Plantar Fasciitis

Treatment and Pain Relief for Plantar Fasciitis London

Rx – Botox®

Plantar fasciitis results when connective tissues on the sole of the foot, the plantar fascia, become painfully inflamed. Physicians may suggest various therapies for this condition, including injecting steroids, regular stretching exercises or injecting botulinum toxin A (BTX-A), also known as BOTOX®. Plantar fasciitis is a painfully frustrating injury because it tends to heal slowly and reoccur frequently. Overuse or over-pronation can cause micro-tearing and inflammation of the plantar fascia.Plantar Fasciitis or heel spur syndrome is common among active people in particular runners. The body copes by putting a patchwork of fibers over the damaged area. But this scar tissue isn’t as resilient as healthy tissue, making the plantar fascia vulnerable to further injury. Ten percent of the population will suffer this condition in their lifetime – usually between the ages of 40 to 60.

Plantar Fasciitis is more common in women, overweight people or people who have jobs that require a lot of walking or standing. People with very flat feet or very high arches are also more prone to plantar fasciitis. Symptoms start as a dull, intermittent pain in the heel which may progress to sharp persistent pain.

Typically patients might experience pain under their foot at the heel. Classically, it is worse in the morning with the first few steps, after prolonged sitting or after standing or walking and the beginning of sporting activity.  The pain can be described as like sharp needles in the feet or like walking over broken glass.  Even with the standard treatment of massage, stretching and orthotics, use of ice in the inflamed area as well as anti-inflammatory medication, people with this condition can have pain that lasts for months. This impacts productivity and general quality of life – no one wants to be in pain.

Botulinum toxin (BTX)A may be more effective than steroids for the treatment of plantar fasciitis, research suggests. (1,2)

BOTOX® Treatment

The Dry Needling Treatment

  • The method
    • A needle is used to puncture the plantar fascia of your numbed foot. This breaks up scar tissue and causes minor bleeding, which recruits blood cells to heal the tissue. Some doctors follow up with a steroid injection.
  • The Result
    • A study reported a 95 percent cure rate for dry needling combined with steroids. Though that may not even be necessary. “I use dry needling alone, and it’s about 90 percent effective,” says Levon Nazarian, M.D., of Thomas Jefferson University in Philadelphia.

Shock Wave Treatment

  • The method
    • Focused sound waves break up scar tissue and encourage collagen production, which helps heal the area. High-energy therapy works in one treatment but is painful, so sedation is required. You stay awake for low-energy therapy, but you’ll need multiple sessions.
  • The Result
    • Research reports an 82 percent cure rate in patients who didn’t respond to other treatments. Clint Verran, a marathoner and physical therapist who uses the low-energy version, gives it high marks: “After the first treatment, you’ll feel like the area has been stretched out. After two more sessions, you’ll notice a dramatic improvement.”

Platelet-rich Plasma Method (PRP) Treatment  (Vampire injections)

  • The Method
    • Blood is drawn and spun down into concentrated platelets that are then injected into the injured area. Platelets contain growth factors, which stimulate the regeneration of tissue.
  • The Result
    • Most studies have been done on ligaments and tendons, but emerging research on plantar fasciitis is promising. Washington, D.C., podiatrist Stephen Pribut says it could be the sports-medicine treatment of the future, but it’s not yet practical for regular use.

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