Plantar fasciitis, the most common orthopedic problem that causes pain in the heel's bottom. It happens when the plantar fascia thins and wears out, thus reducing the protection and support on the feet.
The plantar fascia is a weblike ligament connecting the heel to the toes. It enables a person to walk and move. It also serves as the feet's shock absorber.
According to the National Center for Biotechnology Information, there are approximately a million patients a year who go to the doctor complaining of plantar fasciitis. About 10% of runners suffer from this injury. Likewise, it is also prevalent in 10% of the general population who are active and working adults.
The risk of developing plantar fasciitis is greater for people who are overweight or obese, or heavy with a child. There is more pressure on the ligaments in the foot when there is more weight. Thus, pregnant women may often complain of their feet aching, especially in the last trimester of their pregnancy.
Long-distance runners are also prone to develop plantar fasciitis because they put more stress on their feet. People whose jobs require them to be on their feet a lot, such as retail or restaurant service staff, are also likely to develop this condition.
Those with high arches or flat feet could experience this problem as well. The condition may be aggravated if they keep wearing the wrong shoes that do not provide the right support.
The most common symptom of plantar fasciitis is heel pain, which may extend to the middle of the foot. This pain progresses over time and may feel worse in the morning.
As a result of the pain, physical activity may be difficult as the heel also stiffens or flares up. Sometimes, the symptoms are most evident when the person is resting.
Platelet-rich plasma (PRP) therapy is one of the treatment options for relieving pain and inflammation from plantar fasciitis. Derived from centrifuging the patient's blood, this procedure has shown promising results in various trials.
In a study published in the journal International Orthopaedics, patients with chronic plantar fasciitis, who received three PRP injections, manifested significant pain reduction on their feet 12 months after the treatment. A larger study, published in the journal The Foot, showed that 64% among 44 patients said that they will undergo PRP injections again because of its successful effects. These patients had not received the same results while undergoing conservative plantar fasciitis treatments.
Injecting platelet-rich plasma into the injured part of the body, which is the bottom of the feet in this case, initiates tissue repair. The platelets are growth factors that trigger the healing process. These growth factors attract the cells that are needed for the repair but the PRP injection intensifies the process.
PRP injections require a small blood sample from the patient, which has undergone centrifugation. This concentrated blood sample is then injected into the bottom of the feet.
This is a non-surgical and non-invasive procedure that delivers faster results compared to other forms of treatment and management. Depending on the doctor's evaluation, a patient may get a single injection or a series of injections. But more often than not, multiple injections are no longer necessary as the patient could find relief after as little as three treatments.
Following the procedure, the patient may feel some mild pain due to the injection. However, within a week after the procedure, the patient could return to normal activities without feeling any pain or the need for pain relief medication.
Our pain clinic in Aventura offers comprehensive and interventional pain management services. Our pain specialists are experts in performing procedures, such as spinal cord stimulation, platelet-rich plasma injections, epidural steroid injections, and other innovative techniques. All of which help relieve your pain and regain your quality of life. For inquiries, Contact Us.
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