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Shockwave therapy if appropriately applied has been shown to be as effective as surgery.

It does not interrupt your activities of daily living, has a very quick results in general, and can help  induce long-term healing to the tissues.

Shock wave has been shown to be as effective as surgery for plantar fasciitis.

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Nerve Decompression Surgery

When other non-operative treatments fail and compression of the nerve is playing a role in the nerve dysfunction, surgery may be the best option. Sometimes nerve disease is like sleeping on your elbow wrong. You wake up and your hand is numb or tingling. The nerve is just always being compressed.

Nerve decompression surgery allows the surgeon to open the tight area through which the nerves pass by dividing the anatomical structures that encase the nerve. Surgical procedures can be performed in the comfort of our Olympia Surgery Center.

Dr. Silvester and Dr. Larsen have additional certifications in nerve surgery. He has undergone specialized training in the treatment of painful nerve conditions. The organization called The Association of Extremity Nerve Surgeons (AENS) provides advanced training in the medical, physiological, and surgical treatment of nerve conditions. Through this organization and other ongoing medical education, Dr. Silvester chose to specialize in the treatment of these difficult and perplexing conditions. Dr. Silvester achieved adequate surgical experience and demonstrated proficiency in the procedure, and is now a Fellow of the Association of Extremity Nerve Surgeons.

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Injectable extracellular matrix is used to help you heal faster.  Frequently, if the heel pain has been present for a long time or is significant degeneration in the ligament (plantar fascia).

This treatment can provide a structural repair model for the tissue to heal itself. This is often used in conjunction with shockwave therapy.

We occasionally use amnion injections to help tissue heal.

Sometimes, nothing else works so surgery is necessary.

We use many different types of surgical approaches to heel pain one of them that is very helpful is a percutaneous procedure where the incision is about as wide as a pencil lead.  This results in a very quick return to work and activity

We have the gold standard in laser therapy.

Our MLS Laser Therapy is a robotic computerized laser that provides multiple benefits: Anti-inflammatory, analgesic, accelerated tissue repair, and improved vascularity are just a few.