The plantar fascia is a strong web of ligament that runs along the bottom of your foot, from your heel bone (calcaneus) to the bones of your toes. It functions as a resilient shock absorber and supports the arch of your foot.
What’s Plantar Fasciitis?
Plantar fasciitis is the name of the condition that occurs when repetitive overuse of the area causes small “micro-tears” and inflammation of the plantar fascia. Plantar fasciitis is caused by playing sports, activity, obesity, flat feet, an anomalous bone structure, to name a few.
The resulting condition’s excruciating pain causes pain in the bottom of the foot, the back of the heel, the ball of the foot, and, most commonly, pain in the arch of the foot.
1. Conservative care is the first option when treating chronic plantar fasciitis
Rest, ice and heat, in-office physical therapy, stretching at home, orthotics, and use of appropriate footwear fully resolve over 70% of our plantar fasciitis cases. When conservative treatment is not enough to heal plantar fasciitis, we employ an array of state-of-the-art treatments.
Mechanical and electronic technologies are not always the source of modern medical miracles. The most amazing results are when the human body’s own innate healing system. Here are some revolutionary new treatments available at Dr. Bob that does just that!
2. Platelet Rich Plasma Therapy
When our bodies are injured, the body’s healing system rushes blood cells to the affected area to begin the recovery process. But when healing isn’t completed within the limited time the body dedicates to a non-life-threatening injury, the system stops tending to that injury.
Then these healing resources are devoted to other, more immediately needful, areas. The result? A chronic condition of unrelenting pain from the abandoned injury.
Platelet-rich plasma (PRP) therapy allows the body to kick-start the healing process at the site of the chronic condition. PRP uses an infusion of healing cells collected from the patient’s own blood supply.
These cells are then isolated in a centrifuge. They are then infused into the area of the injury, where they immediately restart healing plantar fasciitis. This protocol is very effective in calming the inflamed plantar fascia, thereby reducing the pain of plantar fasciitis.
3. Stem Cell Therapy
Another way that modern medicine uses our own internal resources to heal ourselves is stem cell therapy. In this procedure, Dr. Bob physicians collect stem cells from our patient’s blood. We winnow out the redundant cells, leaving a powerful collection of regenerative stem cells.
Then our doctor injets these warrior cells into the sole of the foot, where they thrive, multiply, and enlist resident cells in the renewed fight against fascia inflammation.
At Dr. Bob, our stem cell infusions also include hyaluronic acid, which lubricates the plantar fascia, further easing pain and increasing resilience. Like PRP, stem cell therapy is effective for healing plantar fasciitis. It’s well tolerated and involves minimal discomfort.
4. Amniotic Stem Cell Therapy
Amniotic stem cell therapy is one of the latest advances in stem cell therapy. It employs cells found in the amniotic fluid which surrounds fetuses in the womb. (The supplies of amniotic fluid used at Dr. Bob are obtained during cesarean section births).
This liquid is extremely high in stem cell concentration. It also contains an extracellular matrix (ECM), which is not present in either PRP or autologous stem cell therapy. ECM facilitates cell migration to the inflammation site. It is also more effective in alerting the local cells to reenlist in the battle against inflammation.
5. Topaz Coblation Microdebridement
Topaz microdebridement is a minimally invasive surgical process performed in our operating room under sedation and a local nerve block. It takes only about 20 minutes.
This procedure creates a grid pattern of tiny holes over the plantar fascia area. Then the Topaz probe emits a small burst of radio wave energy through the holes. This breaks up scar tissue and reestablishes healthy blood flow into the affected area. The process transforms a chronic condition into a temporarily acute inflammation, which sends a new influx of healing cells directly into the ligament.
Dr. Bob has been researching and helping with the development of Topaz technology for over 10 years. Also, we’ve been involved in several research projects using the Topaz probe for other foot and ankle problems.
6. The TenJet System
TenJet is another minimally invasive surgical procedure which often alleviates the pain of plantar fasciitis. Using ultrasound guidance, the TenJet system focuses a high-pressure stream of saline solution directly into the damaged fascia tissue.
The hydrodynamics of the system separate, debride, and flush out the defective tissue, while leaving the healthy ligament intact.
The doctors at Dr. Bob often add amniotic stem cells or platelet rich plasma injections during the procedure. This augments healing plantar fasciitis and speeds up the recovery process. TenJet is an outpatient process, performed under a local anesthetic.
The best part is iIt only takes about 15 minutes, and the small incision requires no stitches.
7. Dysport Injections
Dysport is similar to Botox, the nerve block agent that makes the visages of Hollywood stars as smooth as marble statues. Dysport is superior to Botox because it acts a day or two sooner and covers a wider area.
When Dysport is injected into an inflamed plantar fascia, it relaxes the ligament. The reduction of tension relieves the swelling and consequent pain. Dysport relief typically lasts for 3 to 6 months, sometimes even for years.
8. Shockwave Therapy
Shockwave therapy is another effective treatment when chronic plantar fasciitis has persisted despite conservative treatment. It uses electromagnetic shockwaves to cause micro-traumas within a chronically inflamed plantar fascia.
These micro-traumas break down the injured tissue and calcifications that are characteristic of plantar fasciitis. This disruptive process signals your body to dramatically increase the blood supply to the affected ligaments. The increased blood supply provides the healing cells and nutrients which reduce the inflammation and pain of chronic plantar fasciitis.
Low intensity shockwave therapy is an in-office 15-minute procedure. Usually, three applications are required. Because there is very little associated pain, anesthesia is unnecessary. In some cases, high-intensity shockwave therapy may be indicated.
Because the more intense application of shockwaves can cause more pain, anesthesia may be necessary. However, high-intensity shockwave therapy generally requires only one treatment.
With the highest success rates in the nation, Dr. Bob continues to offer only the very best care
Dr. Bob Baravarian is thoroughly trained and highly skilled in all available methods to relieve the persistent pain of plantar fasciitis. He carefully evaluates your specific condition and recommends the most effective treatment—or combination of treatments—to address it. If you are experiencing plantar fasciitis pain, Dr. Bob is here to help.
To schedule a consultation, please call (855) 557-5400 or make an appointment now.
Dr. Bob Baravarian is conveniently located in Los Angeles, near Cedars-Sinai Medical Center, providing expert foot and ankle care for patients throughout Southern California.
