Page Updated on Apr 1, 2020 by Dr. Reyfman (Pain Management Specialist) of Pain Physicians NY

Pain Physicians NY (Brooklyn, Queens, Manhattan, Bronx NYC) is one of the first practices in New York to offer Platelet Rich Plasma (PRP) Injections for patients suffering from Plantar Fasciitis. Our facility equipped with the most advanced, cutting edge equipment to treat Plantar Fasciitis.

Plantar Fasciitis

heel pain treatment | Plantar Fasciitis brooklyn nycPlantar fasciitis is a condition where the plantar fascia of the foot becomes damaged and swollen. The plantar fascia is a band of tissue, running from the bottom of the heel to the sole of the foot along the bottom of the foot where the bones of the toes originate. This ligament is very tough, but also flexible to act as a shock absorber for the entire body. Plantar fasciitis is the most common cause of heel pain.

It is this ligament that creates the natural arch of the foot, which is essential for absorbing the weight of the body. On average, more than 50 tons of weight is absorbed by these ligaments while walking a single kilometer, so it is really strong. However, an increase of stress due to carrying heavy loads or staying on your feet for hours can cause these ligaments to become overexerted, thereby becoming irritated.

This process begins gradually, starting with slight pain and soreness, but a further strain on the plantar fascia causes further damage which can become a serious condition. The ligaments become damaged and swollen with further strain. At this state of inflammation, the condition is referred to as plantar fasciitis.

Ignoring plantar fasciitis can lead to problems with:

Risk factors

Factors that increase the risk of developing plantar fasciitis include:

  • Being overweight,
  • Certain types of exercises – runners, dance aerobics, ballet dancers, etc.
  • Occupations that require standing for a long period of time during a day – teachers, factory workers, etc.
  • Age – people between 40 and 60 years old tend to develop plantar fasciitis.

What causes plantar fasciitis?

Various reasons can cause increased strain on the plantar fascia, the most common ones include:

  • An over version of the plantar fascia by staying on your feet for an extended period of time. We have already seen how much weight the foot receives, and staying on your feet for hours can cause this ligament to become irritated
  • Extreme exercise such as running long distances, especially after a long period of inactivity, which places a sudden strain on these ligaments
  • Improper shoes such as high heels or completely flat shoes. Unfitting shoes, too, can cause plantar fasciitis
  • Turning your foot inwards too much, for example, while tripping

Any of these causes lead to tears within the plantar fascia which eventually leads to plantar fasciitis.

Signs and symptoms of plantar fasciitis

The initial stages of this condition are not serious, and only cause soreness around the foot of the individual. Since it’s not painful, the individual may continue with the same activity that caused the initial soreness, and that worsens the condition. Some of the symptoms include:

  • Swelling on the underside of the foot
  • Tenderness to the touch on the underside of the foot and heel, but also the back of the heel
  • Pain on the foot and heel. This pain is exacerbated during walking and especially when climbing stairs. It is also most common after a period of rest, such as after sitting down or when waking from sleep. Once the foot limbers up during the day, the pain tends to go away or decrease. However, remember that the pain can return after sitting for a long period of time or standing up for a long period of time.

Management of plantar fasciitis

The diagnosis is usually done through a physical examination and an analysis of the symptoms. Sometimes, further tests may be required if the doctor can’t establish a sure diagnosis, like MRI or X-ray just to eliminate other causes that can lead to heel pain.

Management is done by resting the affected foot. The pain will usually go away after some time. To speed up the recovery, though, cold compression using ice and over-the-counter NSAIDs can help reduce the inflammation and eliminate the pain.

Physical therapy plays an important role in the management of plantar fasciitis, as a Brooklyn physical therapist instructs you how to stretch the plantar fascia, strengthen the leg muscles as well as the Achilles tendons.

Night splints are splints that will help you stretch the calf and the arch of the foot while sleeping. These splints will help stretch the plantar fascia.

If conservative treatment is not helpful, steroid injections or extracorporeal shock wave therapy are recommended. If the condition was ignored for too long and worsened, surgery may be needed to repair the damaged tendons.

Make your pain go away

The goal of our specialists is to diagnose your problem, define a personal treatment plan based on your condition and get you back on the track with minimal downtime. Conservative treatment is suggested first. However, in severe cases when conservative treatment does not solve your problem and relieve your heel pain, surgical treatment might be needed.

The most advanced pain management center, Brooklyn pain management doctors and specialists at Pain Physicians NY offers a unique, individualized approach to manage your Plantar Fasciitis. We are using the most effective pain management options including Platelet Rich Plasma (PRP) and Corticosteroid Injections and utilizing the latest technologies available in the USA.