Plantar Fasciitis Treatment
If you’re experiencing heel and foot pain, it’s very likely you have plantar fasciitis, which is an inflammation of the fibrous tissue in the bottom of your foot. The experienced team at Star Health & Aesthetics, can determine if your heel pain is due to plantar fasciitis and provide the most appropriate treatment.
Fix your pain with our s.t.a.r METHOD.
What is plantar fasciitis?
Plantar fasciitis is an inflammation of the plantar fascia. “Plantar” means the bottom of the foot; “fascia” is a type of connective tissue, and “itis” means inflammation.
Heel spurs are soft, bendable deposits of calcium that are the result of tension and inflammation in the plantar fascia attachment to the heel. Heel spurs don’t cause pain, but may be evidence that you have plantar fasciitis.
Your plantar fascia encapsulates the muscles in the sole of your feet. It supports the arch of the foot by acting as a bowstring to connect the ball of your foot to the heel.
When walking, the moment the trailing leg begins to lift off the ground, the plantar fascia endures tension that is approximately two times your body weight. This moment of tension may be increased if there is a lack of flexibility in your calf muscle. Due to the repetitive nature of walking, plantar fasciitis may be a repetitive stress disorder similar to tennis elbow.
Symptoms of Plantar fasciitis include:
- Pain under the heel which develops gradually over time.
- Often pain may radiate forwards into the arch of your foot.
- You may have tenderness in the sole of your foot and under your heel when pressing in. This can range from being slightly uncomfortable to acutely painful.
- Pain is usually worse first thing in the morning.
- Symptoms improve during the day, but may return later, especially if you are on your feet alot.
What causes plantar fasciitis?
You may develop plantar fasciitis for a number of reasons. Some of the most common include:
- Inadequate flexibility in the calf
- A sudden increase in activity
- Spending too much time on your feet
Being overweight or obese may also increase your risk of developing plantar fasciitis. Like the inflexibility of your calf muscle, carrying extra weight also adds stress to your plantar fascia.
The Plantar Fascia (or plantar aponeurosis) is a broad, thick band of tissue that runs from under the heel bone (calcaneus), to the front of the foot.
Its function is to provide support to your foot when standing and shock absorption when running.
How is plantar fasciitis traditionally treated?
Typical treatments for plantar fasciitis includes a series of at-home exercises, rest, ice, and stretching to help reduce the pain in your foot. If this fails, the following treatments are typically tried.
- Custom orthotics
- Physical therapy
- Muscle stimulants
- Cortisone injections
- Night splints
If these treatments fail to improve your pain, surgery may be recommended.
|Cost||HSA, FSA, Interest Free Payment Plan Eligible||Deductible, co-pay, medications, time-off work, etc.|
|Risk||No known side effects||Blood clots, infection, poor outcome, addiction to pain medications|
|Pain||Little to none||Can be severe for months|
|Recovery||Immediate||Months / Years|
Our Treatment Approach
Fix your plantar fasciitis with our s.t.a.r. Method (ESWT™ + EMTT™ + PRP™)
Powered by STORZ Medical + RegenLab®
Radial Pressure Wave (RPW) + Focused Shock Wave (FSW) + Extracorporeal Megnetotransduction (EMTT™) + Platelet Rich Plasma (PRP)
Our starMethod works to regenerate and strengthen the plantar fascia to eliminate chronic heel pain. There is generally not a need for heel spurs to be surgically removed after the supportive ligaments and plantar fascia have been repaired through our non-surgical, regenerative approach.Our Treatment Approach ->
- Study: Radial ESWT Superior To Corticosteroids For Plantar Fasciitis by Brian McCurdy Podiatry Today (2017)
- Extra Corporeal Shock Wave Therapy Versus Local Corticosteroid Injection in the Treatment of Chronic Plantar Fasciitis, a Single Blinded Randomized Clinical Trial Eslamian F, Shakouri SK, Jahanjoo F, Hajialiloo M, Notghi F Pain Medicine (2016)
- Extracorporeal Shockwave Therapy In Patients With Morton’s Neuroma Hyun Seok , MD, PhD, Sang-Hyun Kim , MD, PhD, Seung Yeol Lee , MD, Sung Won Park , MD Journal of the American Podiatric Medical Association (2016)
- Efficacy And Safety Of Extracorporeal Shock Wave Therapy For Orthopedic Conditions: A Systematic Review On Studies Listed In The Pedro Database Christoph Schmitz, Nikolaus B. M. Császár,Stefan Milz,Matthias Schieker, Nicola Maffulli,Jan-Dirk Rompe,and John P. Furia British Medical Bulletin (2015)
- **Clinically Relevant Effectiveness Of Focused Extracorporeal Shock Wave Therapy In The Treatment Of Chronic Plantar Fasciitis: A Randomized, Controlled Multicenter Study Gollwitzer, H; Saxena, A; DiDomenico, LA, Galli, L; Bouché, RT; Caminear, DS, Fullem, B, Vester, JC; Horn, C; Banke, IJ, Burgkart, R, Gerdesmeyer, L. The Journal of Bone and Joint Surgery (2015)** Level 1 Study
- Two Emerging Technologies For Achilles Tendinopathy And Plantar Fasciopathy. Langer PR. Clinics in Podiatric Medicine and Surgery (2015)
- Ultrasonographic Evaluation Of Low Energy Extracorporeal Pulse Activated Therapy (EPAT) For Chronic Plantar Fasciitis. Gordon R, Wong C, Crawford EJ. Foot & Ankle International (2012)
- Comparison Between Extracorporeal Shockwave Therapy, Placebo ESWT And Endoscopic Plantar Fasciotomy For The Treatment Of Chronic Plantar Heel Pain In The Athlete. Saxena A, Fournier M, Gerdesmeyer L, Gollwitzer H. Muscles, Ligaments and Tendons Journal (2012)
- Successful Treatment Of Chronic Plantar Fasciitis With Two Sessions Of Radial Extracorporeal Shock Wave Therapy. Ibrahim Ibrahim M, Donatelli R, Schmitz C, Hellman M, Buxbaum F. Foot & Ankle International (2010)
- Comparison Of Radial Versus Focused Extracorporeal Shock Waves In Plantar Fasciitis Using Functional Measures. Lohrer H, Nauck T, Dorn-Lange NV, Schöll J, Vester JC. Foot Ankle International (2010)
- **Radial Extracorporeal Shock Wave Therapy Is Safe And Effective In The Treatment Of Chronic Recalcitrant Plantar Fasciitis: Results Of A Confirmatory Randomized Placebo-Controlled Multicenter Study. Gerdesmeyer L, Frey C, Vester J, Maier M, Weil L Jr, Weil L Sr, Russlies M, Stienstra J, Scurran B, Fedder K, Diehl P, Lohrer H, Henne M, Gollwitzer H. American Journal of Sports Medicine (2008) Level 1 Study
- Extracorporeal Shock Wave Therapy For Chronic Painful Heel Syndrome: A Prospective, Double Blind, Randomized Trial Assessing The Efficacy Of A New Electromagnetic Shock Wave Device. Gollwitzer H, Diehl P, von Korff A, Rahlfs VW, Gerdesmeyer L. Journal of Foot & Ankle Surgery (2007)
- Extracorporeal Shock Wave Therapy for the Treatment of Plantar Fasciitis Theodore GH, Buch M, Amendola A, Bachmann C, Fleming LL, Zingas C. Foot & Ankle International (2004)
- Effect Of Shock-Wave Therapy On Patellar Tendinopathy In A Rabbit Model. Hsu RW, Hsu WH, Tai CL, Lee KF. Journal of Orthopedic Research (2004)
- Ultrasonographic Evaluation At 6-Month Follow-Up Of Plantar Fasciitis After Extracorporeal Shock Wave Therapy. Hammer DS, Adam F, Kreutz A, Rupp S, Kohn D, Seil R. Archives of Orthopaedic and Trauma Surgery (2003)
- Shock Wave Therapy Induces Neovascularization At The Tendon-Bone Junction: A Study In Rabbits. Wang CJ, Wang FS, Yang KD, Weng LH, Hsu CC, Huang CS, Yang LC. Journal of Orthopedic Research (2003)
- Preliminary Results on the Safety and Efficacy of ESWT for Treatment of Plantar Fasciitis. Alvarez R. Foot & Ankle International (2002)
- Extracorporeal Shock Wave Therapy For The Treatment Of Chronic Plantar Fasciitis: Indications, Protocol, Intermediate Results, And A Comparison Of Results To Fasciotomy. Weil LS Jr, Roukis TS, Weil LS, Borrelli AH. Journal of Foot & Ankle Surgery (2002)