The Center for Podiatric Care and Sports Medicine

Fixing it FAST: Revolutionary New Achilles Tendonitis and Plantar Fasciitis Treatment

Posted by on Tuesday, February 19th, 2013


Any serious athlete knows that practice makes perfect. You’re focused, you’re determined, and you know you can make yourself better if only you work hard enough. So you train, and train, and train. You run, jump, stretch, lift weights, and practice for hours at a time. You visualize the game when you’re going to bed at night, and wake up ready to play the next morning. You’re a machine. You’re unstoppable. You’re seeing amazing results. Then you get tendonitis.


Tendon pain can be caused by a number of factors including trauma and repetitive motion. If you play tennis, repetitive swinging of the arm can cause tennis elbow, a tendon injury. If you play soccer, repetitive sprints and the stress of bouncing on your toes for 90-minutes straight can cause Achilles tendonitis, a tendon injury in your heel. If you play basketball, leaping for rebounds and landing on a hard floor can cause plantar fasciitis, a tendon injury in that tight band of tissue in the arch of your foot. Sometimes these injuries heal with minimal interventions but for the committed athlete, they often become chronic. Any tendon injury, over time, may develop scar tissue, inhibiting motion in your joint and causing pain. If this damaged tendon goes untreated, the pain and immobility will likely prevent you from doing what you love: playing your sport.



Fortunately for you (and for many of us with chronic tendon injuries) a new procedure can dramatically improve functionality while reducing pain by removing the scar tissue that has accumulated around your tendon. The procedure is called FAST (Fasciotomy and Surgical Tenotomy). It’s a minimally invasive treatment that can be done in your doctor’s office under local anesthesia. Most patients can return to normal activities within six weeks. Unlike open surgical procedures, FAST minimizes damage to surrounding tissue, speeding recovery and improving outcomes. And, you avoid the dangers inherent in general anesthesia.



It’s often best to try non-surgical interventions first, like rest, nighttime immobilization, anti-inflammatory drugs, and physical therapy exercises. But for many tendonitis sufferers, these techniques don’t address the underlying problem. They may relieve pain temporarily or help to strengthen muscles, but they don’t do much for accumulated scar tissue. The only person who can determine the best treatment options for you is your doctor. If you have a tendon injury and want to learn about your options, contact The Center for Podiatric Care and Sports Medicine.


If you have any foot problems or pain, contact The Center for Podiatric Care and Sports MedicineDr. Josef J. GeldwertDr. Katherine Lai, Dr. Ryan Minara and Dr. Mariola Rivera have helped thousands of people get back on their feet. Unfortunately, we cannot give diagnoses or treatment advice online. Please make an appointment to see us if you live in the NY metropolitan area or seek out a podiatrist in your area.