Plantar Fasciitis Symptoms
Plantar Fasciitis is a painful condition of the bottom of the heel, often referred to as heel spur. Plantar fasciitis is inflammation of a large support ligament on the bottom of the foot, associated with sprain or micro tear to the structure. Many times patients have had multiple sprains or micro tears leading to chronic degeneration of the plantar fascia causing chronic pain.
Typical Treatment (Non-Regenerative)
Typical treatments include stretching, ice, NSAIDS, OTC arch supports. For minor sprains these remedies can be helpful. For micro tears or more chronic degeneration they will be limited results. MRI or diagnostic ultrasound is needed to identify these soft tissue injuries. For the tears or chronic injuries usually more aggressive treatments are required, custom orthotics (which can be expensive), cortisone injection (this will reduce inflammation but can cause further damage to the tissue), cast boots, physical therapy, and surgery.
Regenerative Plantar Fasciitis Treatment
Through the regenerative protocol, much of the typical treatment can be avoided. By using the modalities of Piezoelectric Impulse Therapy and LLLT, combined with appropriate support, and use of regenerative injection techniques such as prolotherapy, regeneration of the tissue can be quickly achieved. For chronic or more severe tears addition of Bio-D injection therapy can ensure excellent outcomes. Plantar Fasciitis is closely related to heel spur syndrome, a condition that is often (and successfully) addressed with conservative measures - stretching exercises, ice packs, physical therapy and orthotic devices. Some cases can be successfully treated with Extracorporeal Shock Wave Treatment (ESWT).
Do I Have to Have Plantar Fasciitis Surgery?
Not if we can help it. Dr. Hecker accurately diagnoses an injury, avoiding unnecessary and costly plantar fasciitis surgery. Perhaps your pain is something simple like a fracture, or a more complicated torn ligament or a partial tear. We focus on the root issue and the actual nature of the problem. We involve our patients in their custom treatment plan, interacting with patients and educating them as well. This helps them increase their speed of recovery and contributes to re-injury prevention.
Standard Regenerative Protocol
- Evaluation by Hecker Sports Medicine team of the injury by physical exam.
- X-ray, CT, diagnostic ultrasound, MRI to determine significance of injured structures
- Temporary stabilization of structure with orthotics, bracing devices or a cam walker boot
Regenerative Treatments -Piezoelectric impulse -Laser light therapy -Regenerative Injection -Hypertonic dextrose solution - Prolotherapy -Amniotic tissue matrix Physical Therapy Once the structure is healed from the regenerative process then an injured patient is able to reestablish functional movement and strength. In this step the compensation patterns that were established are fixed and new correct movement and strength patterns are developed thus reducing risk of re-injury.