Doctor insights on:
Chronic Plantar Fasciitis
Many: It isn't always clear what causes plantar fasciitis but what is commonly thought to contribute: weight, repetitive trauma to the area/overuse, poorly fitting shoes, abnormal gait(how you walk), heel spurs, or underlying degenerative changes to the hindfoot(heel area). ...Read moreSee 1 more doctor answer
Pain at the area where the band of tissue referred to as the plantar fascia on the bottom of the foot inserts into the heel bone. Too much tension brings on pain. Wearing flat shoes or going barefoot on hard surfaces can be some of the causes that bring this pain. Do not let it linger too long. Can last for months. Pain mostly when standing up ...Read more
If cost/insurance were not an issue, would you recommend combo prp/topaz coblation for chronic plantar fasciitis that hasn't responded to treatment?
Platelet Rich Plasma: PRP or platelet rich plasma injection is very effective for a number of indications. These include facial rejuvenation, hair regrowth, sexual rejuvenation, healing musculoskeletal injuries and arthritis, and more. PRP or platelet rich plasma is excellent for plantar fasciitis. I recommend it. ...Read moreSee 2 more doctor answers
Depends : PT is one of my primary treatment options for PF. I find about 80% of patients see a benefit. night splinting, good footwear, rest from offending activities and possible orthotics and non-corticosteroid injections such as PRP & amniotic membrane injections are often part of my treatment plan as well. If I can help, join my care team & virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more
I have chronic plantar fasciitis. Throughout the course of the day my feet goes numb. Is that normal or should I be worried?
See a Podiatrist: I suggest you see a podiatrist for an evaluation. You may or may not have numbness due to plantar fasciitis. Plantar fasciitis associated with overpronation may cause swelling or pressure on the plantar nerves thus causing numbness. You may have other medical problems which may also be causing numbness, such as, diabetes. Get it checked! ...Read moreSee 2 more doctor answers
I have chronic plantar fasciitis & metatarsalgia for 2 years, got worse 6 mo ago. Normal X-Ray & nerve test. Would MRI be useful at this point?
Probably not: Plantar fasciitis can be chronic and very difficult to get rid of with conservative care in some cases. There area lot of treatments including orthotics, physical therapy, laser therapy, ultrasound therapy, dry needle therapy, platelet rich plasma injection, night splint, walking boot, non weight bearing and many others. Surgery is also very successful if all of these fail. ...Read more
Would you recommend PRP or surgery for chronic plantar fasciitis/fasciosis & a spur that hasn't responded to orthotics, PT, steroid injection, taping, stretching?
Has anyone had success with Tenex (guanfacine) procedure for chronic plantar fasciitis with partial tear? (pt, cortisone, orthoses, cast boot haven't worked)
Tenex (guanfacine) regenerative: Tenex (guanfacine) can be quite effective for chronic plantar fasciitis. It's minimally invasive, very safe, and stimulates healthy tissue growth. I also like prp, amnio-tissue, and stem cell injections for plantar fasciitis. Insurance doesn't pay, but i've seen these quite effective. ...Read moreSee 2 more doctor answers