Posts for tag: plantar fasciitis
Professional basketball player Marcus Camby recently tore his plantar fascia. Here is the article on his recent injury.
More to come on how to treat plantar fascial tears.
Plantar fasciitis is a common ailment among professional basketball players. Joakim Noah of the Chicago Bulls has been suffering a severe case of plantar fasciitis over the past several years. This preseason he will be resting his feet to help heal his chronic heel pain. Pro Basketball players undergo extreme stress on the feet during the course of the season.
Over the next several weeks I will review some of the more state of the art conservative and minimally invasive surgical options for chronic heel pain as well as discuss a new terminalogy called "Plantar Fasciosis" which refers to a chronic inflammation of the plantar fascia.
Below is the link for the article on NBA basketball player Joakim Noah.
Please check out a great article below on plantar fasciitis in professional athletes.
Heel pain is one of the most common complaint that we see in our practice. Heel pain can sometimes be misdiagnosed as plantar fasciitis. If you have been suffering from heel pain and you haven't had relief with aggressive conservative treatment such as stretching, icing, NSAIDS, cortisone injections, night splints, and custom orthotics than MRI may be an option. MRI will aid in ruling out a heel fracture or plantar fascial tear. The typical course of treatment for a heel fracture or plantar fascial tear is different from the treatment of plantar fasciits. Here is some treatment options and long term outlook for three common complains of heel pain.
- If you have a positive MRI for calcaneal (heel) fracture, the treatment is 3 months in a removable boot.
- If you have a positive MRI for plantar fascial tear, the treatment is 3 months in a removable boot.
- If you have a positive MRI for intense inflammation only, the tapered cortisone course, with contrasts and ice, with a short course of removable boot, with some PT or accupuncture are all helpful.
- If you have a positive MRI for any of the above, you may still have nerve trauma/sensitivity concurrently. The pain from nerves is difficult to treat, and has been solutions.
- If you have a negative MRI, then you have plantar heel bursitis (may not show well on MRI) or nerve trauma, or both. If I think there is bursitis, with a negative MRI, I like ice massage, physical therapy, or cortisone shots (which you correctly are not a fan of, but may be crucial).
For more information on heel pain please refer to our website at carolinafootspecialists.net
PRP (Platelet Rich Plasma)
A new state of the art treatment for chronic heel pain is PRP (Platelet Rich Plasma) injections. A small amount of blood from the patient, similar to giving blood for a routine test. The vial of blood is subjected to very high speeds in a machine called a centrifuge. A yellow material is obtained containing cells called platelets, that are very abundant with factors that aid in healing. These growth factors are believed to decrease the inflammation causing plantar fasciitis. The platelets from the patient's own blood is injected into the area of pain in the heel. Patients are then fitted for a removable walking boot, and will use crutches to prevent putting any weight on the heel for one week or less. After that, they advance to sneakers, and although the range of time for pain relief is variable, it can be appreciated as early as 10-14 days.
For more information please contact our office at carolinafootspecialists.net
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