Heel Pain Treatment
Platelet Rich Plasma - PRP
This procedure is used to treat plantar fasciitis or tendonitis of the foot or ankle. Blood is taken from your arm and placed in a machine that spins it. Platelet growth factors are separated and concentrated. These specialized blood cells are used to attempt to heal the painful condition. The growth factors are injected into the painful area with local anesthesia. Reported success rate is 70%. The injection could be repeated in 1 month. There is no guarantee and open cutting surgery maybe required. A walking removable plastic boot is used to walk with for 2 weeks. Crutches are used to walk if the heel is painful.
References: New York Times, 2/17/09, A Promising Treatment for Athletes, in Blood, Alan Schwarz,
Podiatry Today, May 09, page 66, Dr. Baravarian
Shock Wave Treatment or ESWT – Extracorporeal Shock Wave Treatment
Extracorporeal means outside the body. This procedure is used to treat plantar fasciitis or achilles tendonitis. A specialized machine creates a pressure wave or shock wave that passes thru your skin to the painful area. There is no cutting of the skin. No drugs are used in the painful area. General anesthesia is required because of the pressure and local anesthesia cannot be in the area and is not effective. The shock wave separates the tissue, causes an inflammation and makes it heal stronger. The procedure can be repeated. There is no guarantee and open cutting surgery maybe required. Crutches are used to walk if the heel is painful.
A ½" incision is made on the side of the heel. The placement of the incision is checked with an xray machine. The deep tight painful tissue is called the plantar fascia. Half of this fascia is cut to stop it from pulling on the heel bone and causing pain. Stitches are used on the skin. Crutches are used to walk if the heel is painful.
Contact our office to find out if your insurance participates.