The plantar fascia is a strong band of tough, fibrous tissue that extends across the bottom of the foot, from the heel to the base of the toes, providing support for the arch (the curved portion of the foot) and flexibility for the entire midfoot area. In plantar fasciitis, the plantar fascia becomes irritated and inflamed, and tiny tears can form in the fibers. Plantar fasciitis tends to become much more common with age, and it’s also more common among people who are overweight or obese as well as athletes and other physically active people whose feet are subjected to repeated pounding.
Plantar fasciitis is associated with pain in the bottom of the foot as well as significant heel pain, which can be exacerbated by small bony growths (heel spurs) that form along the edge of the heel bone. Symptoms usually are worse after a prolonged period of inactivity, such as when you wake from a nap or a night’s sleep. As you use and move your foot, the symptoms will diminish but then return after another period of inactivity.
Some very mild forms of plantar fasciitis can be treated with stretching exercises, but most require other methods to stimulate healing in the area so you can enjoy long-term relief. These techniques include:
TOPAZ is a minimally invasive procedure that uses a special wand to deliver radiofrequency energy to the area of inflammation and irritation. The energy creates tiny areas of “controlled” damage in the tissues, stimulating circulation and promoting natural healing.
Platelet-rich plasma (PRP) is a product that’s derived from your own blood. PRP contains highly concentrated levels of platelets, components of blood that play an important role in healing. During PRP treatment, a sample of your blood is processed to concentrate the platelets. Then, the resulting PRP is reinjected into the area of inflammation. Over time, the platelets work to promote natural healing and healthy tissue regeneration so that your symptoms are relieved and the damaged plantar fascia is repaired.
Shockwave therapy (SWT) is completely noninvasive. Also called extracorporeal shockwave therapy (ESWT), the treatment uses waves of energy directed through the skin to promote healing responses in and around the damaged plantar fasciitis.
Dr. LaMour will be able to determine which approach is best for you based on a comprehensive exam of your foot and a review of your symptoms and medical history.
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