

Conditions Treated with ESWT

Shockwave therapy is most commonly used in podiatry for conditions that have failed to respond to conservative treatment. These include:

Plantar Fasciitis

Heel pain from inflamed or degenerative fascia tissue is one of the most common conditions treated with ESWT. Studies show that shockwave therapy can reduce pain and improve function in patients who have not responded to stretching, orthotics, or injections.

Achilles Tendinopathy

Chronic inflammation or thickening of the Achilles tendon often resists rest, ice, and traditional therapies. ESWT helps stimulate healing and reduce pain in both insertional and mid-portion tendinopathy.

Peroneal Tendonitis

Shockwaves promote healing in the inflamed peroneal tendons, often aggravated by instability or overuse.

Posterior Tibial Tendon Dysfunction (PTTD)

This condition weakens the arch-supporting tendon and leads to flatfoot deformity. ESWT may help alleviate pain and support better function before surgical correction is necessary.

Neuromas

Morton’s neuroma and similar nerve compression conditions may respond to shockwave by reducing inflammation and softening scar tissue around irritated nerves.

Shin Splints and Medial Tibial Stress Syndrome

Common in runners, shockwave therapy can reduce inflammation and promote healing of the soft tissues along the tibia.

Sesamoiditis and Stress Fractures

Chronic injuries of the sesamoid bones under the big toe joint can improve with ESWT by stimulating the bone’s healing environment.

Other Applications:

  • Heel spurs
  • Scar tissue remodeling post-surgery
  • Chronic ankle sprains
  • Capsulitis and ligament irritation
  • Non-union stress fractures

How ESWT Works: The Science Behind It

When shockwaves enter the soft tissues, they create a rapid mechanical force that stimulates biological responses:

  • Increased Neovascularization: New blood vessel formation improves circulation and nutrient delivery.
  • Collagen Stimulation: Shockwaves promote the production of Type I collagen, essential for tendon repair.
  • Substance P Reduction: ESWT downregulates pain-related neurotransmitters, reducing chronic pain perception.
  • Breakdown of Calcifications: In chronic conditions like tendinosis, shockwaves help dissolve mineral buildup.

These combined effects lead to faster, more complete healing and reduced pain—even in injuries that have been present for months or years.

Types of Shockwave Therapy

There are two main types of ESWT used in clinical practice:

Focused Shockwave Therapy

  • Delivers precise, high-intensity energy to deeper tissue layers
  • Ideal for conditions like plantar fasciitis and deep tendon injuries
  • Typically used in chronic, longstanding conditions

Radial Shockwave Therapy

  • Disperses lower-energy waves over a broader area
  • Useful for superficial soft tissue problems
  • Often used for early-stage or moderate symptoms

Dr. Solomon will determine the right protocol based on your condition, symptoms, and treatment goals.

What to Expect During Treatment

Initial Consultation

Your first visit will include a thorough physical exam, gait assessment, and review of your imaging or diagnostic ultrasound (if available). Dr. Solomon will determine if ESWT is appropriate and map out a custom treatment plan.

Treatment Sessions

Each ESWT session takes about 15–20 minutes. A conductive gel is applied to the skin, and the shockwave handpiece is positioned over the affected area. You may feel a tapping or pulsating sensation, but the treatment is well-tolerated and does not require anesthesia.

Patients typically receive 3 to 6 treatments, spaced 1 to 2 weeks apart. Some cases may benefit from follow-up maintenance sessions.

Recovery and Results

One of the biggest benefits of ESWT is no downtime. Most patients return to normal activities the same day. Some mild soreness or swelling can occur, but this is usually temporary.

Healing Timeline:

  • First week: Some soreness, possibly a reduction in sharp pain
  • 2–3 weeks: Noticeable improvement in pain levels and function
  • 4–6 weeks: Full therapeutic benefit continues to build as tissue regenerates
  • 8–12 weeks: Peak healing and long-term symptom reduction

Advantages of Shockwave Therapy

  • Non-invasive—no incisions or surgical risks
  • No anesthesia required
  • Stimulates natural healing
  • Proven effectiveness for chronic pain
  • No medication or downtime needed
  • Safe for repeat use if needed
  • Used by elite athletes for injury recovery
  • FDA-cleared for musculoskeletal use

ESWT vs Other Treatment Options

Many patients choose ESWT because it bridges the gap between conservative care and surgery. While physical therapy, bracing, or cortisone injections may offer short-term relief, they don’t always promote long-term tissue regeneration.

Shockwave therapy stimulates true healing, making it an ideal step for patients who want results without the risks or downtime of surgery.

Is ESWT Right for You?

You may be a good candidate for shockwave therapy if:

  • You’ve had pain longer than 3 months
  • You’ve tried rest, orthotics, physical therapy, or cortisone injections without success
  • You want to avoid surgery or prolonged medication use
  • You’re active and want a faster return to function
  • You have degenerative tendon conditions (e.g. tendinosis) rather than acute tears

ESWT is not recommended for patients who are:

  • Pregnant
  • Taking blood thinners or have clotting disorders
  • Have an active infection at the treatment site
  • Have a pacemaker near the treatment area

Dr. Solomon carefully screens every patient to ensure the safest and most effective treatment plan.

Why Choose Dr. Nathan S. Solomon, DPM for ESWT in Beverly Hills?

Dr. Solomon is not only a foot and ankle specialist, he’s a reconstructive surgeon with advanced expertise in regenerative medicine. His background allows him to:

  • Accurately diagnose the underlying cause of chronic pain
  • Use diagnostic imaging and gait analysis to target the exact area for treatment
  • Combine ESWT with orthotics, physical therapy, and other non-invasive treatments

Patients at Solomon Aesthetic Podiatry receive more than just a treatment—they receive a personalized care plan built around biomechanics, lifestyle, and long-term success.

Schedule Your ESWT Consultation Today

Reclaim comfort, movement, and performance without surgery. Solomon Aesthetic Podiatry is conveniently located at 433 North Camden Drive, Suite 610 in Beverly Hills. We are open Monday through Sunday, 9:00 AM to 9:00 PM, offering flexible hours to fit your schedule. To speak with our team or book your appointment, call us or click below to book online.

Call us now: (310) 876-5744

Book Appointment Online

Let’s activate your body’s natural healing response, with the precision of modern podiatric medicine. Your healing. Accelerated. Safe. Proven.

Frequently Asked Questions (FAQ)

Most patients describe the sensation as uncomfortable but tolerable—like quick, rhythmic tapping. Dr. Solomon can adjust the intensity as needed.

Most patients need 3–6 sessions, depending on the severity and chronicity of the condition.

Some patients feel immediate relief, while others notice gradual improvement over several weeks.

No. You can return to daily activities immediately but should avoid high-impact activity for 24–48 hours.

Yes. If symptoms recur or if you sustain a new injury, the treatment can be repeated safely.

Minor side effects include soreness, swelling, or bruising. These are temporary and resolve within a few days.

Each treatment session lasts about 15–20 minutes.

While you can return to most daily activities immediately, we recommend avoiding intense exercise for 1–2 days post-treatment.

Cortisone reduces inflammation but doesn’t heal the tissue. ESWT addresses the root issue by promoting cellular regeneration.

Book Your Free Consultation

Meet with Dr. Solomon for a complimentary 15-minute consultation to discuss your concerns and goals. Discover personalized, expert podiatric care focused on comfort, precision, and long-term results.

“IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.”