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Doctor insights on: Chronic Plantar Fasciitis

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What are the causes of plantar fasciitis? What are the causes of chronic plantar fasciitis?

What are the causes of plantar fasciitis? What are the causes of 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 more

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Dr. Jeffrey Kass
475 doctors shared insights

Plantar Fasciitis (Definition)

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, 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


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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 more

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How effective is physical therapy in treating chronic plantar fasciitis?

How effective is physical therapy in treating chronic plantar fasciitis?

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

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I have chronic plantar fasciitis. I'm worried that I also have stress fractures?

I have chronic plantar fasciitis. I'm worried that  I also have stress fractures?

See an expert: Stress fractures may show up on x-ray. Mri may be indicated (based on evaluation). Tight gastrocs likely at the "root" of your problems. ...Read more

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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 more

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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

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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 more

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What is plantar fasciitis? Can it become chronic, and if yes, why?

It is a problem : With the plantar fascial tissue a broad banded ligament on the bottom of the foot. Some say it is inflammation of this tissue others believe it to be a degeneration. It can become chronic...why? Because it wasnt treated during the acute state and did not heal... ...Read more

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How would you know if plantar fasciitis is chronic or not? By the number of episodes w/I a period of time,or is there a test a podiatrist can perform?

Well...: There is a lot a podiatrist can do for plantar fasciitis after evaluating it in person: From prothetic inserts for your shoes, to teaching exercises, to splints, injections and even forms of ultrasound. You should not panic, and be proactive. ...Read more

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