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A 51-year-old member asked:

What could cause very tight tendons under the foot , have tried diag ultrasound, stretching , prp injections for pain there and even shock wave ?

4 doctor answers5 doctors weighed in
Dr. Anurag Anand
Internal Medicine 35 years experience
Plantar fascitis: Sound ilke you have a bad case of plantar fascitis- stretching o the feet tendons before you get out of bed in the morning, massage, warm water soaks, injections, ultrasound treatment are all modalities that can be used. Avoid prolonged standing. If all of this does't work, surgery is the last resort- not 100% effective but does work in most cases.
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Dr. David Tobin
Podiatry 40 years experience
Plantar fasciitis: I assume you are referring to the ligament or plantar fascia. Custom orthotics are the first line of treatment, if they fail then the other treatments in conjunction with orthotics have a good track record. If all else fails then partial plantar fascial release is indicated.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Jeffrey Kass
Podiatry 30 years experience
Injury could cause : It, genetics may play a role. Getting an accurate diagnosis is the most crucial thing. Prp won't help stretch a tight tendon or ligament. Stretching is helpful for that, night splints, orthotics etc, you need to determine if you have plantar fascitis, or something else. And get appropriate treatment.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Daniel Lebowitz
Anti-Aging Medicine 26 years experience
Difficult to know: exactly what you are talking about without examining you. Could be plantar fasciitis if near the heel.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 27, 2014

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