The Center for Podiatric Care and Sports Medicine

Beyond the Cutting Edge: The Latest Non-Surgical Plantar Fasciitis Treatments

Posted by on Friday, March 6th, 2015

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Plantar fasciitis is a notoriously difficult condition to treat, but new alternatives to surgery have proven effective, though the body of research is still growing. The Center for Podiatric Care and Sports Medicine in New York City has invested in the latest technology to offer you the best selection of advanced pain therapies and healing-stimulating treatments for your chronic heel pain.

If you’re looking for NY plantar fasciitis treatment, there is no better place to call home. With a staff as renowned for their friendliness as for their knowledge and professionalism, you will find a sympathetic ear, answers to all your questions, and a reprieve from your debilitating pain in a short while.

heel pain nyc
Suffering from heel pain? The Center for Podiatric Care and Sports Medicine in NYC can help. Image Source: Wikimedia.org

Alternatives To Foot Surgery

One of the reasons so many people put off seeing a NYC podiatrist for their heel pain is that they fear surgery. However, most orthopedic surgeons feel that the cons outweigh the pros when it comes to plantar fasciitis surgery. In a recent study, researchers looked at patients whose surgery had failed to produce results after four months and podiatry patients who encountered 10 months of failed non-operative management.

Of those:

–  44% podiatrists recommended plantar fascia stretching for their patients

– 24% recommended supervised physical therapy

– 20% recommended night splints

– 6% recommended steroid injections

– 4% recommended custom orthotics

– 2% recommended cast or boot immobilization

At 10 weeks, 74% of podiatrists opted to proceed with extracorporeal shockwave therapy — a mode of treatment we offer at our Manhattan and White Plains facilities. The lack of side effects, ease of treatment, and impressive efficacy has led to the proliferation of this therapy for heel pain.

Platelet Rich Plasma Injections vs. Steroids For Plantar Fasciitis

Injection therapy has had its place in heel pain treatment for decades, but newer “cocktails” have emerged in recent years, such as the use of a patient’s own blood, spun in a centrifuge to increase the density of growth platelets. Recent studies have indicated that:

– Patients had comparable results with corticosteroid and PRP injections at six months.

– 80% of patients were “completely satisfied” with the resolution of pain after 10 months of PRP injection therapy and 60% had no functional limitations. Results were confirmed by ultrasound imaging, which indeed saw a decreased thickness in the plantar fascia.

– Compared to placebos, steroid injections yield a “significant difference in pain” at six and 12 weeks.

Special Shoes & Custom Orthoses For Heel Pain

Recent research out of China highlights the effectiveness of combining the use of special rocker sole shoes with custom-made orthoses for the treatment of plantar fasciitis. The results found:

– 30.9 mm pain scale reported for rocker shoe treatment

– 29.5 mm pain scale reported for foot orthoses

– 9.7 mm pain scale reported for foot orthoses + rocker shoes used together

Furthermore, peak heel pressure was reduced by roughly 33.6% with the combined treatment, compared to a 7.99% reduction with rocker shoes and 28.82% reduction with foot orthoses. We have computerized scanners to take measurements for custom orthoses right here in our sports medicine offices, and also counsel patients on special footwear unique to their conditions.

Heel Pain Treatment in NYC

The importance of seeing the right provider for heel pain can be seen in a recent review of plantar fasciitis symptom duration among 182 patients. Klein and colleagues noted that some patients suffered from acute heel pain (six months or less), while others developed chronic heel pain that persisted for longer than six months. The two groups seemed similar in nearly every way — age, body mass index, gender, comorbities, reported pain, and activity level — except that the chronic patients had seen more healthcare providers and attempted more treatments. Getting the right treatment by a professional specializing in sports medicine is paramount to nipping your pain in the bud. If you live in the New York City metro, visit The Center for Podiatric Care and Sports Medicine to start your healing process right away.

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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.