CHRONIC PLANTAR FASCIITIS
Plantar fasciitis is the most common cause of heel pain. Plantar fasciitis is an inflammatory process at the junction of where the plantar fascia ligament originates on the heel bone. It may feel like a nail or screw being jabbed in the foot. Pain is worse in the morning and when getting up from a seated position.
Common causes of plantar fasciitis include:
- Weight gain
- Long term non supportive shoe gear
- Over use
- Aging and tightening of the plantar fascia,
- Abnormal gait
Common treatments for plantar fasciitis include:
- Weight loss
- Anti-inflammatory medications
- Better shoes
- Steroid injections
- Stretching or physical therapy
If acute plantar fasciitis pain does not respond to conservative treatment or one’s heel is subject to repetitive trauma and inflammation of the plantar fascia, chronic plantar fasciitis or plantar fasciosis may develop. Plantar fasciosis is a chronic thickening and degeneration of the plantar fascia.
We have completed a randomized trial of a novel, minimally invasive procedure called PerFasciitisTM. The PerFasciitisTM procedure uses your own fat from liposuction using small tubes and transfers the fat into the plantar fascia. The fat has natural stem cells in it that may cause a regeneration of the thickened plantar fascia. We have seen a significant reduction in the plantar fascia thickness, decreased pain, and increased quality of life with our fat injection technique. The procedure is safe, minimally invasive and performed under local anesthesia in the office.